To log into the Health Plan Portal, you will need to first log into the NZPA website, and you will be presented with your membership dashboard. Scroll down and you will see the Health Plan Portal tile. Click “View” and this will take you directly to your Health Plan Portal. 

If you have forgotten your password, you will need to set a new one. To do so click the log in button then click “Don’t remember your password?”. Enter your email address and you will be sent an email with a link to reset your password. Click the link and enter your new password.  

If you do not receive the reset link this may be because the email address you have entered does not match what we have on your profile, to check which email address we have please give us a call on 0800 500 122.  

If you are having issues getting onto your health plan portal, please call our Member Services Centre on 0800 500 122.  

If your personal details are incorrect then you can update these by going back to your NZPA dashboard and clicking “Edit” on the personal details tile. 

Before starting the claim, please make sure you have electronic versions of your receipts ready. PDFs are preferred but you can also upload your receipts as jpgs. Please make sure these are nice and clear images. You will also need to know your date of visit, the service, and the amount that you are claiming.  

To lodge a primary claim, log into the NZPA website, go to your dashboard and click on the health plan portal tile. This will take you to your health plan portal where you can lodge your claim. On the “Add a new claim” tile click “Start Claim”.  For a primary claim click “Get reimbursed” and follow the steps to lodge your claim details.  

There is a limit of ten invoice lines per primary reimbursement claim. Once you have submitted the maximum ten invoices, you can submit the claim and start a new claim to submit your remaining invoices.

You will need to get new copies of your receipts from the provider of your service. Please note we do not cover administration fees.  

Our new online claim form is fast, simple, and easy to use. We are moving towards paperless processing which means you only have to scan your receipts and you won’t have to fill in our paper claim form. Claims submitted through the online portal will be processed faster.  

Once you have submitted your claim you will be able to instantly see your claims details and you will be able to now track the progress of your claim.  

You can still claim against your old policy. Submit your claim through the health plan portal as normal and the dates of your claim items will be automatically matched against your old policy dates.  

Before starting the claim, please make sure you have an electronic version of your documents ready, PDFs are preferred but you can also upload these as jpgs, please make sure these are nice and clear images. 

To submit a surgical prior approval request, log into the NZPA website, go to your dashboard and click on the health plan portal tile. This will take you to your health plan portal where you can lodge your claim. On the “Add a new claim” tile click “Start Claim”.  For a surgical prior approval click “Get approval” and follow the steps to lodge your claim details.  

You will need to get new copies of your invoices from the provider of your service. Please note we do not cover administration fees.  

If there is a shortfall on your approved surgical approval amount, then you will receive an email containing a shortfall letter. The shortfall letter will contain the shortfall amount and will advise where you will need to pay the amount to.  

You will be able to track all claims submitted from the 1st of July 2023 in the health plan portal. Your claims will be listed under “Your Existing Claims”. Each claim will have a claim status outlining the progress of your claim.

This just means that your claim has not been assessed by our team yet. As soon as our team get to your claim, the status of your claim will change.  

Not Handled = Your claim has been received. 

Open = Your claim is currently in progress. 

New Information = Your partial claim has been updated with the new information you have provided. 

Closed = Your claim has been approved and finalised. 

Denied = Your claim has been declined. 

Claims submitted before July 1st 2018 will not be in the portal. To access information on your old claims please email us at [email protected]  or give us a call on 0800 500 122.

You can now view your benefits, how much of your benefits have been consumed and how much of your benefits you have left remaining for you and your family in the health pan portal.  

To access your benefit details, log into the NZPA website, go to your dashboard and click on the health plan portal tile. This will take you to your health plan portal where your benefits will be listed under “Your Benefits”.  

The benefits tracking shows the benefit consumption for the current policy year so to check how much you have left of a benefit from a previous policy year then you will have to email us at [email protected] or give us a call on 0800 500 122. 

You can view which plan you are on in your confirmation certificate. To view your confirmation certificate, log into the NZPA website, go to your dashboard and click on the health plan portal tile. This will take you to your health plan portal where you can find your confirmation certificate under “Your plan details”. 

Currently we are unable to make policy amendments through the health plan portal so to add a family member to your policy please fill in our health plan amendment form and send it through to us at [email protected] 

To remove a family member from your policy please email us at [email protected] 

The third child free policy means that if you have three or more children in the 0-18 age bracket insured on your policy then you will receive the youngest or lowest plan free. This is automatically applied to your policy when you have three or more children in the 0-18 bracket insured on your policy and is automatically removed when you no longer have three children in the 0-18 age bracket.  

To upgrade your policy please fill in our health plan amendment form and send it through to us at [email protected] 

To downgrade your policy please email us at [email protected] 

If you would like to increase the excess on your policy email us at [email protected]  

If you would like to decrease your excess, please fill in our health plan amendment form and send it through to us at [email protected] 

Your premium will change if you have made any policy changes during the year.  Your first and last premiums will be different because they include part instalments for the expiring and incoming policy year. 

You will now be able to view your policy details in the health plan portal. To access your policy details log into the NZPA website, go to your dashboard and click on the health plan portal tile. This will take you to your health plan portal where you can find your policy information under “Your plan details”. To view your current policy, click on your confirmation certificate and this will generate a policy document for you which contains your policy details.  

From the 1st of July 2024 a new confirmation certificate will be added at renewal each year for the next policy period. This means you will be able to view your policy history by clicking through your confirmation certificates.  

Any changes you make to your policy will also be shown in a change certificate which will be automatically generated in your portal.  

To access your policy details prior to July 1st, 2023, please email us at [email protected]

If you would like to take ownership of your policy, you can fill in our transfer to own policy form and send this back to us at [email protected]  

You will also need to fill in our direct debit form. 

You will need the following information on hand for the Transfer To Own Policcy Form:

• Policyholder details
• Your personal details
• Cover required, and voluntary excess level
• Inclusions on policy (family members)
• Medical declaration (i.e hospital admission in the laast two years)

The Direct Debit Authority Form will require your nominated bank account details.