How Much Critical Illness Insurance Is Enough?

Shawn Plummer

CEO, The Annuity Expert

Determining the Adequate Amount of Critical Illness Insurance

To decide how much critical illness insurance is sufficient, consider these key factors:

  1. Health Insurance Coverage Gaps: Evaluate what your health insurance doesn’t cover. This includes deductibles, co-pays, and out-of-network charges.
  2. Additional Medical Expenses: Factor in costs for treatments, medications, or procedures not covered by your health plan.
  3. Travel and Specialist Consultation Costs: If you need to travel or consult out-of-network specialists, estimate these expenses.
  4. Income Replacement: Consider how much income you would lose if you couldn’t work due to illness.
  5. Living and Care Expenses: Account for any additional living or care costs during the illness.
  6. Location and Cost of Living: Adjust the insurance amount based on your living area’s cost of living.
  7. Age and Health Risk Factors: Older individuals or those with higher health risks might need more coverage.
  8. Severity of Potential Illnesses: More coverage may be needed for illnesses with extensive treatments.

Example Scenarios:

  • Low Risk, Young Individual: A person in their 20s with minimal health risks might opt for lower coverage, focusing on covering out-of-pocket medical expenses and income for a short period.
  • High-Risk, Older Individual: Someone in their 50s with a family history of critical illnesses might choose a higher coverage amount to ensure all medical and living expenses are covered.

Comparison of Critical Illness Coverage Needs

Age GroupHealth RiskRecommended CoverageReason
20s-30sLow Risk$50,000 – $100,000Cover basic out-of-pocket costs and short-term income loss.
40s-50sModerate Risk$100,000 – $250,000Balance between medical costs and income replacement.
60s+High Risk$250,000+Comprehensive coverage for extensive medical and living expenses.

The Insurance Marketplace

To explore options for critical illness insurance and other business insurance needs, visit The Insurance Marketplace.


The right amount of critical illness insurance depends on various factors like health insurance gaps, additional medical costs, income replacement needs, and personal risk factors. By assessing these aspects, you can determine the coverage that best suits your situation.

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Shawn Plummer

CEO, The Annuity Expert

Shawn Plummer is a licensed financial professional, insurance agent, and annuity broker with over 14 years of first-hand experience with annuities and insurance. Since beginning his journey in 2009, he has been pivotal in selling and educating about annuities and insurance products. Still, he has also played an instrumental role in training financial advisors for a prestigious Fortune Global 500 insurance company, Allianz. His insights and expertise have made him a sought-after voice in the industry, leading to features in renowned publications such as Time Magazine, Bloomberg, Entrepreneur, Yahoo! Finance, MSN, SmartAsset, The Simple Dollar, U.S. News and World Report, Women’s Health Magazine, and many more. Shawn’s driving ambition? To simplify retirement planning, he ensures his clients understand their choices and secure the best insurance coverage at unbeatable rates.

The Annuity Expert is an independent online insurance agency servicing consumers across the United States. The goal is to help you take the guesswork out of retirement planning and find the best insurance coverage at the cheapest rates

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