Primary Care

A plan to assist with your day-to-day health care costs

The benefits of Primary Care are exclusively available to participating union members and their families - eligibility criteria applies.

New subscribers, you can apply online right here:

What are the benefits?

Click headings to open.

Optical

Optometrist eye examinations, prescription glasses and contact lenses (where there has been a change in vision). The effective date for the claim is the date of the prescribing eye examination, not the date of purchase or supply of the prescription glasses or contact lenses.

Waiting period: 6 months

Benefit maximum: 50% up to $250

Medical, Specialists and Tests

Prescription medicines and laboratory tests ($10 per item limit), GP visits, Specialist consultations and diagnostic tests including: X-rays, Ultrasound (not obstetric), mammograms, prostate checks, and skin checks (not mole mapping). Ambulance fees. Flu vaccinations (all other vaccinations excluded).

Waiting period: 3 months

Benefit maximum: 50% up to $750

Complementary Medical

Physiotherapy, chiropractic, osteopathy, podiatry, acupuncture, naturopathy, homeopathy, psychology, psychotherapy, counselling, drug and alcohol therapy, dietitian and nutritionist consultations, lymphoedema therapy, allergy testing and chelation therapy, audiology, occupational therapy, speech-language therapy, infertility/sterilisation.

Waiting period: 3 months

Benefit maximum: 50% up to $400

Hospital Treatment

A contribution towards the cost of private hospital treatment. Includes surgeon’s fee, anaesthetist’s fee and private hospital charges.

Excess reimbursement. Excludes oral surgery.

Waiting period: 3 months

Benefit maximum:
50% up to $700
$500 maximum applies for excess reimbursement

Major Diagnostic Imaging

A contribution towards the cost of CT scans, MRI scans and Angiograms.

Waiting period: 6 months

Benefit maximum: 50% up to $600

Medical Appliance

Specified items prescribed by a GP, Specialist or Hospital. Includes: hearing aids, prosthesis (not related to surgery), toric and irlen lenses, aids for the control of diabetes or lung disease, Epipens, CPAP Machine/Mask, compression stockings/sleeves, specially made footwear, baby monitor or any equipment for the disabled.

Waiting period: 3 months

Benefit maximum: 50% up to $400

Orthodontic Treatment

A contribution towards the cost of orthodontic consultations and treatment for Insured Children.

Waiting period: 12 months

Benefit maximum: 30% up to $750 per child

($1500 maximum for the duration of the subscriber’s membership)

Sick Leave Without Pay

Where the Subscriber is required to take sick leave without pay due to illness.

Waiting period: 12 months

Benefit maximum: $50 per week plus $5 per insured child up to $60 per week, for a maximum of 26 weeks.

Birth Grant

A lump sum payment for each live child born to a Subscriber or their partner; or for each child adopted by a Subscriber or their partner.

Waiting period: 12 months

Benefit maximum: $200

Bereavement Grant

A lump sum payment on the death of an Insured Adult or Child (including still birth).

Waiting period: 3 months

Benefit maximum: $1,000

For further details about Primary Care please
see the attached policy document and orthodontic guidelines

Primary Care rates - effective 28 March 2018

Age	Single	Couple	One Parent Family	Two Parent Family
00-45	6.39	14.36	13.61	19.21
46-60	7.41	17.79	14.86	23.45
61-65	9.25	21.61	15.19	25.08
66-99	11.20	25.20	16.85	28.48

Age	Single	Couple
00-45	6.39	14.36
46-60	7.41	17.79
61-65	9.25	21.61
66-99	11.20	25.20

Age	One Parent Family	Two Parent Family
00-45	13.61	19.21
46-60	14.86	23.45
61-65	15.19	25.08
66-99	16.85	28.48

Primary Care rates - effective 1 April 2019

Age	Single	Couple	One Parent Family	Two Parent Family
		14.94	14.15	19.98
46-60	7.71	18.51	15.46	24.39
61-65	9.62	22.47	15.79	26.08
66-99	11.65	26.21	17.52	29.62

Age	Single	Couple
		14.94
46-60	7.71	18.51
61-65	9.62	22.47
66-99	11.65	26.21

Age	One Parent Family	Two Parent Family
00-45	14.15	19.98
46-60	15.46	24.39
61-65	15.79	26.08
66-99	17.52	29.62

These rates are fortnightly, effective as at 1 April 2019, are GST inclusive and are only available to participating union members and their families (conditions apply). Rates may be adjusted annually. For more information on Rates please click here>

The sooner you join, the sooner we can help you pay for your day-to-day health costs.
Please provide some details to join here.

Your HealthCarePlus enquiry line:
0800 268 3763

See more information on how to join>

Email:
sales@healthcareplus.org.nz

Upgrade your policy

Upgrading your cover to Primary Care Extra, please complete the form here>

Terms and conditions apply. Primary Care, Primary Care Extra, #care4U and Hospital Select are underwritten by Union Medical Benefits Society Ltd (UniMed). Hospital Cover and Risk Insurance may be underwritten by a range of New Zealand insurers. The Home Loans Solution is arranged through a range of New Zealand registered banks. These products are managed through Monument Insurance Limited a division of Crombie Lockwood. HealthCarePlus Representatives are financial advisers contracted to Monument Insurance Limited.