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David321

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#302785 20-Dec-2022 14:04
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I am curious of those of us here who have health insurance if you have cover for treatment not funded by pharmac?

 

My insurance broker emailed me today saying that when I took my policy with NIB it was not an option (I mistakenly thought it was automatically covered) but now NIB are allowing policy holders to add cover for treatment not covered by Pharmac for an additional fee, the options are priced as follows:

 

"If you would like to add on, the following additional fortnightly premium would apply – on top of the existing $32.13

 

 

 

$20,000              $4.23

 

$50,000              $5.93

 

$100,000            $7.62

 

$200,000            $8.46

 

$300,000            $10.16"

 

 

 

I am quite keen to add this to my policy, so I dont end up as one of those poor people resorting to give a little to raise money to fund medication not covered by Pharmac should I need it, but I dont like the idea of taking a guess at what cover amount would be good, I figure as most things the largest cover option is probably overkill and the lowest would be not enough, but having some facts and figures to help make the right choice would be good. I have asked my broker his thoughts and am waiting to hear back.

 

My wife and I have asked about her cover for this and have been told she has cover for 6 months of treatment from diagnosis, still waiting to hear back if there is a financial limit on this, and also have asked the broker if 6 months is usually enough.

 

I am also keen to hear what cover (if any) other here have when it comes to non pharmac funded treatment.

 

 


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timmmay
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  #3012370 20-Dec-2022 14:39
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Curious is this is an option on Southern Cross as well - a quick Google search suggests it's not at this time.




duckDecoy
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  #3012371 20-Dec-2022 14:41
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This topic had some discussion recently, albeit focused on cancer cover, not exactly the same but similar:

 

https://www.geekzone.co.nz/forums.asp?forumid=161&topicid=289720&page_no=4

 

 

 

Look for my (duckDecoy) post a couple down and then follow on from there.  Based on the replies btw $300,000 would likely be the sweet spot to get, if not low.   It might be your age but the $300,000 cover for $10 is about 3-4x cheaper than what I am paying for Southern Cross $300,000 chemo add on, so depending on what NIB are covering this could be a good deal.


duckDecoy
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  #3012372 20-Dec-2022 14:42
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timmmay:

 

Curious is this is an option on Southern Cross as well - a quick Google search suggests it's not at this time.

 

 

Search for "cancer cover plus" with SX, I have just taken it out ($300,000 option) so it definitely exists.

 

EDIT: found the exact name of the new offering.




timmmay
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  #3012383 20-Dec-2022 15:24
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duckDecoy:

 

Search for "cancer cover plus" with SX, I have just taken it out ($300,000 option) so it definitely exists.

 

EDIT: found the exact name of the new offering.

 

 

Interesting, thanks. Limiting it to cancer makes it less useful, but if it's needed it would probably be very valuable. Do you happen to know the ballpark costs? I know it will be different for everyone. For example, most of the options like optical cover and such are $20 - $30 a month, from memory.


SheriffNZ
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  #3012388 20-Dec-2022 15:42
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Our broker is recommending adding cancer cover for non-pharmac drugs on top of our Southern Cross policy. I think it’s $65 extra a month? Don’t quote me though, I still have some reading on it to do. 


duckDecoy
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  #3012414 20-Dec-2022 17:02
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timmmay:

duckDecoy:


Search for "cancer cover plus" with SX, I have just taken it out ($300,000 option) so it definitely exists.


EDIT: found the exact name of the new offering.



Interesting, thanks. Limiting it to cancer makes it less useful, but if it's needed it would probably be very valuable. Do you happen to know the ballpark costs? I know it will be different for everyone. For example, most of the options like optical cover and such are $20 - $30 a month, from memory.



+$35 extra per month. I am on the specialist plan for health insurance , close to 50 years old, non smoker.

 
 
 

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duckDecoy
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  #3012416 20-Dec-2022 17:18
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timmmay:

 

duckDecoy:

 

Search for "cancer cover plus" with SX, I have just taken it out ($300,000 option) so it definitely exists.

 

EDIT: found the exact name of the new offering.

 

 

Interesting, thanks. Limiting it to cancer makes it less useful

 

 

What non cancer unfunded Pharmac drugs would be useful?  Ive only ever really heard complaints about cancer drugs, interested to know what other areas would be desirable.


boosacnoodle
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  #3012487 20-Dec-2022 18:15
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The extra cost varies per person based on a multitude of factors.

David321

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  #3012496 20-Dec-2022 18:37
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One example i have, no idea how often this drug would be sought after though.

I also think of the times you see people on the news or go fund me seeking money for very expensive treatments.





_David_

David321

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  #3012497 20-Dec-2022 18:37
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One example i have, no idea how often this drug would be sought after though.

I also think of the times you see people on the news or go fund me seeking money for very expensive treatments.





_David_

David321

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  #3012504 20-Dec-2022 18:55
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Here is NIB's info on non Pharmac funded drugs, of course there is an obvious bias, but interesting none the less.

https://www.nib.co.nz/free-resources/article/the-eye-watering-costs-of-non-pharmac-drugs/ 





_David_

 
 
 
 

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timmmay
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  #3012578 20-Dec-2022 21:00
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duckDecoy:

What non cancer unfunded Pharmac drugs would be useful?  Ive only ever really heard complaints about cancer drugs, interested to know what other areas would be desirable.



One example is CGRP antibody medication which can be useful for migraines. They cost $350+ per month, there's a Pharmac funding application but it's not funded yet

Pharmac works on a fixed budget, they do fairly well under the circumstances.

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