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Compare critical illness cover UK, definitions first

A critical illness cover comparison starts with the wording.

The ABI says anyone considering the cover needs to know what conditions will trigger a payout, and to compare products (ABI ↗).

This page shows what the ABI requires, what varies, and what five insurers publish about their own policies.

Every claim here is our summary of a named external source, linked beside it. Sources change: check the wording at the link before you rely on it.

See the insurers ↓The checklist →
Of new critical illness claims paid in the UK, 202590.2%Individual and group claims combined, from ABI and GRiD data.

Source, to check at the link: (ABI ↗)

01 · How to compare

How to compare critical illness cover: the wording

Every policy called critical illness cover must include cancer, heart attack and stroke to the ABI's minimum definitions (ABI ↗), and those three account for 80% of claims (ABI ↗).

Above that floor, policies differ.

Insurers choose which further conditions to include; where they include one, they must use the ABI definition (ABI ↗).

MoneyHelper warns that definitions and exclusions can vary between insurers, and that some policies make a smaller payment for less severe conditions or if one of your children has a listed condition (MoneyHelper ↗).

So compare in this order.

01

Core

The three core definitions

Cancer, heart attack and stroke: every policy has them, but read the wording.

02

Further

Which further conditions are in

The ABI defines them; each insurer picks which to include.

03

Exclusions

What is left out

MoneyHelper names non-invasive cancers, high blood pressure and broken bones as common exclusions.

04

Extras

What is paid on top

Smaller payments for less severe conditions, and children’s cover.

05

Price

Guaranteed or reviewable

MoneyHelper says reviewable premiums are usually reviewed every five years.

02 · The floor

What every policy must cover

The ABI's Guide sets the three core conditions and a list of further conditions with model definitions.

A policy may include any, all or none of the further conditions (ABI ↗).

That is why a longer list is not the same as better cover: the definitions decide whether a claim is paid.

The ABI names not meeting the policy definitions as a common reason for declined claims (ABI ↗).

Must be covered, to the ABI's minimum definitions

CancerHeart attackStroke
Share of critical illness claims from these three, per the ABI80%

ABI Guide; check at the link: (ABI ↗)

Further conditions with ABI definitions, if the policy includes them

  • Aorta graft surgery
  • Benign brain tumour
  • Blindness
  • Coma
  • Coronary artery by-pass grafts
  • Deafness
  • Dementia including Alzheimer’s disease
  • Heart valve replacement or repair
  • Kidney failure
  • Loss of speech
  • Loss of hand or foot
  • Major organ transplant
  • Motor neurone disease
  • Multiple sclerosis
  • Paralysis of limb
  • Parkinson’s disease
  • Third degree burns
  • Total permanent disability
  • Traumatic brain injury

Headings from Chapter 4 of the ABI Guide. Insurers need not include any of them; where they do, they must use the ABI definition: (ABI ↗)

03 · The insurers

Compare UK critical illness cover providers, in their own words

Five insurers, on the points their own consumer pages publish.

We do not rate them, count their conditions or show prices.

"Not on the page we read" means we found nothing on that point in the page linked, not that the insurer has no terms.

Swipe or scroll the table on a phone.

Every cell carries its source; check it there before you rely on it.

Insurer

Legal & General

Aviva

LV=

Royal London

Serious Illness Cover

Vitality

How it is sold
Added, for an extra cost, to Life or Decreasing Life Insurance (Legal & General ↗)
Level or decreasing cover (Aviva ↗)
Mostly as a combination of life and critical illness (LV= ↗)
Through an independent financial adviser (Royal London ↗)
Can be taken without life insurance (Vitality ↗)
How it pays
The cover in full; the policy then ends (Legal & General ↗)
Once, unless a children's or additional critical illness claim (Aviva ↗)
A lump sum on a listed illness; the policy continues after an additional payment (LV= ↗)
A lump sum or monthly income, as the plan sets (Royal London ↗)
25% to 100% of the cover per claim, by severity (Vitality ↗)
Less severe conditions
Additional cover that does not reduce the cover amount (Legal & General ↗)
Low-grade prostate cancer pays the lower of £25,000 or 25% of cover (Aviva ↗)
Up to £30,000 for two less severe conditions (LV= ↗)
Some early cancers: 50% of cover, up to £35,000 (Royal London ↗)
Less severe conditions covered; more than one claim possible (Vitality ↗)
Children
Children's cover automatically included (Legal & General ↗)
Automatically included, 30 days to 18 (21 in full-time education) (Aviva ↗)
An option, covering up to £35,000 (LV= ↗)
Enhanced or standard children's cover, as options (Royal London ↗)
Up to £100,000 can be added to an adult plan (Vitality ↗)
Claims, 2025
Not on the page we read
£388 million of critical illness claims paid (Aviva ↗)
90% of critical illness claims paid (LV= ↗)
98.4% of all protection claims paid (Royal London ↗)
Not on the page we read
Swipe to compare

Each insurer's own description of its own product, read on 28 September 2026; not a recommendation. Claims figures are counted differently by each insurer and are not directly comparable. Vitality's product is called Serious Illness Cover and pays by severity, so it does not line up row for row.

04 · Claims

Critical illness claims, across the market

The ABI says 90.2% of new critical illness claims were paid in 2025, across individual and group policies, and that almost two-thirds (65%) of critical illness claims were for cancer (ABI ↗).

The FCA's market study into life, critical illness and income protection found that competition generally delivers good outcomes for people who hold these products, with high claims acceptance rates (FCA ↗).

Its concern is the people with no cover: it says 58% of people hold no protection products (FCA ↗).

Paid on individual critical illness claims, 2025£1.25bn

ABI (ABI ↗)

Of critical illness claims were for cancer, 202565%

ABI (ABI ↗)

Of new critical illness claims paid, 2025 (individual and group)90.2%

ABI and GRiD data, via the ABI (ABI ↗)

05 · Like for like

Seven checks before quotes are comparable

Two quotes are only comparable if they cover the same things on the same terms.

Tick anything you have not checked.

Nothing you tick is stored or sent.

Answer the application fully.

MoneyHelper says the insurer will check your medical history when you claim, and a claim might be rejected if you did not answer truthfully or accurately (MoneyHelper ↗).

What moves the price →
ComparableNearlyNot yet

Tick anything still open

If nothing here applies, the quotes you hold should be like for like.

06 · Next

More on critical illness cover

Before buying, the FCA tells consumers to check the firm on its Firm Checker (FCA ↗).

Critical illness cover for a company's key person is a different policy: it pays the business (Legal & General ↗).

07 · Sources

Check it for yourself

Every claim on this page is our summary of one of the documents listed here.

We last checked them against the live sources on 28 September 2026.

The documents are the authority, not this page.

Insurers and HMRC update them, so validate any figure or condition at its link before you rely on it.

Questions

Comparing critical illness cover, answered

We do not rank or recommend insurers, and there is no official ranking.

The FCA’s market study found that competition generally delivers good outcomes for people who hold protection products, with high claims acceptance rates.

The differences that matter sit in the definitions, the extra payments and the exclusions.

MoneyHelper suggests advice from an independent financial adviser or specialist broker. FCA market study ↗

There is no official number.

The ABI requires cancer, heart attack and stroke, which it says account for 80% of critical illness claims.

Insurers need not include any further condition, but if they do they must use the ABI’s definition.

MoneyHelper warns that definitions and exclusions can vary between insurers, so compare the wording, not the count. ABI Guide ↗

The ABI’s Guide to Minimum Standards says that, to be called critical illness insurance, a policy must include cover for cancer, heart attack and stroke according to specified minimum definitions.

It also sets definitions for further conditions and common exclusions, which insurers must use where they include them. ABI Guide ↗

That depends on your circumstances, and this site does not advise.

MoneyHelper says critical illness cover is often combined with life insurance, and that it pays out once, after which the policy ends.

Legal & General adds critical illness to its life insurance and says the policy comes to an end after the critical illness payout.

Vitality sells a serious illness plan without life insurance. MoneyHelper ↗

The FCA has run a market study into pure protection products, such as life insurance, critical illness cover and income protection, and has published its final report.

It found that competition generally delivers good outcomes for people who hold these products, and raised concern about the protection gap: people who hold no cover at all. FCA market study ↗

Beta · information only

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Information, not advice

We are not an insurer, broker or regulated adviser, and we do not give quotes or recommend a policy. For regulated advice, use an adviser authorised by the FCA.

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Not financial advice. This page is general information. Before buying insurance, the FCA tells consumers to check the firm on its Firm Checker (FCA ↗). For free guidance, see MoneyHelper.