Questions & Answers

If you can't find the answer to your question here check you are logged in first and if you still can't find it click here and email your question to us.

Am I covered by my Health Plan if I am outside of New Zealand?

If you reside outside of New Zealand, you can claim up to the New Zealand dollar claim maximums under your Health Plan cover. If you require surgery, you will need to have your surgery approved , and pay for your procedure. Health Plan can then reimburs ...

Read full entry

Am I covered for post operation physiotherapy with Surgical Plan?

You can claim up to $500 for post operation physiotherapy, up to 4 months after your approved procedure. To claim, send through the invoices for the therapy with your member number and surgical approval number. If you have Basic or Comprehensive cover ...

Read full entry

Am I covered for the removal of my wisdom teeth with Surgical Plan?

The extraction of impacted wisdom teeth is covered by the Health Plan’s loyalty benefit. If you have been covered continually for more than 12 months under Surgical Plan, you can claim up to $2,500 for this procedure. The 12 month stand down is wa ...

Read full entry

Am I covered for travel costs relating to my medical procedure under Health Plan?

Please email enquiries@policeassn.org.nz or call our Member Services team on 0800 500 122 8am-5.30pm Mon-Fri to discuss the travel costs you would like to claim. ...

Read full entry

Are vasectomies/sterilisatons covered under my Health Plan?

There is a loyalty benefit for this treatment under Surgical cover, but you will need to email: enquiries@policeassn.org.nz or call 0800 500 122 8am-5.30pm Mon-Fri to discuss your options. ...

Read full entry

Can I claim back the cost of my prescription glasses (and sunglasses) under my Health Plan?

If you have Comprehensive cover, you can claim up to $300 annually to go towards prescription lenses (including contact lenses and prescription sunglasses). The benefit is for the cost of lenses and excludes the cost of frames. You can also claim up ...

Read full entry

Does Health Plan cover oral surgery?

...

Read full entry

Does my Health Plan cover any IVF and infertility treatment?

A one-off provision of up to $10,000 for IVF and infertility treatment is available as a loyalty benefit under Comprehensive cover, but you will need to email: enquiries@policeassn.org.nz or call 0800 500 122 8am-5.30pm Mon-Fri to discuss your optio ...

Read full entry

Does my Health Plan cover me for any Prenatal/Antenatal care?

Costs relating to pregnancy are generally excluded from cover under the Health Plan. However under some conditions there is cover for prenatal/antenatal care under our Health Plan Loyalty benefits. If you have been covered by the Comprehensive cover f ...

Read full entry

How do I amend my cover or add people to my Police Health Plan?

You can download and complete a Health Plan Amendment Form and fax or post this back to Police Health Plan for processing, or contact our Member Services Team for assistance. See more information on Police Health Plan. ...

Read full entry

How do I make a claim under my Health Plan?

For information on making a claim for your medical expenses, see How to: Medical claim ...

Read full entry

How long does it take to settle a Health Plan claim?

We aim to have all Police Health Plan claims received processed within 10 working days, usually faster. If you have any questions about your claim, contact our Members Services Team. ...

Read full entry

I have just had surgery - how do I pay my surgical excess?

Once Health Plan has processed the invoices for your surgery, you will be advised how to pay your excess. ...

Read full entry

I need to have a CT, PET or MRI scan, how do I claim for this?

Our How to: CT/MRI/PET Scans guide can help you to claim for your upcoming scan. ...

Read full entry

I need to have a mole removed, am I covered?

If your mole is being excised (not lasered or frozen off) then this is classed as a surgical procedure. If being done by a: ...

Read full entry

I require an epi pen, can I claim for this?

Epi pens can be claimed under the prescription benefit on Basic and Comprehensive cover. The epi pen must be obtained on a script. See our plan details to find out what you can claim. ...

Read full entry

Is Health Plan free for children?

You need to pay for your first two children. Any third and subsequent children are covered for free if they are on the same plan or on a lower cover than your first two children. e.g. Harry (10) and Mary (8) are on Basic cover. Katelyn (6) can be cove ...

Read full entry

Is mole mapping covered under my Health Plan?

Mole maps, and any other maintenance examinations or consultations are a general exclusion from Health Plan cover and are not covered. ...

Read full entry

I’m about to be admitted to a private hospital for surgery, will Police Health Plan cover me?

All Health Plan surgical claims must be pre-approved prior to surgery. As soon as surgery has been decided necessary, you should submit a Surgical Prior-Approval Form for pre-approval of your surgical claim. After receiving the returned completed form, ...

Read full entry

What can I claim for in terms of home aid following surgery?

If you have comprehensive cover and require home aid after your surgery, you can send through receipts for services to claim some costs. Please include dates, amounts, and services that were provided on the receipts. You cannot claim for home aid i ...

Read full entry

What discount does my Health Plan give me with Police Travel Insurance?

Police Welfare Fund members covered by Police Health Plan get 15% off their travel policy. If you have immediate family are travelling with you, they also receive the discount. Your membership will be checked to ensure your eligibility for the discoun ...

Read full entry

What does Surgical Plan cover?

Surgical Plan covers you for approved surgical procedures and any treatment relating to the approved surgery for up to 4 months either side of the date of surgery. Your surgery needs to be pre-approved. If your surgery is not approved, you cannot claim ...

Read full entry

When should I lodge a claim with Police Health Plan?

Members can claim at any time when receipts total $100 or more. All claims however must be submitted for settlement within 18 months of incurring the charge. Any claims received that are over 18 months old, will not be reimbursed by Police Health Plan. ...

Read full entry

Who will my Funeral Benefit under Police Health Plan be paid to if I die?

The Police Health Plan Funeral Benefit will be paid to the next of kin who is responsible for the deceased's affairs, including the deceased's funeral arrangements. If there is any dispute about who should receive the Benefit, the matter will be ...

Read full entry

Will my root canal be covered under Health Plan?

The Comprehensive plan covers up to $200 annually towards any dental treatment. However, any surgery that relates to any dental treatment or dental condition is not covered under the Police Health Plan policy, unless it is the extraction of impacted w ...

Read full entry