Can I get critical illness cover with Fibromyalgia?
Fibromyalgia is a chronic pain condition that insurers typically assess on a case-by-case basis. Well-managed fibromyalgia with no severe complications may result in cover with an exclusion for fibromyalgia-related claims, while the rest of the policy remains intact. More severe cases may attract premium loadings. As with all conditions, comparison across multiple insurers is essential.
How do insurers assess Fibromyalgia?
Insurers will ask detailed questions about your fibromyalgia — when you were diagnosed, how well controlled it is, what medication you take, and whether you have any related complications. Each insurer has different underwriting criteria, so rates and terms vary significantly.
What options are available?
- Standard terms — if your condition is well-controlled and you have no complications, some insurers will offer standard rates
- Rated premium — a higher premium to reflect the additional risk, while still providing full cover
- Exclusion — the condition itself (and related conditions) is excluded from cover, but all other conditions are still covered
- Decline — some insurers may decline if the condition is severe. A specialist broker can find alternatives
Should I disclose my Fibromyalgia?
Yes — always. Failure to disclose a pre-existing condition is non-disclosure, which can invalidate your policy and result in a claim being rejected. Even if you think a condition is minor or well-controlled, disclose it.
What does critical illness cover pay out for?
Critical illness cover pays a one-off, tax-free lump sum if you're diagnosed with a specified serious condition — such as cancer, heart attack, stroke, or multiple sclerosis. The payout is yours to use however you choose: clearing a mortgage, funding treatment, or replacing lost income.
How much cover do I need?
Most people aim for enough to clear their mortgage plus 12–24 months of living costs. A whole-of-market comparison ensures you find the best available terms for your specific situation.
Frequently Asked Questions
It depends on how well controlled your fibromyalgia is. Some insurers offer standard rates; others may charge a higher premium or exclude the condition. Comparing the whole market gives you the best chance of finding competitive terms.
Yes — insurers have different underwriting criteria. Being declined by one insurer doesn't mean all will decline. A specialist whole-of-market broker can access insurers and terms not available on standard comparison sites.
Often yes — particularly if you have financial dependants or a mortgage. Even if your pre-existing condition is excluded, you're still covered for cancer, heart attack, stroke, and 30+ other serious conditions.