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Critical Illness Insurance Claims


What do you do when serious illness strikes?

If you’ve become seriously ill and are worried for the financial future of you and your loved ones, relief may be possible.

A critical illness insurance payout is meant to be there to help you through your darkest times. If you or a loved one feels that you are being withheld compensation, contact the legal team at Gerard Malouf & Partners for no obligation legal advice in your initial consultation.

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What is critical illness insurance?

Critical illness insurance, also known as trauma insurance, pays out a lump sum to help with individuals who are suffering from seriously life-altering or potentially life-ending illnesses or injuries. These insurance policies are typically paid into over a long period of time and often packaged alongside policies like life cover and total and permanent disability insurance. Having one of these additional forms of insurance may reduce the cost of also buying critical illness insurance, according to the Australian Government’s Moneysmart programme.

Some of the most common uses of a critical insurance payout include:

  • Any medical costs not covered by typical health insurance.
  • Living expenses for you and your family.
  • Any changes to housing, including the potential costs of nursing care or hospice.
  • Paying back any debts that need to be settled before the end of life.

When can you claim critical illness insurance?

In order to make a critical illness insurance claim, you must be paying into a critical illness insurance policy. The conditions that are covered by a critical illness insurance policy will vary depending on your insurance company. The specifics of what your policy does and does not cover will be laid in a document called a product disclosure statement. Almost every policy will define “critical illness” to include major medical conditions like cancer, a heart attack or other serious heart condition, stroke or major head trauma. Some policies may cover only a very narrow list of conditions. These policies will typically not need to look at your medical history for you to be covered. To make a critical illness insurance claim, you must submit supporting medical documents from a doctor, as well as details about your work duties and the work that you have missed as a result of the injury.

If you feel that you are being wrongly denied a lump sum payment by your insurer, you should consult an experienced legal professional for assistance and guidance on your next steps. 

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GErard Malouf & Partners

Experienced solicitors and barristers

At Gerard Malouf & Partners, we are experienced at handling critical illness insurance payouts.

We recognise that our clients are dealing with a serious medical condition or that of a loved one, and we aim to reduce the stress of your claim. We take our cases on a “no win, no fee” basis, so you can feel secure coming to consult with us.

In one recent case, we were able to secure our client, a man dying of asbestos-related mesothelioma, a $440,000 settlement to care for his family. The man was exposed to a large amount of asbestos dust and fibre while building an extension on his home in the late 1970s.

Due to the rapid spread and deadly nature of mesothelioma, our client was initially given only three months to live from his diagnosis, our team knew they had to act fast to give our client peace of mind in his final days. We began legal proceedings in the Dust Diseases Tribunal of New South Wales against the asbestos manufacturer’s compensation fund for victims.

The case was eventually taken to mediation, where we secured the settlement amount. In addition to helping our client provide for his family into the future, we made sure the legal process was as comfortable for him as possible. This included filing a motion to have the court travel to his place of residence to take his evidence, rather than forcing him to travel while ill.

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Contact us for no-obligation legal advice about your claim.

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Download your guide today for free and make sure that you are aware of the facts and information you need to maximise your damages claim.

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 — Personal Injury Compensation Lawyers

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