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Insurance

Default vs medically underwritten cover: what you actually have

Donmont Capital · Financial advice for Australians

Most working Australians already hold life and disability insurance and don’t know the detail — because it came automatically with their super. That “default” cover is convenient, but it works very differently to a policy you apply for and are medically underwritten on. The difference can decide whether a claim is paid.

Default (automatic) cover

Medically underwritten cover

The claim-time difference. With underwritten cover, your health was assessed when you applied. With default cover, the insurer may only look closely at your history at claim time — which is exactly when a pre-existing condition or an exclusion can reduce or deny the payout you were counting on.
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Which is right for you?

Default cover is a sensible safety net and better than nothing. But if you have dependants, a mortgage, or any health history worth getting assessed properly, underwritten cover gives you certainty about what you’re actually covered for. Many people hold a base of default cover and top up with an underwritten policy for the gap.

Frequently asked questions

Is default insurance in super any good?

It’s a useful automatic safety net, but the default amount is often too low and it can carry exclusions or restricted terms that only surface at claim time. It suits people with simple needs; those with dependants or a mortgage usually need more.

What does medically underwritten mean?

It means the insurer assessed your health and history when you applied and set your terms then. Because the risk was assessed up front, an underwritten policy is generally much harder to dispute at claim time.

Can I be declined for underwritten cover?

You can be offered cover with a loading (higher premium), an exclusion, or in some cases declined - but you find that out up front, not at claim time. A review helps you understand your options before you apply.

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Sources & important information

General advice warning. This information is general in nature only and does not take into account your objectives, financial situation or needs. It is not personal financial advice. Before acting on it, consider whether it is appropriate for you and read any relevant Product Disclosure Statement (PDS) and Target Market Determination (TMD). Consider seeking personal advice from a licensed financial adviser. Donmont Capital is an Authorised Representative (No. 1302126) of Gill & Co Advisory Pty Ltd (AFSL No. 551560).

Sources. Figures referenced are drawn from recognised public sources including the ASFA Retirement Standard, the Australian Taxation Office (ATO), APRA and ASIC’s Moneysmart. All figures are indicative and current only as at the periods stated; superannuation rules, thresholds, balances and returns change over time. Verify current figures with the original source before relying on them.

Calculators & estimates. Any calculator or projection here is a simplified estimate for general illustration only, relies on assumptions that may not reflect your situation, and is not a guarantee of future outcomes.

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