What’s The Best Income Protection For Doctors In 2024?

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07/04/2021
10 mins

We’ve helped many NHS doctors and other medical professionals set up appropriate Income Protection over the years. This provides a monthly income worth between 50% and 70% of your gross earnings if you’re too ill or injured to do your specific job.

With comprehensive, long-term cover, the insurer pays this benefit for as long as you need, right up until you retire if you can never work again. You use it to keep up with your mortgage / rent and other essential monthly outgoings.

We understand the unique position medical professionals are in when considering Income Protection. This arises largely because of your generous staggered NHS sick pay and the additional needs you have as a doctor, such as HIV cover.

Policies Just Keep Getting Better…
Every year the insurers get better at tailoring their cover for specific professions and there is a lot they do specifically for doctors. This guide should help to give you a better understanding of the income protection market for doctors in 2024 including an overview of each providers specific benefits.

If you need help please don’t hesitate to pop us a call on 02084327333 or email help@drewberry.co.uk. You can also get instant online quotes from all of the leading UK insurers here if you want to compare pricing →

Locum or Working in the Private Sector?

All doctors and medical professionals can get Income Protection, regardless of whether you work for the NHS or privately. However, it works slightly differently for locums and private practitioners as they don’t get NHS sick pay. To skip the next bit about Income Protection and NHS sick pay, click here.

How Income Protection Works With NHS Sick Pay

NHS sick pay is far better than is the case from other employers. This puts NHS doctors and other medical professionals in a good position when seeking Income Protection.

Your generous sick pay entitlement means you can extend your deferred period, the time you must wait between you falling ill and receiving a payout. Longer deferred periods mean cheaper premiums 👍.

Michael Barrow, Independent Protection Expert at Drewberry

When you’re looking at Income Protection, it can be a bit confusing because insurers refer to how they align their cover with NHS sick pay differently.

For example, you might find it called NHS sick pay mirroring or a split deferred period. However, it largely all means the same thing.

Michael Barrow
Independent Protection Expert at Drewberry

Your NHS Sick Pay Entitlement and Income Protection

Exactly how Income Protection works with NHS sick pay depends on the provider you choose, but to take one insurer as an example:

  • Imagine you have 5 years+ of NHS service and get 6 months of full sick pay and 6 months of half sick pay.
  • When you take out cover, you set your deferred period to 12 months.
  • Later, you fall ill and need time off work — the NHS pays full sick pay for 6 months.
  • After 6 months, if you still can’t work your NHS sick pay falls by half. At this point, the insurer starts to pay out a proportion of your benefit to top up your reduced sick pay.
  • If you’re still unable to work after 12 months, NHS sick pay stops. However, your insurer starts paying out your full benefit to replace your earnings.

Length of NHS Service

Your Sick Pay Entitlement

0-3 months

No entitlement

3-12 months

1 month full pay + 2 months half pay

2 years

2 months full pay + 2 months half pay

3 years

4 months full pay + 4 months half pay

4 years

5 months full pay + 5 months half pay

5 years+

6 months full pay + 6 months half pay

I Work as a Locum / in the Private Sector — Can I Get Cover?

Yes, locum doctors and those practising in the private sector can get Income Protection. It might work slightly differently depending on who your employer is.

Income Protection for Locum Doctors

In our experience, locum doctors tend to work in one of two ways: For themselves or for a GP practice / a hospital trust. There are different ways to secure Income Protection depending on how you work.

Working for Yourself

Director Income Protection might be a good consideration for locums working through their own limited company. Depending on your circumstances, your limited company might be able to own and pay for the policy. This can offer tax savings over paying for the policy individually.

If you do work this way, Income Protection is particularly important because you’re unlikely to get any sick pay if you’re ill or injured.

Working for an Employer

Other locums work for a medical practice or an NHS trust. If that’s the case, check the sick pay you’re entitled to. You could be entitled to NHS sick pay or other occupational sick pay. Once you know how much sick pay you get — if any — we can tailor a policy to your needs.

Income Protection for Doctors in the Private Sector

If you work 100% in the private sector, you probably don’t get the same generous level of sick pay as NHS doctors. That means you’ll likely have to set a shorter deferred period to match the sick pay you do get.

We also help medical professionals who work for both the NHS and the private sector with income from each employer. While this can make arranging cover slightly trickier, it’s perfectly possible to find a policy or policies that cover both income streams.

You might have one policy to protect a proportion of your NHS income that aligns with your NHS sick pay entitlement, and another which protects your private income. As long as you work more than 16 hours per week in each role, this isn’t normally much of a hurdle to overcome.

Enhanced Terms You Can Get With Doctors Income Protection

It’s not just NHS sick pay that makes Income Protection for doctors, surgeons and other medical professionals different to other employees.

Insurers offer specialist Income Protection policies just for medical professionals with a number of key features that aren’t available on a general policy or are enhanced with doctors etc. in mind.

Key features to look out for include:

NHS Sick Pay Match

Also known as NHS sick pay mirroring or a split deferred period, this lets you to extend your deferred period (the time you wait between falling ill and receiving a payout) to match your NHS sick pay. Longer deferred periods save money on premiums.

Sabbatical Cover

Take a break from the policy but still retain cover if you want to work / study / volunteer at home or abroad, take time out to raise a family or for any other reason.

Needle Stick Injury Cover

No exclusions if you contract a blood-borne disease such as HIV due to a workplace incident, for example a needle-stick injury.

Income Guarantee

All insurers base the size of your monthly benefit on your earnings immediately prior to a claim. If your income falls between taking out the cover and claiming, the insurer will pay a lower benefit based on your immediate pre-incapacity earnings.

However, with an income guarantee, the insurer promises to pay out a set figure or your chosen monthly benefit, even if your income just before a claim doesn’t justify this.

Many providers of Income Protection for doctors have enhanced income guarantees especially for medical professionals.

Hospitalisation Benefit

Pays out a set amount for each night you spend as a hospital inpatient above a certain number of nights.

Overseas Cover

Cover if you live or work abroad for a period of time.

Additional Benefits

Other key benefits insurers often provide free with Income Protection include:

  • Remote GP services
    24 / 7 access to a UK-registered GP (perfect if you’re on nights!) via your smartphone. The doctor can write prescriptions and onward referrals for treatment if necessary.
  • Mental health support
    Doctors and other medical professionals are really going through it at the moment. For those finding themselves stressed and anxious due to their current relentless workload, some insurers offer mental health services from trained counsellors.
  • Digital physiotherapy
    Fast access to physiotherapists and online resources to tackle back and joint pain caused by hours on your feet.

Couldn’t I Just Claim My NHS Pension Early Instead of Income Protection?

If you need to stop working early, you might get an ill health pension from the NHS.

However, the NHS pension scheme is complicated. Its rules differ depending on your length of service, your level of incapacity and when you started paying into the scheme.

For example, your entitlement to an ill health pension varies slightly depending on whether you’re a member of the 1995, 2008 or 2015 pension scheme.

You could get an early payment of the retirement benefits you’ve accrued up to the date of your incapacity if you’re “permanently incapable of carrying out the duties of your job”. This is subject to medical assessment.

Yet the pension you get might be less than what you would have received had you been able to work right up until retirement.

The important piece here is that you need to be permanently incapable of doing your job. The pension would not cover an illness or injury which you should recover from and so it should not be relied upon as income protection.

IMPORTANT NOTICE 🧐
Early payment of your NHS pension due to ill health depends on your circumstances. Seek expert advice before considering ill health early retirement from any pension scheme.

Why NHS Dentist Rajpreet Took Out Income Protection…

NHS dentist Rajpreet qualified in 2013 and has worked for various NHS dental surgeries in his hometown of Wolverhampton.

He signed up for Income Protection as soon as he finished his dental training with a well-known mutual provider who visited campus, as did most of his classmates. However, worried that the policy only offered minimal coverage, Rajpreet turned to Drewberry to see if he could get better protection.

Rajpreet’s adviser found him a better policy with Aviva, which takes into account his NHS sick pay. It will pay a benefit of £3,000 — indexed to keep up with inflation — each month right up until his 60th birthday if he can never work again.

Rajpreet's story

How Much Will It Cost Each Month?

With Income Protection, the price depends on various personal and policy factors.

For example, your age, smoker status and state of health will impact your premiums. These are difficult to change — after all, you can’t magically make yourself younger, no matter how hard you try!

It’s why it pays to take out Income Protection early. Premiums are cheaper when you’re younger and most providers let you to lock in monthly payments at that low level for the entire plan.

Josh Martin, Independent Protection Expert at Drewberry

One personal factor you can change is your smoker status. If you go nicotine-free for 12 months — meaning no cigarettes, tobacco products or nicotine replacements (including vaping) — your premiums could fall by up to 50%.

Josh Martin
Independent Protection Expert at Drewberry

Other important factors which affect premiums relate to your chosen policy options.

For example, you’ll need to decide the income you want each month (your benefit); how long you need the policy to pay out for (your payout period); and your retirement date (your policy cease age). All impact the cost of cover.

Example Monthly Premiums

With so many things to consider, the cost of Income Protection is different for any given individual. However, to offer a rough idea of premiums for a doctor and a surgeon, we’ve pulled Income Protection quotes from our online calculator.

To do this we’ve assumed that each individual is:

30 Years Old

40 Years Old

50 Years Old

Doctor

£26.88

£40.51

£66.50

Surgeon

£32.69

£54.16

£72.70

Why Do Insurers Charge Surgeons More Than Doctors?

Surgeons tend to have higher premiums than doctors because of the nature of their role. They require dexterity in their hands and the ability to stand and concentrate for hours in theatre.

That means more minor illnesses or injuries, which also tend to be more likely, therefore have a higher chance of stopping a surgeon working than is true for a GP, for example.

If a surgeon crushes their hand in a car accident, they may never be able to do their specific job again. However, with treatment and workplace adjustments, a GP could still likely continue to work.

To reflect this greater risk, insurers charge surgeons slightly more.

A Comparison Of The Top 5 UK Doctors Income Protection Policies 2021

There are five main UK Income Protection providers which we place medical professionals with. They aim their policies specifically at doctors, surgeons, dentists, nurses and midwives.

The table below lists the five best Income Protection policies for doctors and key details about them to help give you an idea of which insurer might be right for you.

NHS Sick Pay Match

Matches NHS sick pay for GMC- or NMC-registered NHS doctors, surgeons, nurses or midwives when you set your period at 52 weeks.

Sabbatical Cover

Lets you study, travel or take time out to raise a family and keep cover. If you claim, Aviva pays your benefit for up to 12 months while you’re on sabbatical.

Income Guarantee

Standard. If your income falls between taking out the policy and making a claim, Aviva’s income guarantee means you’ll still get the higher of £1,500 per month or a new benefit Aviva will calculate based on your earnings at the point of claim. Where your benefit is £1,500 a month or less, you get your full payout. If it exceeds £1,500 per month, Aviva pays out based on your new salary.

Overseas Cover

Work abroad and keep your cover in countries / regions such as North America, Australia and Western Europe. However, the NHS sick pay arrangement no longer applies if you stop working for the NHS.

Needle-Stick Injury Cover

No exclusions for conditions you contract via workplace needle-stick injuries.

Hospitalisation Benefit

If you spend 6 or more consecutive nights in hospital during your deferred period, Aviva pays £100 per night from the seventh night for up to 90 nights per policy term.

The Drewberry Verdict

Provides many free additional benefits via Aviva DigiCare+, such as mental health support and a 24 / 7 nurse helpline for advice on minor medical issues.

Free trauma benefit of the lower of £40,000 or six times your monthly benefit if you suffer one of six bodily traumas.

No enhanced income guarantee for medical professionals — just the standard £1,500.

Cover focuses on NHS doctors, surgeons, nurses and midwives — dentists are excluded.

NHS Sick Pay Match

Matches sick pay for NHS dentists, doctors, nurses or surgeons registered with the GDC, the GMC or the NMC. Its stepped deferred period sees you select a 26 week and 52 week deferred period, each with a different benefit. L&G then pays a benefit when NHS sick pay reduces or stops.

Sabbatical Cover

Not Included

Income Guarantee

Enhanced. If your income falls between taking out cover and making a claim, L&G’s benefit guarantee means that NHS dentists, doctors, midwives, nurses and surgeons are guaranteed the lower of £3,000 a month or your benefit. This is enhanced from £1,500 for general employees.

Overseas Cover

Cover if you live / travel in the EU-27, North America, Australia, New Zealand, the Isle of Man or the Channel Islands. If you live / travel anywhere else, the policy stays in force for up to 12 consecutive months but you can only claim for up to 6 months.

Needle-Stick Injury Cover

Included

Hospitalisation Benefit

If you spend more than 8 consecutive nights in hospital, L&G pays 1/30th of your monthly benefit (up to £150) for each night after the eighth night. You get this for up to 13 weeks or until your deferred period ends, whichever is sooner.

The Drewberry Verdict

High maximum monthly benefit.

Highest maximum nightly payout for each night spent as an inpatient above 8 nights.

Fewer free additional benefits than other insurers. However, it does offer nurse support services, such as mental health support, advice on caring for elderly relatives and home assistance to help in your home after time spent in hospital.

No sabbatical cover.

NHS Sick Pay Match

NHS dentists, doctors and surgeons registered with the GMC or GDC can use LV’s NHS Sick Pay Guarantee. You select a 52 week deferred period and, if you claim, LV pays 50% of your benefit when you start getting reduced NHS sick pay. When your sick pay stops, LV starts paying 100% of your benefit.

Sabbatical Cover

Doctors and surgeons who’ve held a policy for at least 12 months can take a sabbatical, where LV treats you as employed for up to 2 years. You get full cover under the own occupation definition while on sabbatical so, if you fall ill in this period, LV still pays your benefit based on your income prior to taking a break.

Income Guarantee

Enhanced. If your income falls between taking out the policy and claiming, LV’s enhanced benefit guarantee means that NHS dentists, doctors, midwives, nurses and surgeons will still get the lower of £3,000 a month or your benefit. This is enhanced from £1,500 for general employees. You must have been working at least 32 hours a week before the claim.

Overseas Cover

If you want to live / work abroad, LV lets you keep cover providing you had no intention to permanently move overseas when you took it out. You can claim while abroad if you have a registered UK bank account without restrictions from Europe, North America, Australia or New Zealand. For other locations, LV only pays a claim for up to 26 weeks.

Needle-Stick Injury Cover

No HIV / AIDS exclusion if you contract it via a workplace needle-stick injury.

Hospitalisation Benefit

Not Covered

The Drewberry Verdict

Offers both a budget short-term option and long-term options.

Automatic fracture cover included, paying up to £2,200 if you suffer a specific fracture. With some insurers this is an optional extra for an additional premium.

Maximum sabbatical length is 24 months — other insurers only offer a 12 month sabbatical.

No hospitalisation benefit.

NHS Sick Pay Match

NHS dentists, doctors, surgeons, nurses and midwives registered with the GMC, the NMC or the GDC can get a 52 week deferred period. Your policy starts paying out as soon as your sick pay halves, topping you up to your full benefit. Then, after your sick pay stops, you get the full payout.

Sabbatical Cover

Take a sabbatical of up to 12 months providing you meet all of these conditions: You pay premiums while on sabbatical; you’ve had your policy for 1 year+; you’ve worked for the NHS for 1 year+; your employer has approved the sabbatical; and you have a job to return to. If you fall ill during the sabbatical, you get a payout as if you were still an NHS worker on your previous income.

Income Guarantee

Enhanced. If your income falls between taking out the policy and claiming, Royal London’s enhanced benefit guarantee means that NHS doctors and surgeons still get an income of the lower of £3,000 a month or your benefit. This is enhanced from £1,500 for general employees.

Overseas Cover

If you take out cover and move to live / work abroad and need to claim, Royal London requires you to either be in or to return to a set of countries / regions / territories before it will pay out. These include: Australia and New Zealand; Japan; North America; most of the EU-27 (plus Norway, Iceland, Switzerland and Liechtenstein); Hong Kong; the Channel Islands and the Isle of Man; and South Africa.

Needle Stick Injury Cover

Covered

Hospitalisation Benefit

If you need to spend more than 6 consecutive nights in hospital, Royal London pays £100 for each night from the seventh night, for up to 90 nights during the term of your plan.

The Drewberry Verdict

High maximum monthly benefit available

Automatic fracture cover included, paying up to £4,000 if you suffer one of a specific number of fractures. With some insurers this is an optional extra for an additional premium.

A range of other free additional benefits via Helping Hand, such as a second medical opinion service and complementary therapies to help manage symptoms or aid recovery.

Royal London places more conditions on the availability of sabbatical cover than other providers.

 

NHS Sick Pay Match

Choose two deferred periods: one of 26 weeks and one of 52 weeks to match NHS sick pay if you have 5+ years of service. However, if you’ve worked for the NHS for less than 5 years, Zurich adapts this so your monthly income starts when your sick pay falls by half.

Sabbatical Cover

Career break option. If you want to take time out of work, Zurich lets you cut your benefit so your premium falls to as little as £5 per month. You can do this for up to 1 year. When you return to work, you can reset your cover and premiums to their previous level without medical questions.

Income Guarantee

Enhanced. If your income falls between taking out the policy and claiming, Zurich’s enhanced benefit guarantee for doctors means you’ll always get the lower of £3,000 per month or your chosen benefit. This is enhanced from £1,500 for other workers.

Overseas Cover

Not Included

Needle-Stick Injury Cover

Only with Zurich Income Protection Select. If you contract HIV or Hepatitis B or C from a workplace needle-stick injury, Zurich pays out a lump sum of six times your monthly benefit, up to a maximum of £50,000. This is in addition to any other benefits you’re entitled to.

Hospitalisation Benefit

Only available with Income Protection Select. If you need to spend 6 or more consecutive nights in hospital, Zurich pays £100 for each night from the seventh night. You can only claim during your deferred period and for a maximum of 90 nights in total across the duration of the policy.

The Drewberry Verdict

Access to rehabilitation services from nurses if you fall ill to help you get back on your feet faster if possible.

Both short-term, budget cover and a comprehensive long-term policy are available.

Fewer free additional benefits available than with other insurers, although you do get access to a helpline to confidentially discuss a range of everyday issues.

Needle-stick injury cover is only available with Zurich Income Protection Select, Zurich’s enhanced policy. However, it does widen out its definition to Hepatitis B and C and pays out a lump sum if you contract these, as well as HIV.

No overseas cover.

Frequently Asked Questions...

  • I Already Have Income Protection — Should I Review It?

    Absolutely.

    Over the years, we’ve seen many clients who arranged doctors Income Protection straight out of medical school with a visiting insurer and haven’t touched it since.

    Firstly, the market moved on considerably over the years. There are now a number of new Income Protection policies for doctors that could offer better coverage, cheaper premiums — or both!

    Secondly, if you’ve been practising medicine for years, your circumstances have no doubt have changed since you were a young junior doctor. For example:

    • Has your salary increased?
    • Do you get more NHS sick pay now than when you first started out?
    • Have your outgoings changed, meaning you’d need a different benefit?
    • What about important life events — do you need to take into account new dependents or cover higher mortgage payments?

    Just like Rajpreet, it’s unlikely that what you arranged straight out of medical school still works for you today.

    Your needs might have changed or the policy might not offer the best coverage at the best price. It doesn’t hurt to revisit existing plans and compare the market — you might be surprised at the results!

  • Are There Any Exclusions?

    As with most insurance policies, there are a few automatic exclusions for everyone. For instance, most policies don’t pay out for illnesses or injuries sustained:

    • During criminal activity
    • From illegal / illicit drug use, substance abuse or alcohol misuse
    • During foreign travel to areas of active internal conflict, high terrorism risk, political instability or countries the Foreign and Commonwealth Office (FCO) has advised against visiting.

    Other than these, there are few standard exclusions. Instead, your insurer determines coverage based on your pre-existing medical history.

    Does It Cover Pre-Existing Conditions?

    When you apply for cover, your insurer asks you medical questions. These focus on your health, particularly over the past 5 years. If you disclose a medical condition, your insurer might:

    • Cover the condition on standard terms (so you won’t face any difference in premiums or policy terms than a healthy person)
    • Cover the condition for an additional premium
    • Exclude the condition but offer a date at which it will consider reviewing the exclusion
    • Exclude that condition entirely (perhaps with a premium discount to compensate).
  • How Do I Make a Claim?

    These steps offer a basic overview for making an Income Protection claim:

    • An accident / sickness stops you working.
    • Contact your insurer as soon as this happens.
    • Fill in a claims form — most providers let you do this online. You’ll need medical evidence of your disability and may have to prove your income immediately prior to your illness.
    • Wait out your policy’s deferral period. For NHS doctors, your deferral period works with NHS sick pay. When your NHS sick falls to half pay, the insurer pays half your benefit to top up the ongoing half pay you get from the NHS.
    • After your NHS sick pay ends, if you still can’t do your job the insurer starts paying out your full benefit.
    • Receive benefits until you recover and return to work, reach your claims limit (for short-term protection) or reach your cease age (for long-term protection).

    For more information on how to make an Income Protection claim, click here

The Power of Advice When Looking for Doctors Income Protection…

If you’re looking for Income Protection for doctors, surgeons and other NHS medical professionals — including dentists, midwives and nurses — you’ll firstly want to look at specialist providers.

They offer policies that work with your job, such as enhanced NHS sick pay, or other circumstances common for doctors, such as wanting to take a sabbatical to work / volunteer abroad.

Getting covered if you are a doctor, surgeon or similar therefore tends to involve additional factors to consider and more moving parts to the policy than for other types of workers. It’s here having an expert in your corner can really pay off.

Why Speak to Us?

We started Drewberry™ because we were tired of being treated like a number.

We all deserve a first class service when it comes to issues as important as protecting our health and our finances. Below are just a few reasons why it makes sense to talk to us.

At Drewberry, we offer free-free Income Protection advice to doctors and other medical professionals. To discuss your needs with an expert adviser, don’t hesitate to get in touch. We’re available on 02084327333 or you can email help@drewberry.co.uk.

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