What is Health Insurance?

Health insurance is a policy which meets all or some of the costs of a range of private medical procedures and treatments. These include surgery, cancer treatment, diagnostic imaging and tests, medical hospitalisation, specialist consultations, home nursing, treatment away from home and treatment overseas.

AIA Private Health

AIA Private Health insurance allows you to access private medical care, when and where it suits you. Get reimbursed for covered medical expenses, or better still, get pre-approval for any covered expense so you don’t have to pay first. Choose from a range of excess options to tailor your premiums to your budget.

Private Health Cover provides cover for private surgery, hospitalisation, cancer care and supporting diagnostic procedures.

Private Health Plus is an optional add-on which provides additional access to specialist consultations and cover for diagnostic imaging and tests outside of surgical procedures or hospitalisation. Private Health Plus also provides loyalty benefits designed to keep you healthy.

Minimum commencement age 0
Maximum commencement age 70
Expiry age None

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Private Health Cover Benefits

Below is a summary of the key benefits provided by Private Health Cover:

Surgery

Unlimited maximum cover.

Cancer Care

Up to $500,000 per life assured, per policy year, subject to maximums for specific treatments or procedures (unlimited for surgery).

Mental Health Support Benefit

Up to $2,500 per life assured, per policy year. No excess applies.

Minor Surgery Benefit

Up to $3,000 per life assured, per policy year. No excess applies.

Medical Hospitalisation

Up to $500,000 per life assured, per policy year.

Please note that hospitalisation and hospice care costs in relation to cancer are covered under the Cancer Care benefit and not this benefit.

Congenital Conditions Surgery Benefit

Up to $2,000 per life assured, per lifetime.

Major Diagnostic Imaging and Tests

Up to $200,000 per life assured, per policy year.

Home Nursing

Up to $300 per day, up to $5,000 per life assured, per policy year. No excess applies.

Waiver of Premium on Death

Two years’ free cover for the surviving lives assured covered by the policy upon the death of a policy owner (where the death is not caused by something excluded under the policy). No excess applies.

Bereavement Grant

$3,500 per life assured, per lifetime. No excess applies.

Parents Grieving Benefit

$2,000 per child. No excess applies.

Treatment Away from Home in New Zealand

Up to $3,000 per life assured, per policy year, with a daily sub-limit of $300 for accommodation costs. No excess applies. This is a combined maximum for the Treatment Away from Home in New Zealand benefit and the Parent Accommodation Benefit.

Parent Accommodation Benefit

Up to $3,000 per life assured, per policy year, with a daily sub-limit of $300 for accommodation costs. No excess applies. This is a combined maximum for the Treatment Away from Home in New Zealand benefit and the Parent Accommodation Benefit.

Ambulance Transfer Benefit

Up to $200 per life assured, per policy year. No excess applies.

Voluntary Treatment Overseas

For treatment in Australia, the maximum cover for the applicable benefit applies.

For treatment overseas but outside Australia, this benefit covers 85% of reasonable charges for the approved treatment, subject to the maximum cover for the applicable benefit.

Prior approval is required.

Translation Costs

Up to $500 per life assured, per policy year.

Medically Necessary Treatment Overseas

For medically necessary treatment where the waiting period for treatment in an approved facility in New Zealand is greater than six months, the maximum cover for the applicable benefit applies.

For medically necessary treatment not available in New Zealand, the maximum amount of cover is $30,000 per life assured, per policy year.

Prior approval is required.

Public Hospital Credit

One year’s free cover where a life assured has a treatment or procedure in a public hospital that would otherwise have been covered by a benefit in this policy and that treatment or procedure includes overnight admission of two or more night’s stay. No excess applies.

Public Hospital Cash Grant

$300 per day up to $3,000 per life assured, per policy year. No excess applies.

Obstetric Care Allowance

Up to $2,000 per life assured, per policy year. No excess applies. Caesarean sections are specifically excluded.

Medical Misadventure

Up to $30,000 per life assured, per lifetime.

Sterilisation

Up to $5,000 per life assured, per life of the policy.

Bariatric Surgery

Up to $7,500 per life assured, per lifetime for the Bariatric Surgery and Bilateral Breast Reduction benefits combined.

Bilateral Breast Reduction

Up to $7,500 per life assured, per lifetime for the Bariatric Surgery and Bilateral Breast Reduction benefits combined.

Please refer to the Policy Wording for full details of all benefits and any associated terms and conditions.

Private Health Plus Benefits

Below is a summary of the additional benefits provided by Private Health Plus:

Specialist Consultations

Up to $10,000 per life assured, per policy year.

Diagnostic Imaging and Tests

Up to $100,000 per life assured, per policy year.

Pregnancy, Maternity and Infertility Allowance

Up to $1,500 per pregnancy, per life assured, per policy year after two years of continuous cover. No excess applies.

Health Screening Allowance

Up to $500 per life assured for each three-year period after three years of continuous cover, or $750 per life assured for each three-year period after two years of continuous cover if the life assured is a member of AIA Vitality. No excess applies.

Please refer to the Policy Wording for full details of all benefits and any associated terms and conditions.

Policy Features

AIA Private Health insurance includes the following features:

Financial Strength

The policy is underwritten by AIA New Zealand Limited, New Zealand’s largest life insurer. AIA New Zealand Limited has an AA (Very Strong) financial strength rating from Fitch Ratings.

No-Limits Prior Approval

Get prior approval for any covered procedure, for any amount, before you incur any cost. No minimum applies. Have AIA pay your provider paid directly so you don’t have to pay first and claim reimbursement.

No Medical Required

No medical examinations or tests are normally required to get cover. Assessment is almost always solely based on the information you provide in the application form.

Free-Look Period

If at any time during the 15 days following receipt of your policy you do not wish to continue with your cover (for whatever reason at all), you can return your policy for a full refund of all premiums paid.

Suspension of Cover

Flexibility to suspend cover for up to 24 months for an insured person if that person:

  • Travels overseas for a period of up to 24 months.

Flexibility to suspend cover for up to 12 months if the policy owner:

  • Becomes unemployed or redundant;
  • Experiences a reduction in pay of 20% or more (comparing the most recent payslip against a previous payslip from the same year); or
  • Is self-employed and experiences a reduction in revenue of 30% or more (by comparing one month’s revenue against the same month for the previous year).

No premium will be payable during the period for any person whose cover is suspended. No claim will be payable for any claim event for any person whose cover is suspended that occurs during the period that cover is suspended.

Please refer to the Policy Wording for full details and any associated terms and conditions.

Excess Options

If you wish, you can choose an excess.

The excess is the amount that you will be responsible to pay for any treatment or procedure before you are entitled to claim for, or be reimbursed for, any benefits that are payable under this policy. The excess applies to each person insured, per policy year. For certain benefits, no excess applies, irrespective of the excess option you choose.

Choosing an excess will lower your premium. The higher the excess, the lower the premium.

Excess Option Private Health Cover Private Health Plus
No excess
$250
$500
$750
$1,000
$2,000
$4,000

Brochure

Health Insurance Brochure

Download or view the brochure:

Health Insurance Brochure PDF

Policy Wording

Private Health Umbrella Policy Wording

Download or view the policy wording:

Private Health Umbrella Policy Wording PDF

AIA Vitality

AIA Vitality is a science-backed health and wellbeing program that supports and rewards you for making healthier choices.

Premiums for eligible insurance policies that cover you may be discounted in certain circumstances based on your membership and participation in the AIA Vitality program. You will receive an initial 10% premium discount in your first year.

A membership fee of $11.50 per month per member applies.

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FAQs

Check out our FAQs for answers to frequently asked questions.

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Important Information

  • The above identifies and provides a brief summary only of the principal benefits under the policy. Please refer to the Policy Wording for full details of all benefits and the terms and conditions under which they are provided. Cover is subject to underwriting and approval by AIA.