Allstate

Here's what you need to know

What it does for you
Why it's important
When you can enroll
Forms & resources

Critical Illness Insurance helps provide financial support if diagnosed with a covered critical illness.

If you’re diagnosed with a critical illness like a heart attack or stroke, your life can change quickly. That’s because while a major medical plan may pay for some of the costs associated with treatment, out-of-pocket expenses like copays, coinsurance and deductibles may affect your finances.

However, once you’re enrolled in Critical Illness Insurance, you’ll have additional financial protection if you are diagnosed with a covered critical illness. With this policy, you receive cash benefits paid directly to you (unless otherwise assigned) to use however you choose.

Provides a payment for you to use however you see fit
The cash payment is made directly to you
It can help pay out-of-pocket expenses related to medical care associated with covered illnesses
In addition to medical care, you may use it to pay for things like childcare, lodging, or over-the-counter medication

You can collect this benefit in addition to other coverage you have, including your employer’s major medical plan, any other type of medical coverage, disability insurance, or other benefits you may be eligible to collect. However, it is NOT health insurance and does not satisfy the requirement of minimum essential coverage under federal law.

Dealing with a critical illness may be costly to you in two ways:

Medical bills. It’s not unusual for a critical illness to result in out-of-pocket expenses. It starts with the usual deductibles, coinsurance and copays, but it doesn’t end there. You might decide to go to a doctor or facility that’s “out of network.” You might decide to get a second opinion or type of treatment that isn’t covered at all.
Lost income. Treatment and focus on recovery may require extra time away from work. That may affect the paycheck your family may rely on to keep everything on track. Or you might discover you have added expenses because you need more help around the house, extra child care, or additional lodging near treatment. These costs may affect from your wages or savings.

The advantage of this insurance is simple: you can use your critical illness benefit any way you choose. You can use it to help pay for medical expenses like deductibles and copays, as well as any non-medical expenses. You can also use this money to help pay daily living expenses such as grocery bills, mortgage payments, child care, and transportation.

Access to this benefit helps you have more control over your finances and ultimately your health care options, too. Added peace of mind is a great way to support your recovery.

You are eligible to enroll in Critical Illness Insurance during the following times:

Within your new hire enrollment period
If you have a qualifying life event (you get married, have a baby, etc.)
During your employer’s annual enrollment

Check with your employer’s human resources/benefits team for specifics about these timeframes.

Keep in mind: If you enroll during these timeframes, you receive what is called “guaranteed issue,” subject to any applicable pre-existing condition limitations, and you must meet the “Actively at Work” requirement to be eligible.

These form(s) are in Adobe Acrobat Reader (PDF) format and are available for downloading and printing.

Who is the provider?

Allstate Benefits

Allstate Benefits is a leading provider of supplemental insurance coverage to over 50,000 groups and insures more than four million people nationwide. For more than six decades, Allstate Benefits has delivered superior products and services with cutting-edge technology, exceptional customer service and compassionate claims administration.

When is a benefit paid under the plan?

Once your insurance is effective, you’ll receive benefits if diagnosed with a covered critical illness. These benefits vary by state and may have other limitations and exclusions that may affect what’s payable. See your disclosure statement or outline of coverage/disclosure document for full details on your coverage.

Who in my family is eligible for this program?
Members of your family who are considered eligible to enroll in this insurance include:
- You – if you are an active employee
- Your legal spouse
- Your eligible dependent children
You must be enrolled in coverage for eligible members of your family to also enroll.

How much does coverage cost?

This is group insurance offered at group rates. Refer to the policy documents for complete details.

Do I have to answer health questions or take a medical exam?

Your Critical Illness Insurance is guaranteed issue, subject to any applicable pre-existing condition limitations, and you must meet the “Actively at Work” requirement to be eligible.

What if my employment status changes?

Good news! If you leave or retire from your current employer, you may be able to continue your Critical Illness Insurance without interruption (subject to applicable law and the policy’s terms and conditions). Although payroll deduction will no longer be available, you can opt for other payment methods such as direct bank account deduction, credit card billing or home billing. Coverage and premiums are not affected by you leaving the group.

When would my coverage start?

Coverage is effective on the 1st of the month after coverage is approved by Allstate Benefits.

Am I really free to use the payment any way I choose?

Yes, you are! There are no restrictions or requirements about how you can use your critical illness cash benefit. When you’re facing a critical illness, you want to be able to focus your time and energy on treatment and recovery. This policy can help you do just that. You’re free to use your benefit on medical expenses and/or non-medical expenses. Having that kind of flexibility can help you feel more in control over your care and your finances.

Critical Illness | Allstate

Critical Illness Insurance

Helps you alleviate the expenses that comes with a covered critical illness.

Here's what you need to know

How It Works

Test results from someone's doctor indicates a heart attack diagnosis.

That’s when Critical Illness Insurance comes in.

Frequently Asked Questions

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