Category: Exclusions
Mental health conditions are covered under all 9 panel Income Protection policies as a sickness, subject to the same waiting and benefit periods as physical conditions. No panel PDS imposes a blanket mental-health exclusion at the policy level. Specific underwriting exclusions may apply at application time if you have a personal mental health history.
Mental illness, including depression, anxiety, post-traumatic stress disorder, and burnout, is the largest single category of IP claims in Australia by frequency. Insurers therefore underwrite mental-health history carefully at application.
All 9 panel insurers treat mental illness as a 'sickness' under the IP contract. The same definition of 'totally disabled' and the same waiting and benefit periods apply.
The critical caveat is personal underwriting exclusions. If you have a documented mental health history at application, the insurer may apply a personal exclusion on your policy schedule. The exclusion is recorded in your contract documentation, not the PDS. Personal exclusions are negotiable across insurers because each underwriter views mental health history differently.
If you have ever been treated for depression, anxiety, PTSD, an eating disorder, or another mental health condition, compare offers across multiple panel insurers. Differences in personal exclusions can be material.
Some retail IP policies cap the benefit period payable for mental health claims at a shorter duration than the policy's stated maximum (commonly 2 years, even where the base benefit period is 5 years or to age 65). Whether your contract applies this cap depends on the insurer and the policy tier you selected.
This is one of the most material differences between policy tiers. When comparing options, check the PDS for mental health benefit-period treatment under each contract you are considering.
General advice only. Mental health treatment of IP claims is an evolving area; confirm the current PDS wording and your policy schedule against any historic understanding.
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