Opes Financial

Income protection insurance in Australia.

Income protection insurance in Australia replaces a portion of your earnings if illness or injury stops you working. For most professionals it is the single most important personal cover to get right.

A pair of polished black leather oxford shoes placed neatly beside an empty wooden chair at dusk with soft warm light from a doorway beyond.

Your income is the asset.

A 35-year-old earning $180,000 will move roughly $5 million through their household before retirement. Income protection insures that stream. Without it, an extended illness can undo years of saving inside a few months. The longer-form version of this case sits in our income protection guide.

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    The exposure is bigger than you think

    Sick leave runs out. Workers compensation only covers work-related events. Centrelink replaces a small fraction of professional income.

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    The trigger is illness, not death

    Cancer, mental health, musculoskeletal injury, and back issues account for the majority of claims. Not the dramatic events most people imagine.

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    Time off can be long

    Mean claim duration on long-benefit-period policies runs into years for some conditions, not weeks.

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    Self-employed people carry the full risk

    No employer leave entitlements, no group cover. The policy is doing all the heavy lifting.

The mechanics

The six levers that shape a policy.

Income protection is not one product. It is a set of choices that interact. We walk through each lever against your circumstances rather than handing over a default.

01

Waiting period

The gap between when you stop working and when the benefit starts. 30, 60, or 90 days is typical. A longer wait lowers the premium but assumes you can self-fund the gap.

02

Benefit period

How long the monthly benefit pays for. Two years, five years, or to age 65. To age 65 is the right answer for most professionals; the shorter options leave a real exposure.

03

Agreed versus indemnity

Agreed value locks the monthly sum at application using proof of income. Indemnity is assessed at claim. Agreed is rarely available now, but where it is, it matters.

04

Own versus any occupation

Own occupation pays if you cannot do your specific job. Any occupation pays only if you cannot do any job suited to your training. The difference shows up at claim.

05

Indexation and partial benefits

CPI indexation keeps cover in step with inflation. Partial or top-up benefits matter when you return to work part-time during recovery.

06

Tax deductibility

Premiums on income protection held outside super are generally deductible in your personal tax return. Inside-super premiums are not. The maths differs case by case.

He had helped me right from the beginning in setting up my personal risk insurance, which I thought was incredibly difficult as I had to obtain my health record details from the NHS.
Dr. Akilan Velayudhan
Specialist doctor

The providers on our panel.

We compare a panel of retail insurers rather than tying you to one brand. The right insurer for a 32-year-old GP is rarely the right insurer for a 55-year-old radiologist with a complex health history, which is why our cover advice for medical specialists is built around the specific underwriting traps each insurer carries.

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    Insurer financial strength

    Capital, claims-paying record, and how the company handles disputes.

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    Underwriting appetite

    Each insurer has soft spots and hard spots. Specialty practice, mental health history, and overseas records change which door to knock on.

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    Definitions in the PDS

    The wording of total disability, partial disability, and recurrent disability differs. Definitions are where claims are won or lost.

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    Premium structure

    Stepped, level, or optimum. We model the long-term cost rather than just the first-year price.

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    Add-ons that actually help

    Specific injury benefit, day-one accident cover, super contribution option. Not every add-on is worth the premium.

What happens at claim.

The work happens at application, not at claim. Get the file right at the start and the claim becomes administration rather than dispute. Young professionals putting cover in place for the first time tend to start with the considerations on our advice for young professionals page.

01

Notify

Tell us and the insurer as soon as a condition is diagnosed. Early notification keeps the timeline clean.

02

Evidence

Treating doctor reports, hospital records, and financial proof of income. We coordinate the requests.

03

Decision

Insurer assesses against the policy definition. Most straightforward claims are admitted within weeks.

04

Pay and review

Monthly benefit begins after the waiting period. Insurer reviews recovery on a schedule agreed at admission.

Credentials and licensing.

Practitioner
Balki Balakrishnan
Experience
12+ years on income protection
Membership
FAAA
Authorisation
AR 409415 of La Verne Capital Pty Ltd
Focus
Professionals, specialists and the self-employed
Standalone reviews
Available without a full plan

Income protection is one of the four common covers we arrange most often, alongside TPD, trauma, and life. Recommendations require personal advice and sit inside the financial planning pillar.

Frequently asked

The questions clients ask before booking.

Around 70 per cent of your pre-tax earned income is the common maximum, with super contribution top-ups available on some products. Specialists with strong income often qualify for higher monthly sums where the underwriter accepts the file.

Generally yes when the policy is held outside super in your personal name. The claim benefit is then taxed as income. Inside-super premiums are not deductible to you personally, though they come out of your super balance instead of cash flow.

Two to six weeks for straightforward files. Doctors and other specialists often take longer because of overseas medical records, complex specialty scope, or additional health questionnaires. We coordinate the underwriting end to end.

Not always a blanket decline. Different insurers respond differently. An advised application can be shopped to underwriters more likely to accept your situation, often with loadings or specific exclusions rather than a refusal.

Both have a place. Inside super eases cash flow because premiums come from your balance. Outside super gives you a wider product set, clearer claim outcomes, and the personal tax deduction. Most professionals end up with a mix.

For most people whose lifestyle depends on their ability to earn, yes — it is the only cover that replaces the asset actually paying for everything, which is your income rather than your house or your super. The honest exception is someone close to retirement with enough assets to fund a permanent stop work tomorrow. Whether it is worth it for you depends on your circumstances, which is a conversation rather than a web page.

There is no useful average, because the same person can be quoted double or half depending on five choices. Premiums are driven by your age, your occupation class, the waiting period before benefits start, how long benefits are paid, and whether the premium is stepped (rising each year with age) or level.

A longer waiting period is the single biggest lever most people have — moving from 30 days to 90 days cuts the premium materially, and is reasonable if you hold enough leave or savings to bridge the gap. We would rather quote your file than a number from an article.

There is no single best policy, and any page that names one is selling something. What separates a policy that pays from one that argues is the disability definition, whether it is indemnity or agreed value, the waiting and benefit periods, and the insurer's claims record. The right answer changes with your occupation: a definition that suits a surgeon is wrong for a site foreman. We are authorised to advise on which fits your situation.

Most policies end at 65, with some running to 70. The practical answer is that cover stops being worth the premium once your assets could fund the rest of your life without your income — for many people that is earlier than the policy expiry, which is why the cover is worth reviewing rather than simply renewing.

Notification, medical evidence, financial evidence, and ongoing review while the benefit is paid. Most disputes at claim trace back to gaps at application. Advised cover keeps the file in good shape from day one.

General advice notice

Information on this page is general in nature. It does not take into account your personal objectives, financial situation, or needs. Read the relevant Product Disclosure Statement and consider whether personal advice is appropriate before acquiring any insurance product mentioned here.

Book a free income protection review.

An hour on the file. If your current cover is fine we will say so. If it has a gap we will show you what would actually pay.