The health system is a bit like public transport. Something you take if you have to, but something you'd rather avoid. And just like the bus, it can be a pain to catch, sometimes it's right on time, most of the time it's full or you just plain old miss it.

Today's health system is markedly different from what it was even 5 years ago. It's starting to look like it's being rationed rather than provided as a free public service.

These articles highlight the plight of those subject to waiting for the public health system:

Roy Morgan Research has published updated information on insurance coverage in New Zealand and it is not a particularly pretty picture.

What does it really look like out there in New Zealand?

Almost 1 in 7 Kiwi’s do not have any insurance cover at all. I don’t know about you, but 1 in 7 people I know are not financially independent enough not to need insurance cover at some level. This suggests Kiwi’s are taking the risk that ‘she’ll be right’. This may be knowingly but most likely unknowingly.

In general terms yes. There is a but in there though, and it is a big one.

When you applied for your policy, did you; tell the truth, the whole truth and nothing but the truth? If you did, you are probably ok and have nothing to worry about, if you are unsure read on.

In English law, and carried through to New Zealand law, is the basic principal of good faith and truth when talking about contracts.

This is a question often asked by clients, especially those with medical insurance.

Inflation loosely termed is the change in buying power $1 has today vs. a point in time in the past. The Reserve Bank is under instruction from the government to keep this in a band between 1% and 3% per annum.

The best lever for the Reserve Bank to use to manage this is the interest rate, which is why it gets a lot of focus.

Inflation rates help drive the decisions the Reserve Bank makes on interest rates. (In a very simplified way)

What does this really mean?

Let us start with what is BMI?

BMI stands for Body Mass Index. It is a medical tool used by the medical profession to assess someone's approximate body fat.

• BMI is a function of a person's height and weight. Doctors often use this in conjunction with a person’s waist measurement to get a more accurate understanding of how healthy a person's weight is.

I am guessing you would not be too happy to have your financial adviser measure you for your insurance application, so insurance companies only use height and weight.

There are a number of ways to insure babies and children. Let us start at the beginning, pregnancy and conception.

In New Zealand currently, assistance with conception is limited to what is publicly funded. Private medical insurance does not cover conception issues; it can cover some pregnancy issues though.

What can you have covered once you are pregnant?

The public system is well equipped for dealing with pregnancy. It is unlikely you will need additional assistance that requires funding if you have a normal pregnancy.

If you do have complications with your pregnancy, then there are provisions under most medical insurance policies specialists and tests benefits to assist with private specialist costs. What you do need to consider are the finer points of the policy, this is where your adviser comes in.

From time to time, I hear key staff from insurance companies speak at training and development sessions I attend. A recent one I heard from a key person in charge of operations. This person oversees both the underwriting (your application) and claims (where you get paid)

What was interesting to hear was the statement ‘Where there is adviser guidance with the application; the client generally has a better outcome at claim.’

Two medical insurers have changed or added to their products this month. NIB the insurer who took over Tower Medical last year and the largest medical insurer in the New Zealand market, Southern Cross.

So what have they done?

If you are familiar with Tower Medical they had Premier Health and Easy Health in their product range. NIB have added Basic, Mid, Ultimate and Ultimate Max policy options to their mix. Making it both more flexible in building the medical insurance products for you but also making it more complex to understand the nuances of the different policies, which is where we as advisers come in.

This is an area of health care often mis-understood until you are in the thick of your treatment and you find out things may not be as you expected.

Pharmac is the governments answer to managing health care costs and getting the best deal for New Zealanders health care dollar. The challenge is that health care dollar, which is funded from your taxes, only goes so far.

One simple reason; your risk situation changes. Surprisingly so. I have found many situations where what was covered and covered reasonably well, is not only months later.

For example, a new client I was talking to had a cover that was only a few months old. The situation had changed quite quickly following a relationship break up, quite a bit of debt had been taken on as a result. The life cover taken was no longer sufficient to cover this and the repayment insurance they had, now has a significant shortfall.

Another client after reviewing their situation, a month later comes back. Oh yes, by the way, we have bought an investment property and effectively doubled our mortgage. Quite a change in risk there too.