HEALTH
INSURANCE

If you require urgent medical attention the public health system will patch you up, but what if the attention you need is specialised? What if you need to skip the typical long waiting times to receive essential treatment?

Health insurance NZ (or medical insurance NZ) could provide you with the access to medical care that the public health system can’t provide. Not all health insurance plans and companies provide the same coverage. If for example, you develop less urgent ailments such as cataracts or crunchy knees, you may find you aren’t covered.

Health Insurance should be a simple product. In exchange for a premium, an insurer agrees to take on some of your risks. The insurer should explain what’s covered and what’s not in the clearest possible manner. Unfortunately, medical insurance is far from simple.

Here we have provided a high-level summary of some of the key providers and their Plans to help you understand the features and benefits you can choose from.

The following information is provided as a guide with which to compare quality Health Insurance providers available in NZ. Here we identify similarities and subtle unique differences specific to each insurance provider, as per their brochures, giving you the opportunity to tell us why this provider is right for you.

Note, when you take out medical insurance, your insurer relies on information you provide to calculate your premiums and the terms of your cover. You have a duty to disclose material facts that would influence the judgement of a prudent insurer. Material facts may relate to your age, your medical history, and whether you smoke.

Contact us today for free no obligation financial advice.

Compare Insurance Provider Benefits

The following information is provided as a guide with which to compare quality Health Cover Insurance providers available in NZ. Here we identify similarities and subtle unique differences specific to each insurance provider, as per their brochures, giving you the opportunity to tell us why this provider is right for you.

NZ Health Insurance Providers

Southern Cross: WellbeingOne 

HOSPITAL SURGICAL
$500,000

HOSPITAL MEDICAL

$60,000

SPECIALIST CONSULTATIONS 

Subject To:
*Within 6 months of Surgery or,
*Surgical maximum.

MAJOR DIAGNOSTICS 

Subject To:
*Within 6 months of Surgery and,
*Surgical maximum.

Angiogram, Arthroscopy, Capsule Endoscopy, Colonoscopy, Cystoscopy, Gastroscopy, Hysteroscopy, Laparoscopy, Myelogram, Myocardial Perfusion imaging, PET, Scintigraphy, CT and MRI scans.

MINOR SURGERY

Non-specialist Surgery; $450 per treatment.

PHYSIOTHERAPY AFTER BEING DISCHARGED

$60 per visit up to $300 for 6 months after surgery.

POST-OP HOME NURSING

$175 per day up to $2800, treatment. To commence within 14 days of surgery.

PHARMACEUTICALS

Pharmac ($30,000) Non-Pharmac (maximum $10,000) Chemotherapy Treatments up to maximum (included*.)

SUSPENSION OF COVER

Available when conditions are met.

About Southern Cross:

Southern Cross first opened for business in 1961, introducing health insurance to New Zealanders and laying the foundations for one of New Zealand’s most enduring, best known and trusted brands.

Southern Cross has a Standard & Poor’s (Australia) Pty Limited financial strength rating of A+ (Strong).

* Given by Standard & Poor’s (Australia) Pty Limited, one of the world's leading providers of independent credit risk research across industries and benchmarks, asset classes and geographies

Sovereign: Private Health

HOSPITAL SURGICAL
$300,000

HOSPITAL MEDICAL

$300,000

MINOR SURGERY

Non-specialist Surgery; $250 per treatment up to a maximum of $500.

DEATH/FUNERAL BENEFIT

Upon death:
$2500 payable on death between the ages of 21 to 59. 

PHYSIOTHERAPY AFTER BEING DISCHARGED

Covered under policy maximums up to 6 months after discharge. 

POST-OP HOME NURSING

$300 per day up to a maximum of $3,000.

PHARMACEUTICALS

Pharmac/non-Pharmac Chemotherapy Treatments up to maximum.

SUSPENSION OF COVER

Available when conditions are met.

About Sovereign:

After taking care of New Zealanders for the past 25 years, Sovereign is turning insurance on its head by dedicating ourselves to helping you take charge of your health.

Sovereign has an A.M. Best financial strength rating of A+ (Superior)*.

* Given by A.M. Best Inc., an approved insurance rating agency.

Partners Life: Private Medical

HOSPITAL SURGICAL
$300,000

HOSPITAL MEDICAL

$300,000

SPECIALIST CONSULTATIONS 

Subject To:
*Within 6 months of Surgery Covered under policy maximums or until the cancer is cured or in remission (including 2nd opinion benefit). $250.00 Excess applies.

MAJOR DIAGNOSTICS 

Subject To:
*Within 6 months of Surgery and,
*Surgical maximum.

Angiogram, Arthroscopy, Capsule Endoscopy, Colonoscopy, Cystoscopy, Gastroscopy, Hysteroscopy, Laparoscopy, Myelogram, Myocardial perfusion imaging, Scintigraphy, PET, CT and MRI scans. $250.00 Excess applies.

MINOR SURGERY

Covered under surgical maximum.

DEATH/FUNERAL BENEFIT

$10,000 if insured dies. Child under 10 years $2,000.

PHYSIOTHERAPY AFTER BEING DISCHARGED

Covered under policy maximums up to 6 months after admission.

POST-OP HOME NURSING

$300 per day up to 10 days.

PHARMACEUTICALS

Pharmac/non-Pharmac Chemotherapy Treatments.

SUSPENSION OF COVER

Available when conditions are met.

About Partners Life:

Established in August 2010, Partners Life entered the market with a fresh innovative offering for the protection of New Zealand families and businesses. With unprecedented growth since launch, Partners is now one of the most substantial competitors in the New Zealand Insurance Industry.

Partners Life has an A.M. Best secure rating of B++ (Good)*.

* Given by A.M. Best Inc., an approved insurance rating agency.

AIA: Real Health

HOSPITAL SURGICAL
$500,000

HOSPITAL MEDICAL

$500,000

SPECIALIST CONSULTATIONS 

Subject To:
*Within 6 months of Surgery and,
*Surgical maximum.

MAJOR DIAGNOSTICS 

Subject To:
*Within 6 months of Surgery and,
*Surgical maximum.

Angiogram, Arthroscopy, Capsule Endoscopy, Colonoscopy, Cystoscopy, Gastroscopy, Hysteroscopy, Laparoscopy, Myelogram, Myocardial Perfusion imaging, PET, Scintigraphy, CT and MRI scans.

MINOR SURGERY

$3000 for GP surgery.

DEATH/FUNERAL BENEFIT

$3500 if insured dies before age 70.

PHYSIOTHERAPY AFTER BEING DISCHARGED

$1000 for treatment within 6 months of discharge.

POST-OP HOME NURSING

Home nursing: $150 per day up to $6000 maximum.

PHARMACEUTICALS

Pharmac/non-Pharmac Chemotherapy Treatments.

SUSPENSION OF COVER

Available when conditions are met.

About AIA:

We’ve been helping New Zealanders since 1981. And as part of the AIA Group, one of the largest life insurance companies in the Asia Pacific region, our customers have the assurance that we’ll always be there for them when it counts, whatever life may bring.

AIA has a Standard & Poor’s (Australia) Pty Limited financial strength rating of AA- (Very Strong).

* Given by Standard & Poor’s (Australia) Pty Limited, one of the world's leading providers of independent credit risk research across industries and benchmarks, asset classes and geographies.

NIB: Ultimate Health Max

HOSPITAL SURGICAL
$300,000

HOSPITAL MEDICAL

$200,000

SPECIALIST CONSULTATIONS 

Covered under policy maximums within 6 months of admission (including 2nd opinion benefit).

MAJOR DIAGNOSTICS 

Subject To:
*Within 6 months of Surgery and,
*Surgical maximum.

Arthroscopy, Capsule Endoscopy, Colonoscopy, CT Angiogram, Cystoscopy, Gastroscopy, Myelogram, CT, MRI and PET scans.

MINOR SURGERY

$750 for GP surgery; skin lesion surgery covered under surgical maximum.

DEATH/FUNERAL BENEFIT

$3000 if insured dies aged 16 - 64.

PHYSIOTHERAPY AFTER BEING DISCHARGED

Covered under policy maximums up to 6 months after discharge.

POST-OP HOME NURSING

$300 per day up to $6000 maximum.

PHARMACEUTICALS

Pharmac/non-Pharmac Chemotherapy Treatments.

SUSPENSION OF COVER

Available when conditions are met.

About NIB:

As the second largest health insurer in New Zealand, we provide a range of health insurance options for Kiwis and their families, as well as for New Zealand companies who want health insurance for their employees.

NIB has an A.M. Best secure rating of A- (Excellent)*.

* Given by A.M. Best Inc., an approved insurance rating agency.

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