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NZ Health Insurance — Topic Comparisons

Side-by-side breakdowns of how every NZ health insurer handles the coverage questions consumers actually ask — sourced verbatim from each insurer's published policy wording.

Pharmac vs non-Pharmac drug cover

NZ's Pharmac funds a defined list of medicines. Non-Pharmac drugs (including high-cost cancer drugs like Keytruda) are excluded from public funding. Health insurance can fill that gap — but every insurer handles it differently. This page summarises each NZ insurer's non-Pharmac rules verbatim from their policy wordings.

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ACC interaction

In NZ, ACC covers accidental injury and treatment-injury costs. Health insurance generally excludes ACC-covered events but most policies offer an ACC Top-Up benefit for any shortfall. This page summarises each insurer's ACC interaction rules verbatim.

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Mental health cover

Mental health cover varies dramatically across NZ health insurers — from entirely excluded (entry-level plans) to specific psychiatric hospitalisation sublimits. This page lists each insurer's mental-health rules with the relevant NZD sublimits and admission terms.

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Pre-existing conditions

NZ health insurers handle pre-existing conditions in two main ways: (1) disclose-and-accept (Southern Cross — exclude unless noted on certificate), or (2) stand-down period (nib — 3 years then covered, with permanent exclusions for certain conditions). This page lists each insurer's verbatim rules.

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IVF and assisted reproduction

IVF, infertility treatment, and assisted reproduction are excluded from virtually every NZ retail health insurance policy. This page documents each insurer's stance verbatim.

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Oncology and high-cost cancer drugs

High-cost cancer drugs (Keytruda, Opdivo, etc.) are often non-Pharmac and not covered under public health. Some NZ insurers cover these via separate cancer benefits with specific NZD caps. This page summarises each insurer's oncology / non-Pharmac chemotherapy cover.

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Gap payment rules

When a provider's charges exceed what the insurer pays, the member pays the 'gap'. NZ insurers use different models — affiliated/preferred provider networks, percentage co-pays, 'reasonable charges' caps. This page lists each insurer's gap rules verbatim.

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Data sources

Every fact on these pages is extracted from the current published policy wording PDF for each insurer, with the source PDF URL cited inline. We also publish the structured data as machine-readable JSON + Markdown at /api/topic/{slug}/summary.md and /api/product/{insurer}/{product}/facts.json. See our llms.txt for the full endpoint list.