Trauma / Critical Illness Insurance Need Calculator

Trauma insurance, explained

Trauma insurance (also called critical illness cover) pays a lump sum on diagnosis of a defined serious condition — heart attack, stroke, major cancer, kidney failure, paralysis, organ transplant, severe burns, plus around 30-50 other conditions depending on the policy. The lump sum is paid regardless of whether you can or can't work — payment is triggered by the diagnosis itself. Standard cover amounts $200-500k.

It sits in a niche between income protection (which pays during incapacity but has waiting periods and benefit period limits) and TPD (which pays only on permanent disability, usually any-occupation). Trauma fills the 'serious illness, will recover, but disrupts everything for 12-24 months' gap. Cancer is the most common claim — survival rates are good for most cancers but treatment can take 1-2 years and out-of-pocket costs (PBS gap fees, non-PBS drugs, alternative therapies, travel for specialists) often run $30-80k above what Medicare and private health cover.

The need is harder to size than life or TPD. The framework above: income replacement during expected recovery + debts to clear + non-Medicare medical out-of-pocket, less liquid savings. For most working-age Australians with mortgage and dependents, that lands somewhere in the $200-400k range. Trauma cover via super is rarely available; most retail trauma is purchased standalone outside super. Pair this with our Income Protection Calculator and TPD Calculator.

Related Calculators
Income Protection →TPD Need →Life Insurance →Emergency Fund →
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Methodology & sources

Sums trauma cover need as: (income to replace × months out of work / 12) + debts to clear + medical out-of-pocket. Subtracts liquid savings to give the cover gap. Doesn't model: super-paid trauma (rare; most trauma is standalone retail), policy-specific exclusions, partial vs full payments for specific conditions, the interaction with income protection during overlapping incapacity. The 'months out of work' input is meant as the realistic recovery period — typical for major cancer is 12-18 months. General information only — speak to a licensed adviser for cover advice.

Estimates only. This calculator is not intended to be relied on for making a decision about a financial product, and it does not consider your objectives, financial situation or needs. Consider obtaining advice from an Australian financial services licensee before making any financial decisions. Assumptions can be changed where shown; statutory rates are as legislated for the year stated on this page. How our calculators work, their assumptions and limitations →