What trauma insurance covers
Trauma insurance, also called ‘critical illness’ or ‘recovery insurance’ pays a lump sum amount if you suffer a critical illness or serious injury. This includes cancer, a heart condition, major head injury or stroke. Trauma insurance does not cover mental health conditions.
What’s covered under a trauma insurance policy and medical definitions can be different between insurers. To understand what’s covered under a trauma insurance policy, read the product disclosure statement (PDS).
Trauma insurance can be used to help pay for:
- out-of-pocket medical costs
- living expenses for you and your family while you’re unable to work
- the cost of therapy, nursing care and special transport
- changes to housing if needed
- paying back your debt, for example, a mortgage
Deciding if you need trauma insurance
When deciding if you need trauma insurance and how much, think about:
- how much income you and your family would need if you couldn’t work for some time
- if you have income protection insurance or total and permanent disability (TPD) insurance, these can help replace lost income. You may hold these insurances through your super fund
- if you have private health insurance that could help pay for some medical expenses
- what support from family or friends may be available.
How to buy trauma insurance
You can buy trauma insurance:
- through a financial adviser or insurance broker
- directly from an insurance company.
You can choose to buy trauma insurance on its own or packaged with life cover and TPD insurance. If you buy trauma insurance packaged with life cover, your life cover could be reduced by the amount paid out on a trauma claim. To see if this applies to a policy, read the PDS or ask your insurer.
Super funds no longer offer new trauma insurance policies. But if you were in a super fund that offered trauma insurance before July 2014, you might still have it through your super fund. Check your member statement or contact your super fund to find out.
Trauma insurance premiums
You can generally choose to pay for trauma insurance with either:
- stepped premiums — recalculated at each policy renewal, usually increasing each year based on the higher chance of a claim as you age
- level premiums — charge a higher premium at the start of the policy, but changes to cost aren’t based on your age so increases happen more slowly over time
Your choice of stepped or level premiums has a large impact on how much your premiums will cost now and in the future.
Compare trauma insurance policies
Before you buy trauma insurance, compare policies to make sure you get the right one for you. Check:
- the critical illnesses and serious injuries covered
- exclusions
- waiting periods before you can claim
- limits on cover
- premiums – now and in the future.
A cheaper policy may have more exclusions, or it may become more expensive in the future.
Compare how long different insurers take to pay a trauma insurance claim and the percentage of claims they pay out.
What you need to tell your insurer
An insurer will ask you questions when you apply for or change your insurance. These questions may be about your:
- age
- job
- medical history
- family history, such as a history of disease
- lifestyle (for example, if you’re a smoker)
- high risk sports or hobbies, such as skydiving
If an insurer doesn’t ask for your medical history, it may mean the policy has more exclusions or narrower policy definitions.
The information you provide will help the insurer to decide:
- if they should insure you
- how much your premiums will be
- terms and conditions for your policy
It is important that you answer the questions honestly. Providing misleading or incomplete answers could lead to an insurer to cancel or vary your cover, or decline a claim you make.
Speak to us if you have any questions.
Source:
Reproduced with the permission of ASIC’s MoneySmart Team. This article was originally published at https://moneysmart.gov.au/how-life-insurance-works/trauma-insurance
Important note: This provides general information and hasn’t taken your circumstances into account. It’s important to consider your particular circumstances before deciding what’s right for you. Although the information is from sources considered reliable, we do not guarantee that it is accurate or complete. You should not rely upon it and should seek qualified advice before making any investment decision. Except where liability under any statute cannot be excluded, we do not accept any liability (whether under contract, tort or otherwise) for any resulting loss or damage of the reader or any other person. Past performance is not a reliable guide to future returns.
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