This is an update to a similar article I wrote in 2016, and this shows in the seven years since, medical insurance premiums have mostly doubled and what has changed since then. Added to that is access to public health services is at an all-time low, with around 2/3 of people not being seen in required Ministry of Health time frames.

Don't take my word for it; you can check out Public Health services delivery response that is linked, though this hasn't been updated since before the 2023 election. Click time series view, and it will show you how well current public health delivery is achieving to expectations.

Breast cancer is a consistent news story we all see, in more recent times we've seen the challenges people face with their insurance company's getting breast reconstructions done.

This 2016 article in the New Zealand Herald, 11th Hour Shock, for Anna Jobsz who is having a preventative mastectomy and breast reconstruction is pretty typical of what we see.

This follows on from the high profile treatment Angelina Jolie had when she found out she was exposed to a high chance of developing breast cancer.

It's been ten years since insurers started adding breast reconstruction after cancer surgery to medical insurance. At the time, insurers had a hard time with the subject, but over the last ten years, all insurers, with the exception of some older employer plans, now have the benefit.

The article, which you can read here, only mentioned four of the 10 providers of medical insurance benefits in the New Zealand market at the time, which does the market a disservice as it does provide valuable benefits to policyholders in need with 8 out of 10 at the time having some response to breast reconstruction after surgery.

Medical insurance is a changing landscape, not only with policy terms and conditions but with the providers now. 

10 years ago, we had 10 different medical providers; we now have 6 and likely that there will be more mergers in the market.

Medical insurance is a product that typically is not reinsured, so the money for claims, operating the insurer, marketing & sales all come out of the same pot.

One of the things that is often said, reported in the news, and generally complained about are the increasing costs of medical insurance.

We've heard about Southern Cross policyholders up in arms because of the premium increases they have seen. To be fair, all providers' premiums increase; Southern Cross has the biggest pool of clients and the oldest pool of clients, so increases do hit hard in that particular group.

This article has been updated here, and this one has been maintained for historical reference.

There's an undercurrent philosophical debate going on just behind the screen. At present, you're unaware of it, unless you're already in the health system as a patient or a doctor. This undercurrent defines what treatment is available to you and how much the government is prepared to spend their budget on you.

It might sound crass to put a number on the value of a life, unfortunately, in the world we live in, money talks, you know the rest.

When the subject of medical insurance or cancer treatment comes up, the discussion on non-Pharmac medicines usually follows.

What are non-Pharmac medicines?

Non-Pharmac medicines are where the government does not fund the drug or treatment being prescribed or recommended for a treatment and you will have to find the money to pay for it.

It does not matter what the stats are, if you are someone who needs a treatment and the government does not fund it, you want to be able to access it. Which is why, dollar for dollar you take the medical policy with coverage over the one that does not, even if it is a bit more expensive you probably still should.

Ok, I have raved about this in other blog posts. I have had an idea, a general concept, that access to medicine was becoming a problem—a real problem—with one of the four pillars of New Zealand society: Health, Education, Justice, and Social Support.

Now with this latest report, there is a clear indication we’re well behind with Health funding. Education, Justice and Social support all have their challenges, I am sure, but Health is an area I spend a lot of my time working with on behalf of my clients.

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.