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危疾保險
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【Baby/Newborn】Can you buy critical illness insurance before birth? Helping mothers compare coverage and premiums

2022-04-21 6min read
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Most whole-life critical illness insurance on the market currently requires a newborn to be at least 15 days old before it can be insured, but if the baby has a congenital condition and later develops a critical illness, the insurer will not provide coverage or compensation, causing considerable concern for many parents. However, there are currently two insurance products on the market that further lower the age at application; we will also compare premiums this time.

AIA 友邦愛伴航–首護摯寶 (i.e. AIA On Your Side child version) and YF Life 萬通保險首選健康愛護保 (Prime Health Pro child version) both state that as long as the mother is aged 18 to 45 during pregnancy and the baby is already at the 22nd week, it can be insured even if it is still "swimming" in the mother's womb.

Table 1: Comparison of the details and premiums of two critical illness insurance plans that can be applied for before birth

(Assuming the policyholder is a 35-year-old non-smoking mother, the child has not yet been born, and the basic sum insured is USD 150,000)

ItemAIA 友邦   
愛伴航–首護摯寶
YF Life萬通   
首選健康愛護保
Insured mother's age at application18 to 45 years old, from the 22nd week of pregnancy until the child's birth
Premium payment term10/18/25/30 years10/15/20/25 years
Miscarriage/stillbirth/termination of pregnancy
on registered specialist's advice
105% of premiums paid
Mother and child die together105% of premiums paid
Insured child's serious illnesses13 types (advance payment of 20% of the basic sum insured per condition, up to USD 50,000), coverage until age 1818 types (30% of the basic sum insured per condition), coverage until age 25
Critical illness benefitIf diagnosed within 90 days of birth, pay 20% of the insured disease benefit amount; if diagnosed after 90 days, pay 100% of the insured disease benefit amount
Death benefitIf death occurs within 180 days of birth, pay 20% of the death benefit; if after 180 days, pay 100%
Other benefits   
(e.g., critical illness cash allowance)
Not applicableWithin 90 days of birth, pay 20% of the insured disease cash allowance; after 90 days, pay in full
Annual premium1,617 USD1,875 USD
Total contributions over 25 years40,425 USD46,875 USD
Note: The above information is as of April 21, 2022

Congenital disorders in fetuses are quite common.

According to a report by the Asian Society of Cardiovascular Imaging, 3 out of every 500 infants in Hong Kong are born with congenital heart disease. The American Pregnancy Association notes that preterm infants born before 34 weeks may experience intracranial hemorrhage; about one in three of those born at 24 to 26 weeks develop this condition. Even if these conditions heal, they can still lead to serious illnesses later on.

For insurers, underwriting critical illness coverage for a fetus carries considerable risk, because congenital diseases often remain latent for many years and may later manifest as critical illnesses; therefore policies generally do not provide coverage for illnesses caused by congenital conditions.

But parents want their children to have comprehensive critical illness protection and do not want future critical illnesses to be excluded because of congenital conditions. The two products mentioned above provide coverage for insured critical illnesses caused by congenital diseases whose symptoms have not yet been detected; the earliest coverage date is also the 22nd week of pregnancy.

The two products offer similar coverage in the early stages after birth.

First, compare the coverage for childhood critical illnesses. AIA 友邦 covers a total of 13 childhood illnesses, and for each illness you can advance 20% of the basic sum assured, with coverage up to age 18; YF Life 萬通 is stronger in this area — in addition to covering 18 childhood illnesses, it allows an advance of 30% of the basic sum assured, and the coverage period extends to age 25.

Table 2: Overview of childhood illnesses covered by the two products

AIA 友邦  
愛伴航–首護摯寶
YF Life萬通  
首選健康愛護保
• Autism   
• Hemorrhagic dengue fever   
• Insulin-dependent diabetes mellitus   
• Intellectual disability caused by illness or injury   
• Kawasaki disease with cardiac complications   
• Osteogenesis imperfecta Type III   
• Rheumatic valvular heart disease   
• Severe asthma   
• Severe hemophilia   
• Still's disease   
• Type I juvenile spinal muscular atrophy   
• Wilson's disease   
• Glomerulonephritis / nephrotic syndrome   
 
• Autism   
• Hemorrhagic dengue fever   
• Insulin-dependent diabetes mellitus with onset in early childhood   
• Intellectual impairment caused by disease or accidental injury   
• Kawasaki disease   
• Osteogenesis imperfecta   
• Rheumatic valvular heart disease   
• Severe asthma   
• Hemophilia   
• Juvenile chronic arthritis – Still's disease   
• Type I childhood spinal muscular atrophy   
• Wilson's disease   
• Attention Deficit Hyperactivity Disorder (ADHD)1   
• Tourette's syndrome1   
• Osteopetrosis (osteoporosis)   
• Juvenile Huntington's chorea   
• Type II childhood spinal muscular atrophy   
• Severe epilepsy
Note:    
1. The payout is 30% of the basic sum assured, capped at USD 125,000,000, with coverage up to the insured’s age of 25.    
 

As for severe illness and death coverage for newborns, the terms of the two products are the same. If a baby unfortunately suffers a critical illness within 90 days of birth, 20% of the insured disease benefit amount will be paid; after 90 days the payout becomes 100% of the basic sum assured. Regarding death benefit, if the baby dies within 180 days of birth, a death benefit of 20% will be paid, and after 180 days it is 100%.

YF Life also provides cash benefits for cancer, stroke, and heart disease, paying 1% of the basic sum assured monthly; if a baby contracts any of these diseases within 90 days of birth, the cash benefit payable is 20%, and after 90 days it is 100%. The above cash benefits are subject to policy limitations; for example, the cancer cash benefit is payable for a maximum of 180 months.

Early pregnancy testing by mothers may affect underwriting

However, it is worth noting that pregnant women typically undergo different types of tests before 22 weeks, including structural scans and maternal blood tests, to detect any special or genetic conditions in the fetus early on. These test results must also be declared to insurers, so insurance companies can screen out applicants with higher risk.

This comparison only focuses on coverage in the early period after the baby is born. Overall, YF Life looks better on paper than AIA. It is also worth noting that both products are whole-life critical illness insurance, and YF Life offers better overall protection than AIA in terms of single critical illness, multiple critical illnesses, and guaranteed return points.

Because the overall coverage is superior, YF Life's premium is about 16% higher than AIA. For example, to obtain a basic sum assured of USD 150,000, YF Life's annual premium is USD 1,875, and the total premium paid over 25 years is USD 46,875. Finally, if mothers need to learn more, they may consult a professional insurance adviser.

Note: 
1. This article was produced by 10Life by collecting market data from various sources and is for general reference only; it does not take into account any individual needs or suitability, and should not be regarded as sales advice. Before purchasing insurance, you should discuss suitable insurance plans with a licensed insurance adviser and rely on the information provided by the insurance company. 
2. The premium information above was updated to 21 April 2022 and does not include premium levies collected by the Insurance Authority. 
3. Last updated: 21 April 2022.

This English version of this article has been generated by machine translation powered by AI. It is provided solely for reference purposes. In the event of any discrepancy or inconsistency between this translation and the original Chinese version, the Chinese version shall prevail.

10Life 編輯團隊

團隊成員由一群資料搜集員組成,主力保險相關資訊研究。

10Life 編輯團隊

團隊成員由一群資料搜集員組成,主力保險相關資訊研究。

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