The purchase of Insurance is different to most purchases that you make as you do not ‘experience’ insurance when you purchase it. It is only when a claim is submitted and paid that you get to ‘experience’ your insurance and get to benefit from your purchase. With car or house and contents insurance you may never get to ‘experience’ the benefit of your purchase unless you are unfortunate, and have a reason to make a claim.
Last year our Members regularly claimed on their day-to-day plans to the value of almost $6.4 million. At HealthCarePlus we actively encourage our members to claim so it is very pleasing so see the amount of money that is being refunded to our members.
The three most frequent benefits that were claimed for were:
The full breakdown is as follows:
| Primary Care Claims Figures | Covered Amount Gross | % of Claim |
| Dental | $713,270 | 11.2% |
| Optical | $756,363 | 11.8% |
| Medical, Specialists & Tests | $2,844,442 | 44.5% |
| Complementary Medical | $803,024 | 12.6% |
| Complementary Medical (child) | $65,205 | 1% |
| Major Diagnostic Imaging | $152,236 | 2.4% |
| Hospital Treatment | $325,723 | 5.1% |
| Hospital Excess Reimbursement | $217,971 | 3.4% |
| Mental Health Consultation/Treatment | $212,874 | 3.3% |
| Mental Health Counselling | $40,556 | 0.6% |
| Bereavement Grant |
$93,864 |
1.5% |
| Medical Appliance | $87,121 | 1.4% |
| Birth Grant | $16,400 | 0.3% |
| Orthodontic Treatment | $52,042 | 0.8% |
| Sick leave without pay Grant | $5,710 | 0.1% |
| Total Value | $6,386,799 | 100% |
If you would like to find out more about the Primary care plans, please click here.
With regards to UniMed's Hospital Insurance Plans*, which includes our Hospital Select Plan, UniMed continued the good news by supporting their members through some tough times.
And the top five dollar claims paid to members for the last quarter of the year (ending 30/06/2024) were:
Of course it's not all about the dollars in those numbers but how much we can support or members in their moments of need or help them change their lives for the better. It also highlights the role that hospital Insurance plays in meeting the health requirements of our Members.
“The public health system does a fantastic job looking after acute urgent medical issues, but our health insurance plan gives our Members access to elective surgical procedures and specialist consultations when they need it and choice about where they receive it,”
- John Seed, CE, HealthCarePlus
If you would like to find out more about our Hospital Select plan, please click here.
(*) Primary Care, Primary Care Extra, #care4U and Hospital Select are underwritten by Union Medical Benefits Society Ltd (UniMed). We partnered with UniMed because like us, they strive to provide people like you and your whānau with better access to health and wellbeing care, and to support you when you need it most.