If you have disability insurance, In that case, it is crucial to understand what it will cover if you cease to be able to work as a result of physical or mental illness. More timely requesting the proper benefit could ensure the claim and denial. Policies differ about the kind of condition covered, the duration of coverage, and the exceptions that could be covered. Here are some examples of the terms and conditions that may differ.
Total vs. Partial Disability
Insurance companies typically describe a disability as a total or partial Disability. The policy defines a partial impairment as limiting your ability to perform your job but permitting you to work in a limited capacity at either your current job or another. The term “Total Disability” is different; the insured cannot perform the obligations of their occupation and any gainful employment. Specific policies are strict “Own Occupation” policies, and others provide the “Own Occupation” period of Disability, followed by the “Any Occupation” period of Disability.
Physical and Mental Health Disabilities
The majority of disability insurance companies treat claims based on physical impairment differently from claims that get based on a mental illness or cognitive problem. Most policies, in particular, limit the benefits accessible to those with mental and cognitive impairments to twelve to 24 or more. Suppose a policy has one of these limits. In that case, it will force an insurance company to classify a disability as cognitive or mental instead of physical.
For instance, the insurance company may decide to approve a claim based on the insured’s diagnosis of depression. Although depression may be genuine, it’s typically a result of having a physical condition such as constant pain, MS, arthritis, or any other physical illness. There may be a dispute over the degree to which the claimant’s Disability and ability to perform work result from the mental or physical condition.
Accidents/Injuries vs. Sickness
A different issue is whether the impairment is due to an accident or a disease. Again, the cause of your illness can affect the number of benefits. Some policies limit Disability due to illness payments to a maximum period of (24 months, five years, and 65) but will provide benefits throughout your impairment due to an injury. In the same way, with different treatments for mental and physical disabilities, insurance companies may try to argue that damage to the body is an illness. For that, they will pay less.
Don’t Compromise with Your Claim
Various factors must be involved in ensuring your disability insurance claim is correctly accepted. The financial security of your family may be in danger. Fortunately, you don’t have to tackle an appeal or claim independently. Our knowledgeable attorneys are available to assist you with each step. To determine the level of benefits you’re entitled to, don’t hesitate to contact Ottawa Life Insurance; for more information, please call (613) 454-1424 and email info@ottawa-lifeinsurance.ca.
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