Do disabilty policies cover both accident and sickness?

UPDATED: Jul 12, 2023Fact Checked

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Jeffrey Johnson

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Jeffrey Johnson is a legal writer with a focus on personal injury. He has worked on personal injury and sovereign immunity litigation in addition to experience in family, estate, and criminal law. He earned a J.D. from the University of Baltimore and has worked in legal offices and non-profits in Maryland, Texas, and North Carolina. He has also earned an MFA in screenwriting from Chapman Univer...

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UPDATED: Jul 12, 2023

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UPDATED: Jul 12, 2023Fact Checked

No. Policies are available to cover disability due to an accident only or due to either accident or illness. It could be wallet-wrenching if your policy differentiates between accident and sickness.

However, in addition to accident only and accident and illness policies, some insurers are now selling critical illness policies. These aren’t classic disability policies. They pay a lump sum benefit of $5,000 to $500,000 if you are diagnosed with certain illnesses. You don’t have to be disabled or even employed to collect. Policies sometimes pay one lump sum and then pay a second time if the condition recurs. These policies typically have an “elimination period,” which is the time you must wait after diagnosis to receive benefits. If you die during this period, your estate receives no benefits. Conditions commonly covered by these policies include: Heart attack, stroke, kidney failure , paraplegia organ transplant, Alzheimer’s disease, blindness, deafness, multiple sclerosis coma, coronary artery bypass graft, HIV (medical personnel only), aortic surgery, angioplasty, heart valve surgery, loss of sight/speech/hearing, severe burns, and cancers.

Case Studies: Disability Policies and Coverage

Case Study 1: Accident Only Policy

In this case, Sarah purchased an accident only disability policy. Unfortunately, she later developed a debilitating illness that prevented her from working. Since her policy only covers disabilities caused by accidents, she was not eligible for benefits. This case highlights the importance of understanding the specific coverage offered by disability policies and choosing one that aligns with your needs.

Case Study 2: Accident and Illness Policy

John opted for an accident and illness disability policy. When he suffered a serious accident that left him unable to work, he was able to claim benefits under his policy. The coverage for both accidents and illnesses provided him with financial support during his disability. This case demonstrates the value of comprehensive disability coverage.

Case Study 3: Critical Illness Policy

In this scenario, Emily obtained a critical illness policy. The policy paid a lump sum benefit upon diagnosis of specific illnesses, regardless of disability or employment status. When Emily was diagnosed with a covered condition, she received the lump sum benefit, which helped her cope with the financial challenges associated with her illness. This case illustrates the alternative coverage options available beyond traditional disability policies.

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Jeffrey Johnson

Insurance Lawyer

Jeffrey Johnson is a legal writer with a focus on personal injury. He has worked on personal injury and sovereign immunity litigation in addition to experience in family, estate, and criminal law. He earned a J.D. from the University of Baltimore and has worked in legal offices and non-profits in Maryland, Texas, and North Carolina. He has also earned an MFA in screenwriting from Chapman Univer...

Insurance Lawyer

Editorial Guidelines: We are a free online resource for anyone interested in learning more about legal topics and insurance. Our goal is to be an objective, third-party resource for everything legal and insurance related. We update our site regularly, and all content is reviewed by experts.

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