This section gives quick guidance to some of the Health Insurance policies which cover non-PHARMAC funded medicines.


DISCLAIMER: Information presented is for guidance only. Roche takes no responsibility for the accuracy of the information. Please see the Providers’ policy documents for full details of cover under each policy. Roche has no commercial relationship with any Insurance Providers on this page.

SmartCare+

Hospital and surgical+ base plan $200,000 of cover if the non-PHARMAC drug is in relation to a non-surgical benefit, and $300,000 if in relation to a surgical benefit.

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StaffCare+

Essential care+ base plan covers non-PHARMAC subsidised drugs that are included within the private hospital medical admission benefit, non-surgical cancer treatment maximum. Limited to maximum of $10,000 per person per claims year for non-PHARMAC subsidised chemotherapy drugs.

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Real Health

Up to $500,000 cover each year, non-PHARMAC funded cancer treatments included.

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Top Private Hospital Cover Plus

Hospital Medical Benefit up to a total maximum of $200,000 for each insured person every policy year. Non-PHARMAC Cancer Treatment Benefit, a maximum of $10,000 for each insured person every policy year, covers the cost of chemotherapy drugs that are Medsafe approved for the treatment of cancer.

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Ultimate Health Max

Hospital Medical Benefit up to a total maximum of $200,000 for each insured person every policy year. The maximum for Cancer Treatment in Hospital Benefit is included in the Hospital Medical Benefit Limit. Maximum for Non-PHARMAC funded drugs in Hospital Benefit and non-PHARMAC funded drugs at Home Benefit included in the Hospital Surgical Benefit Limit or Hospital Medical Benefit Limit, whichever applies.

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Private Medical Cover

Non-surgical hospital treatment cover up to $300,000 per year, including non-Pharmac funded, MedSafe approved medicines.

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Wellbeing Starter

Chemotherapy treatment up to $60,000 per claims year, including up to $10,000 per claims year of non-Pharmac funded medicines cover.

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Wellbeing One and Two

Chemotherapy treatment up to $60,000 per claims year, including up to $10,000 per claims year of non-Pharmac funded medicines cover.

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UltraCare

Chemotherapy treatment up to $60,000 per claims year, including up to $10,000 per claims year of non-Pharmac funded medicines cover.

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Private Health and Private Health Plus

Include a Cancer Care benefit that offers cover for up to $300,000 per person, per policy year including cover for non-Pharmac subsidised, MedSafe indicated chemotherapy drugs.

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