Following on from last week's webinar we said that we would update everyone with answers to the questions we could not answer during the webinar itself. We received many questions so thank you for that and here as promised are the answers to the ones we were not able to talk to.
If you would like to watch the recording of the webinar, please click here.
That is a very good question and not necessarily an easy one to answer. It really depends on your own personal circumstances and what's important to you. But in general, the answer would be a soon as you can and now is always to best time to buy health insurance. You are then covered if you health takes a turn and can speed up any treatment. If you wait until you get a medical condition and try buy health insurance you may find exclusions or loadings will apply.
We recently wrote a blog article on this subject, you can read it here: Do you need Health Insurance and when is the right time to buy it?
Advisers are paid by the insurance company via commission so you do not have to pay for the advice you receive. Not all policies are the same quality though so it is important for you to get good advice.
Under the 'day to day' plans, claims limits have been set at 50% to keep the premiums at an affordable level. Remember to claim your eligible expenses every year, some years you may have more claims than others. For the larger costs of surgery, or for life insurance and even insuring your house, insurance works by people pooling funds via premiums paid to ensure money is available if they need to make a really large claim. So the best case scenario for most of us is to never claim on those larger costs, but if we do, it is peace of mind to know we have a policy.
I guess nobody likes paying for insurance however it can take one claim and you will see the value of the cover. If you want peace of mind knowing you have access to quick health care it can provide this. It often comes down to personal views on health insurance or being happy to rely on the public health system.
Hospital Cover policies don't do surveillance checks solely based on family history. You must have symptoms to have any investigative testing done. Our day to day plan, Primary Care Extra does however offer cover for mole mapping around skin cancer / melanoma. Hospital Select also offers a contribution towards colonoscopy and gastroscopy every 24 months where 50% of costs are available up to the policy limits. Depending on the cancer the family member has, there are also programmes available with the public health system where you can get on a regular cycle for the likes of colonoscopies.
Every insurer will treat family history in a different way. The UniMed Hospital Select plan does not consider family history. Other insurers do look at family history however if it is only one direct family member e.g. parents or siblings then no exclusions or loading would likely apply. If it is two family members with the same type of cancer then it may result in exclusions or loadings depending on their age.
The first suggestion is to approach the Financial adviser yourself to try and resolve this issue. You need to give your financial service provider the opportunity to resolve your complaint with you. They will have a complaints process that they will follow and can provide you information of this. If you aren't happy with any resolution they offer they will belong to an independant complaints organisation that you can approach.
We are not aware of a time limit on complaints. You can search the Financial Services Provider register to find details of the adviser's disputes resolution scheme at this address: https://fsp-app.companiesoffice.govt.nz/ and can contact the scheme if you are unable to resolve your complaint directly with the adviser.
Unfortunately any surgical costs related to Diabetes would be permanently excluded under the Hospital Select plan, however Monument financial advisers do have another plan they could arrange which would provide cover for Diabetes after 3 years continuous cover.
Yes you can, however you would need to return to NZ for medical treatment, although some medical insurance companies do provide some cover in Australia - if you are planning to travel the best option is to arrange travel insurance. Read more about our Travel Insurance offer with Cover-More here.
My suggestion would be to engage a local financial adviser in your area to seek advice and they will be able to help you. If you can provide them with the policy wording of the health insurance the University of Auckland offer.
Absolutely, kids can also have major things go wrong with their health and it can speed up treatment. I know of a child where fundraising had to be done for a medication around cancer that wasn't covered. The right plan would have help the family out a lot. It also gives them future cover into their adult years if they have a plan now and something goes wrong with their health.
It would depend on the health conditions you have. Certain pre-existing conditions may not be covered even after 3 years such as cancer, back or heart conditions or risk factors relating to them. If you have a current medical plan this may be best to keep if your pre-existing conditions are covered already. My suggestion is to seek advice from a local financial adviser in your area to assess your situation.
All policies on the market will have a maximum amount or percentage you can claim. Southern Cross have a plan for 75% of costs which cover 5 key areas for a total potential claim of $1,250. The cost for a 40 year old is 19/FN. A similar plan with HealthCare Plus is Primary Care Extra where 50% is covered however the potential claim is $2,000 and there are 10 key areas you can claim. The premium for a 40 year old is $11.72/FN for Primary Care Extra.
Unfortunately we are not aware of any level premiums for health insurance. However there are level premiums available for risk benefits such as life, trauma and income protection. They are certainly worth considering if you have a long term need for the benefits. My suggestion is to seek advice from a Financial Adviser who can guide you more on your needs.
We wouldn’t be able to give a definitive answer on any breakdown cancer vs non-cancer non-PHARMAC. We don’t have data on that. Potentially PHARMAC or the Ministry of Health may track that kind if info, unless it was on their website you would need to ask through an OIA request.
More specific to whether non-PHARMAC is cancer drugs or broader, it is broader. Prescription items can also be non-PHARMAC. MedSafe would have approved the drug for use in NZ, based on it’s safety, but PHARMAC doesn’t subsidise the drug.
As an example, a range of prescription drugs may be available around the world to treat a condition. MedSafe may approve a number of these for use. However, PHARMAC may only subsidise one of these for use. This helps them, and the NZ taxpayer, to purchase drugs under contract at a lower rate, because we’re buying 1x drug in bulk, as opposed to several drugs in low volumes without an agreement in place.
The other drugs can be used, as they are MedSafe approved, and will be prescribed in some instances. Instead of a pharmacy charging the $5, like they do for most PHARMAC approved prescriptions, the non-PHARMAC prescription may range in cost. Sometimes a person cannot tolerate the PHARMAC approved medication, whereas they will tolerate the non-PHARMAC version. Typically PHARMAC will look to purchase the most commonly available drug, or drug that would me most broadly tolerated, but it can come down to cost for them. Drugs have a timespan before other companies can make similar version of that drug, often at that time cheaper versions of the drug come to market, sometimes PHARMAC will then alter to the cheaper version. Then they can utilise that saving to purchase other drugs in other areas. It’s a very complex area, but this somewhat summarises it.
If you have more questions about Health Insurance, you can submit it in the comment section below. Or if you are interested in finding out more about your health Insurance options, we have access to a nationwide team of Monument financial advisers who can provide you with more personalised approach. Monument has been our appointed business partner since the early 1990’s to provide financial advice to our members on life and health insurance products (HealthCarePlus is not legally able to provide financial advice).
It won't cost you anything for this chat and there is no obligation for you to do anything following the conversation. But we do strongly recommend that if you are interested in looking at health insurance further that you seek their advice before making any decisions.
So to speak directly to a Monument financial adviser in your local area, please click the button below to book a chat with them.