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What Are Some Of The Common Exclusions Under Critical Illness Rider?

Updated On Nov 25, 2021

What is a rider? A rider is a form of insurance that adds on to an existing policy by providing additional coverage and benefits. Life insurance companies provide a variety of optional riders that may be acquired for a small fee to meet an individual's specific needs. They are effective tools for extending the coverage of a life insurance policy.

The expense of critical illness care in India is relatively high. As a result, it is important for individuals to have critical illness insurance coverage that provides financial protection against large medical expenditures incurred as a result of the treatment of any critical illness. If an individual wants to be financially secure in the event of a medical emergency, one should get crucial insurance coverage as soon as feasible. To find out more information on critical illness rider, read on.

Exclusions Under Critical Illness Rider

Following are the listed exclusions in critical illness rider -

  • Suicide

If an insured individual commits suicide during the first year of the methodology's inception, the plan's cover will be completed soon after that. When the assurance rider expires, the company is solely focused on paying the insured individual’s first-class expenses(s). The organisation no longer pays interest and instead takes a share of any costs incurred as a result brought about by the respective insured individual.

  • Risky Adventure Sports

As we see individuals regularly go on get-aways to mountainside outings to participate in their retirement income days. During which they take a pass at invigorating rides like paragliding, slant rising, bungee bouncing, and so on, which may not be appropriate for their clinical issues. And if it results in a deadly disaster, no financial benefits will be paid because they were already aware of the risks.

  • Drug And Substance Abuse

Many requests for rider compensation in the event of medication-related deaths have been turned down by the organisations. In this context, substance abuse refers to taking more medications than recommended by a professional or specialist, which can result in death or disease of an individual, among other things. Families may claim that this occurred due to old age, but insurance companies may refuse the claim. For example, death from a booze excess, for instance, is remembered for the whole, although it is unlikely to be hidden in the rider.

  • History Of A Specific Illness

If an insured individual dies within a period of five years of the policy's start date as a result of a positive STD/HIV test or a previous illness. Like cancer, the company will not provide any form of medical coverage. The specifics are added after the approach is marked and should be carefully considered.

  • Lifestyle Dangers

An individual will be questioned about their smoking and drinking habits before seeking a protection rider. According to protection firms, smokers are more likely to die than non-smokers. As a result, it's understandable that smokers are more confident in documenting a Life Insurance promise than non-smokers. As a result, they may charge smokers more rates than non-smokers, and they can even deny claims if they die as a result of smoking.


Prior to purchasing a Life Insurance rider, it is important for an individual to review the terms of the agreements and protection rider arrangements. Their friends and family may face significant financial hardship as a result of their uncertain death. An unjust passing case that is dismissed, on the other hand, can be horrifying. Understanding the terms and circumstances may need a greater amount of effort than anticipated. Regardless, an individual should always make an effort to find out what is and isn't covered by their respective insurance.

Also read - How Can I Add A Term Insurance Rider To My Insurance?

Disclaimer: This article is issued in the general public interest and meant for general information purposes only. Readers are advised not to rely on the contents of the article as conclusive in nature and should research further or consult an expert in this regard.

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