Healthcare in New Zealand
New Zealand has a two-tier healthcare system combining public and private options, plus the unique ACC scheme that covers all accident-related injuries.
Public Healthcare System
Eligibility: Free public healthcare available to residents and those who have held a valid work visa for at least 2 years. Immediate family members of residents also qualify.
What's Covered: Hospital treatment, specialist consultations (via referral), maternity care, and most prescriptions (small co-pay: NZD $5 per item, $15 per family max every 6 months).
GP Visits:
- Residents enrolled in public system: NZD $20-50
- Expats/non-residents: NZD $75-120
- Children under 14: Free
Wait Times: Major downside of public system. Non-urgent specialist appointments can take months. Elective surgery wait times vary widely - can be 6-12 months for some procedures.
Private Healthcare
Many expats opt for private health insurance for faster access and broader coverage. Private specialist consultations cost NZD $150-300.
Private Insurance Costs:
- Basic plans: NZD $580-1,160/year (GP visits, emergencies)
- Comprehensive plans: NZD $1,400-2,000/year (hospital care, specialists)
Major Providers: Southern Cross, NIB, AIA, Partners Life
ACC - Accident Compensation Corporation
Unique to New Zealand: No-fault personal injury cover for everyone in the country, including work visa holders and tourists.
What ACC Covers:
- All accident-related injuries
- Medical treatment for injuries
- Rehabilitation and recovery support
- Compensation for lost income (80% of earnings)
- No need to prove fault - automatic coverage
How It Works: Funded through levies on workers (1.67% of income), businesses, and motorists. You cannot sue for personal injury - ACC is the sole compensation system.
For Expats: This is a significant benefit. A broken leg while hiking or injury from sports? Covered. Treatment is free, and if you can't work, ACC pays 80% of your salary. Reduces need for comprehensive accident insurance.
For New Arrivals
- Work Visa Holders: Qualify for public healthcare after 2 years
- Students: Must have insurance - schools typically provide/require plans
- Visitors: Travel insurance strongly recommended, though ACC covers accidents
- Residents: Immediate access to public healthcare
Mental Health
Mental health services available through public system via GP referral, though wait times can be significant. Private psychologists/therapists cost NZD $120-200 per session. Growing number of online therapy options.
Pharmaceuticals
PHARMAC funds subsidized medications. Most prescriptions cost only NZD $5 per item with $15 maximum per family every 6 months. Non-subsidized medications can be expensive.
Pro Tips
- •ACC covers all injuries including sports and accidents - significant benefit
- •Public healthcare is excellent quality but wait times can be long for non-urgent care
- •Private insurance worth considering for faster specialist access
- •Register with a GP immediately - they are your gateway to all healthcare
- •Work visa holders qualify for public healthcare after 2 years
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