Critical Illness Claim Denial Lawyers

The Ontario Injury Lawyers have extensive experience handling critical illness claim denial claims across the province of Ontario

  • Free Consultations
  • No Fee Unless You Win
  • Decades of Injury Experience

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Denied a Critical Illness Insurance Claim? We Can Help.

Critical illness insurance is designed to provide financial security when you are diagnosed with a life-threatening illness. However, insurance companies frequently deny valid claims, leaving policyholders struggling to cover medical expenses and lost income. If your critical illness insurance claim has been unfairly denied, Ontario Injury Lawyers are here to fight for your rights and help you secure the benefits you deserve.

Why Choose Ontario Injury Lawyers for Your Critical Illness Claim Denial?

  1. Experienced Insurance Dispute Lawyers – We specialize in handling critical illness claim denials.

  2. No Upfront Fees – You don’t pay unless we win your case.

  3. Fighting for Maximum Compensation – We aggressively challenge insurance companies that refuse to pay.

  4. Holding Insurers Accountable – We ensure policyholders receive the full benefits they are entitled to.

What Can You Do If Your Critical Illness Claim Was Denied?

If your claim was denied, you still have legal options:

  • Appeal the Denial – Many insurance claims are initially denied but can be overturned through an appeal.

  • File a Lawsuit – If your insurer refuses to pay, we can take legal action to enforce your rights.

  • Negotiate a Fair Settlement – In some cases, a lump-sum settlement may be the best solution.

Common Reasons for Critical Illness Claim Denials

  • Pre-Existing Condition Exclusions – Insurers claim your illness existed before coverage began.

  • Failure to Meet Policy Definitions – Insurance companies argue your diagnosis does not fit their criteria.

  • Lack of Medical Evidence – Claims are denied due to insufficient medical documentation.

  • Missed Deadlines – Late filing of claims or medical reports can be used as a reason for denial.

  • Non-Disclosure Issues – Insurers claim that you failed to disclose certain health conditions when applying.

  • Bad Faith Insurance Practices – Some insurance companies unfairly delay or deny claims to avoid payouts.

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Common Critical Illnesses Covered by Insurance

Most critical illness policies provide coverage for serious conditions such as:

  • Cancer – Including breast cancer, lung cancer, and leukemia.

  • Heart Disease – Heart attacks, coronary artery disease, and bypass surgery.

  • Neurological Disorders – Stroke, multiple sclerosis (MS), Parkinson’s disease.

  • Organ Failure – Kidney failure, liver disease, or the need for a transplant.

  • Paralysis & Loss of Mobility – Due to accidents or progressive diseases.

  • Autoimmune Diseases – Severe cases of lupus, Crohn’s disease, and rheumatoid arthritis.

Steps to Take After a Critical Illness Claim Denial

  1. Request a Written Explanation – Get a detailed denial letter from your insurer.

  2. Gather Additional Medical Evidence – Obtain specialist reports and medical records to strengthen your claim.

  3. Avoid Speaking to Insurance Adjusters Alone – They may try to mislead you into accepting a low payout.

  4. Contact Ontario Injury Lawyers – The sooner we start your appeal, the better your chances of success.

Get a Free Consultation with a Critical Illness Claim Lawyer Today

You paid for critical illness insurance to protect your financial future. If your insurer is unfairly denying your claim, we are here to help. Our experienced legal team will fight to ensure you receive the benefits you are entitled to.

📍 Serving clients across Ontario

At Ontario Injury Lawyers, we are committed to standing up for policyholders and holding insurance companies accountable. Contact us today for a free, no-obligation consultation!

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