Living with terminal illness

Superannuation early release on compassionate grounds

Superannuation can normally only be accessed at retirement, but a terminal illness changes that. This guide explains the two main pathways for early access, compassionate grounds and terminal illness, and how to apply through the ATO or your super fund.

Reviewed by Pierre Legrand, founder of 18December
Last updated 10 October 2026
General information only. This guide is not medical, legal, or financial advice and does not create a professional relationship. Laws and medical standards vary by state and territory. Always seek advice from a qualified professional for your specific circumstances.

Superannuation exists to fund your retirement. The rules that govern it are built around that purpose, and normally you can't touch it until you reach your preservation age and retire.

A terminal diagnosis changes what's possible. There are two separate pathways that allow early access to super when someone has a terminal illness. They work differently, and you may be able to use both.


What is the terminal illness early release pathway?

This is the most significant pathway. If two registered doctors have certified that the illness is likely to result in death within 24 months, the super fund can release the entire account balance as a tax-free lump sum.

At least one of the two must be a specialist working in the area related to the illness, so this does not have to be two specialists. They can certify jointly or separately, and they complete forms confirming the diagnosis and prognosis. The certification runs for 24 months from the date of signing, and the release needs to happen inside that period. Your super fund can tell you what it needs and will have its own forms.

Ask the fund how long it expects to take once it has the certification. The money goes directly to the person with the diagnosis, not to their estate or beneficiaries.

This is separate from life insurance inside super. You can apply for both the terminal illness early release of the super balance AND any life insurance or TPD claim on the same account.

To apply, contact your super fund directly and ask for the terminal illness early release process. Each fund has its own forms, but the certification requirement is standard across all regulated funds.


What is the compassionate grounds release pathway?

Compassionate grounds is a separate, smaller release mechanism. It doesn't require a terminal prognosis. It applies to specific, defined situations where someone needs money for essential expenses they can't afford any other way.

The grounds most relevant during a serious illness are:

  • Medical treatment: to pay for treatment that is not available through the public health system and is certified by two registered medical practitioners, one of them a specialist
  • Medical transport: to pay for transport to access that treatment
  • Palliative care: to pay for palliative care for yourself or a dependant
  • Modifications to home or vehicle: to meet needs that come from a severe disability

Compassionate grounds release is administered by the ATO, not by the super fund. You apply through myGov, and the ATO assesses eligibility. If approved, the ATO sends you an approval letter and a copy to your fund. You then contact the fund to have the amount released.

The amount released is limited to what's needed for the specific expense. It is taxed as a super lump sum rather than as ordinary income, and how much tax applies depends on your age and on the components of your balance. For people aged 60 and over it is generally tax free.

You can apply for compassionate grounds release multiple times for different qualifying expenses.

The order matters, and getting it the wrong way round costs you the money. The ATO can generally only release an amount that has not yet been paid. If you pay a bill from your own savings and then apply to be reimbursed, that amount is gone. The ATO's own worked example is a funeral: a person pays a $4,000 deposit from savings with $8,000 still owing, and only the $8,000 can be released. The $4,000 is not recoverable.

There is one way round it. If you paid the expense by borrowing money, you can generally apply to release super to repay the outstanding balance of that loan.

This is worth knowing before a bill is paid. The ATO also treats early release as a last resort and may ask how else you have tried to pay. If you are unsure how to handle a bill, a financial counsellor at the National Debt Helpline (1800 007 007) can talk it through.

Death, funeral and burial expenses for a dependant who has died are also an eligible ground, and the same unpaid rule applies. Pre-paying your own funeral is not. See arranging a funeral for how that sits alongside the other ways of paying.


How do I apply through the ATO for compassionate grounds release?

Log in to myGov and open ATO online services. Select Super, then Manage, then Compassionate release of super.

You'll need to provide:

  • Details of the expense (cost, provider, date)
  • Supporting documentation (invoice, specialist letter, treating doctor's confirmation)
  • Bank account details

The ATO says it normally processes online applications within 14 days and paper ones within 28 days. If the application is approved, the ATO sends you an approval letter and a copy to your fund, and you then contact the fund to have the money released.

If you don't have a myGov account or need help applying, call the ATO on 13 10 20 or visit ato.gov.au.


How do I apply to my super fund for terminal illness release?

Contact each fund directly and ask for their terminal illness claims process. You'll need:

  • Completed terminal illness certification from two registered doctors, at least one a specialist in the area related to the illness
  • Your member details
  • Bank account details for the lump sum payment

Ask whether the fund has a team that handles terminal illness claims.

If the person with the diagnosis has multiple super accounts, consider applying to each fund separately. Each account is assessed independently.


What are the tax implications of early super release?

Terminal illness early release: Tax-free, regardless of age. This is one of the few circumstances where a super payment to someone under 60 is not taxed.

Compassionate grounds release: Taxed as a super lump sum. The taxable part goes in your tax return, but the rate on it is capped, and for people aged 60 and over it is generally tax free. The ATO sets out the current rates on its early access pages, and an accountant can help you work out what applies to you.

Death benefits: If the account holder dies before making a claim, the super balance will be paid as a death benefit under the fund's rules, to the person named in a valid binding nomination or, without one, as the trustee decides. Taxation of death benefits depends on who receives the money and the tax components of the balance. Death benefits paid to a spouse or other tax dependant are generally tax free, so whether to apply now or leave the money in super is worth asking a financial adviser about before deciding.


What if I have superannuation in multiple funds?

Run a check through myGov to find all super accounts linked to the tax file number. It's common for people to have funds they've forgotten about from previous employers.

Each account can be released separately under the terminal illness pathway. There's no rule that limits you to one fund.

For accounts with small balances that were opened through past employment, check whether any insurance cover is attached before claiming the balance. Some older accounts have retained group insurance that may be worth claiming first.


Where do I get help with this process?

This process can feel overwhelming, especially when you're managing everything else at once.

A financial adviser with experience in super can help you understand the full picture, including any insurance attached to the accounts, the tax implications of different pathways, and how to coordinate with the estate planning process.

If cost is a concern, some community organisations and financial counselling services provide free advice on super access. The National Debt Helpline (1800 007 007) can also point you in the right direction.

Platform tools

  • Your checklistEvery task across all five stages of the journey, gathered in one place so nothing is forgotten.
  • Document vaultStore the will, power of attorney, advance care directive, and other important documents securely in your account. Available to members.

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Pierre Legrand
Founder, 18December

Pierre started 18December after his partner Mark was given a terminal diagnosis, when they mapped out everything that needed to happen at the kitchen table. He reviews the guides to keep them honest, plain, and genuinely useful. About 18December

Last reviewed 10 October 2026

Read the latest version of this guide at www.18december.com.au/guides/super-early-release-compassionate-grounds

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