➕ CI Wording Explained

Additional payments: the modern feature older policies don’t have

The quiet revolution in critical illness cover isn’t more conditions — it’s extra, capped payments for less severe events that leave your main cover untouched.

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Key facts at a glance

What they are
Capped extra payments for specified less severe conditions or procedures
Typical structure
Commonly the lower of a fixed cap or a percentage of your sum assured
The key feature
A claim usually does not reduce your main sum assured
Who has them
Common in current policies; rare in policies bought years ago

Reviewed by the LifeInsuranceForMe advice team · Last updated August 2026 · Definitions vary between policies — your own wording is decisive

How additional payments work

Alongside the full-payment conditions, modern policies list conditions and procedures that trigger a smaller, capped payment. It is commonly the lower of a fixed amount or a percentage of your sum assured. Crucially, in most wordings this payment does not reduce your main cover. You can claim for an early-stage condition and still hold your full sum assured for anything that follows.

What they typically cover

Examples across the market include specified early-stage cancers, coronary angioplasty, and a range of less severe but genuinely disruptive events. The early-stage cancer examples include low-grade prostate cancer under treatment and carcinoma in situ of specified sites. Severity-based policies take the idea further, scaling the payment to the seriousness of the condition.

Why this splits the market

Policies written years ago rarely include additional payments at all. On those policies, a claimable early-stage event pays nothing. Current policies vary widely in how many conditions qualify and how much they pay. In professional comparisons, additional-payment structures are a consistent driver of the quality gap between policies that look identical on price.

The catch to check

Some conditions are covered as partial severity payments that do reduce the residual sum assured. The distinction is buried in the wording — and worth knowing before you rely on it.

Ask your adviser (or ask us):
  • Which conditions on this policy pay an additional amount, and how much?
  • Do any of those payments reduce my main sum assured?
  • Does my existing policy have any additional payments at all?
Important: This page explains typical UK policy wording in general terms and is not personal financial advice. Definitions, exclusions and payments vary between insurers, products and policy generations — the wording of your own policy is decisive. Speak to a qualified adviser before making decisions. Life Insurance For Me is a trading style of More Than Money Ltd, authorised and regulated by the Financial Conduct Authority (FRN 1047044). See our regulatory information.

More conditions explained

Additional & severity payments — common questions

What is an additional payment in critical illness insurance?
A capped extra payout — commonly the lower of a fixed amount or a percentage of your sum assured — for specified less severe conditions or procedures, usually without reducing your main cover.
Does claiming an additional payment cancel my policy?
Generally no. In most wordings the main sum assured continues unchanged after an additional payment. Partial severity payments are the exception — they reduce the residual cover, and the wording states which applies.
My policy is over ten years old — do I have these?
Quite possibly not. Additional payments became common in more recent policy generations, and their absence is one of the most frequent findings when older policies are reviewed against the current market.

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