YOUR PRIMARY CARE MAX PLAN AT A GLANCE
Plan highlights
Claim back 80% towards a range of everyday health costs up to $7,900* per adult per year
T&Cs and benefit maximums apply. See below for more information.
Plan Benefits
What are the benefits?
Below is a summary of the benefits available on Primary Care Max. UniMed's Terms and Conditions and benefit maximums apply. For full benefit details and UniMed's terms and conditions, please click here.
Dental
Dental consultations and minor treatment
80% reimbursement of actual costs incurred up to $500 per person per policy year or for all Insured Children collectively.
No-claiming period: 2 months
Wisdom teeth extraction
80% reimbursement of actual costs incurred up to $500 per person per policy year or for all Insured Children collectively.
No-claiming period: 6 months
Medical (including GP visits)
GP visits, Prescriptions, Lab tests
80% reimbursement of actual costs incurred up to $500 per person per policy year or for all Insured Children collectively.
No-claiming period: Not applicable
Glasses and lenses
80% reimbursement of actual costs incurred up to $350 per person per policy year or for all Insured Children collectively.
No-claiming period: 6 months
Eye examinations
80% reimbursement of actual costs incurred up to $50 per person per policy year or for all Insured Children collectively.
No-claiming period: 6 months
Specialists
Specialist Consultations
80% reimbursement of actual costs
incurred up to $1,000 per person per policy year or for all Insured Children collectively.
No-claiming period: 3 months
Tests
Minor diagnostic investigations, including X-rays, ultrasound
80% reimbursement of actual costs
incurred up to $1,000 per person per policy year or for all Insured Children collectively.
No-claiming period: 3 months
Major Diagnostic Investigations
Includes Angiogram, CT scan (including myelogram), MRI scan, PET scan
80% reimbursement of actual costs incurred up to $1,000 per person per policy year or for all Insured Children collectively.
No-claiming period: 6 months
Health Screening
Includes mammography, smear tests, bone density scan, prostate checks, skin check
80% reimbursement of actual costs
incurred up to $300 per person per policy year or for all Insured Children collectively.
No-claiming period: 24 months
Complementary Medical
Includes physiotherapy, chiropractic, osteopathy, podiatry, chiropodiatry, acupuncture
80% reimbursement of actual costs incurred up to $600 per person per policy year or for all Insured Children collectively.
No-claiming period: 3 months
Mental Health
Psychologist, psychotherapist, psychiatrist, counsellor
80% reimbursement of actual costs incurred up to $1000 per person per policy year or for all Insured Children collectively.
No-claiming period: Not applicable
Hospital Treatment
80% reimbursement of actual costs incurred up to $1,000 per person per policy year or for all Insured Children collectively. Includes reimbursement of excess on eligible hospital cover policies ($500 maximum applies per claiming year**).
No-claiming period: 3 months
Medical Appliance
Specified items prescribed by a GP, specialist or hospital.
80% reimbursement of actual costs incurred up to $400 per person per policy year or for all Insured Children collectively.
No-claiming period: 3 months
Orthodontic Treatment
80% reimbursement of actual costs incurred up to $600 per year for each Insured Child, up to a maximum of $1,800 for each Insured Child for the duration of their Membership.
No-claiming period: 12 months
Birth Grant
$200 for each live child born to a Member or their partner/ $200 for each child adopted by a Member or their partner
No-claiming period: 12 months
Bereavement Grant
$1,000 on the death of an Insured Adult or Child (including still birth).
No-claiming period: 3 months
Bowel Screening Kit
Children do not qualify for this benefit.
No-claiming period: 36 months
Active Benefits
More Than Help With Healthcare Costs
Most members buy a Primary Care plan to help with the cost of things like GP visits, prescriptions, dental treatment and physiotherapy.
What many don't realise is that there are also additional services available through UniMed that can help you stay healthy, identify issues early, and take a more proactive approach to your health.
From Ask a GP through to nutrition, fitness and cancer coaching, these services are designed to help you stay healthy and take action earlier when you need support.
Many of these services are available at no additional cost to members with an eligible UniMed Health Plan.
Eligibility criteria may apply to some services.
Simple, non-urgent health questions answered by a New Zealand GP, usually within 1 business day.
Monitor your skin and detect skin cancer early using the SkinVision mobile app.
One-on-one virtual sessions with a registered dietitian to help you build energy, manage weight, and stay on track.
One-on-one virtual sessions with fitness experts to understand your specific situation and your fitness goals.
Personalised coaching programs from Osara Health for those living with cancer or those who are caregivers.
UniMed's Financial Strength Rating:
A
Union Medical Benefits Society Limited (UniMed) has been given an A (Excellent) insurer financial rating by AM Best. AM Best’s ratings are as follows: Secure: A++, A+ (Superior); A, A- (Excellent); B++, B+ (Good) Vulnerable: B, B- (Fair); C++, C+ (Marginal); C, C- (Weak); D (Poor); E (Under Regulatory Supervision); F (In Liquidation); S (Suspended).