Small Business Health Insurance

Small Business Health Insurance doctors appointment

Small businesses in New Zealand with 5-25 staff can now get flexible health insurance plans that offer comprehensive coverage, value for money, and easy administration.

The health and wellbeing of staff for small business New Zealand is paramount, since small business health insurance provides much sought after access to medical care and treatment.

What is small business health insurance?

Small business health insurance offers businesses with five or more staff access to private healthcare that covers pre-existing conditions.

Workplace health insurance covers private healthcare costs, such as surgery, diagnostic testing, specialist and medical treatments, and cancer care.

You can build your health insurance plan with different health and wellness modules. Whether your priority is giving your employees quick access to diagnosis and treatment, paying for drugs and treatments not funded by the government, or speedy physiotherapy access for your team, we have the small business health insurance cover to best suit your business and budget.

  • Protect your employees’ mental and physical health – Protect your staff against the financial of sickness and injury.
  • Help them stay healthy and perform at their best – with expert tools tailored to their health and wellbeing needs.
  • Keep them engaged and motivated – help your staff better prevent illness.

How Small Business Health Insurance can benefit your small business

Keep your people healthy

Employees experience a 54% reduction in wait times for elective surgery compared to individuals without private health insurance.

Reduce sick days

Up to 29% lower risk of hospitalisation for active members

Recruit and retain talent

With great healthcare benefits. Plus rewards to help keep your employees happy and healthy

Why your employees will love small business health insurance

Base Cover: surgical and healthcare plan

Provides cover for surgical and non-surgical treatments in a private hospital. Key features:
  • Up to $300,000 per person every policy year for the costs of surgery.
  • Up to $200,000 per person every policy year for non-surgical costs, including cover for cancer treatment.
  • Cover for specific major diagnostic tests, even if hospitalisation for treatment isn’t required. Covers follow-up checks for cancer for up to 5 years after cancer treatment.
  • Cover in both New Zealand and Australia, for costs incurred in either country (unless expressly excluded in the policy).
  • Cover for GP minor surgeries such as mole removal.
  • A Check Up Benefit: $100 for each adult towards the cost of a health check-up, after every three years of continuous cover.
  • ACC top-up: we’ll top up your ACC claims for any treatment or procedure not fully covered by ACC.
  • Cover for high-risk pregnancy: we pay towards the cost of obstetrician treatment for pregnancies with recognised risk factors.
  • Accomodation costs for a parent to accompany their child (up to age 20) who needs treatment in a private hospital, whether or not it’s recommended by your doctor.

And for groups of 5 policies or more, all pre-existing conditions are covered immediately including cancer, hip, back, knee and heart conditions.

Optional Extras: flexibility to chose and custom your health plan

Mix and match options and excess to fit your budget and tailor the level of cover to suit your needs.

Specialist & Diagnostics

Covers you for specialist consultations and diagnostic procedures that don’t result in hospitalisation. You won’t pay any excess for this option.

Key Features:

  • Specialist consultations: Unlimited number of visits
  • General diagnostics: Up to $3,000 every policy year for costs such as X-rays, arteriogram, ultrasound, scintigraphy, mammography or visual field test
  • Cardiac investigations: Up to $60,000 every policy year for costs such as cardiovascular ultrasound, echocardiography and treadmills


The New Zealand health system provides funding for some drugs through PHARMAC, significantly reducing costs. However, not all drugs are funded, and some can be very expensive, particularly when multiple treatment cycles are required. This cover option enables you to receive Medsafe-approved drugs that PHARMAC does not fund during your treatment. It allows you to access a broader range of medications if you have an approved claim. You are covered for the cost of these drugs while you are in the hospital and for up to six months of subsequent home treatment. The coverage also includes costs associated with administering the drugs. Members can choose from the following levels of cover:
  • $20,000
  • $50,000
  • $100,000
  • $200,000
  • $300,000
Note: The above amounts are per person, per policy year.

GP, Prescriptions and Gym

Perfect for those wanting to cover some of the day-to-day healthcare costs. This option is particularly useful if you develop a health problem requiring regular GP consultation. You won’t pay any excess for this option.

Key Features:

  • GP visits: Up to $55 each visit, up to 12 visits each policy year and up to $200 for each GP surgical procedure
  • Prescriptions: Up to $15 each prescription, up to $300 each policy year
  • Physiotherapy: Up to $40 each visit, up to $400 each policy year
  • An Active Wellness Benefit: $150 for each insured adult towards the cost of fitness equipment or gym membership, after each two years of continuous cover

Note: Covers 80% or 100% of the cost up to the above benefit maximums.

Proactive Health

Encourages you to take proactive steps to look after your health, whether you want to check any medical concerns or want to stay fit and healthy. You won’t pay any excess for this option.

Key Features:

  • Health Screening: Up to $750 each policy year
  • Allergy Testing and Vaccinations: Up to $100 each policy year
  • Dietitian and Nutritionist Consultations: Up to $300 each policy year
  • Gym memberships, weight loss management programs, and quit smoking programs: Up to $100 each policy year

Note: Covers 80% of the cost up to the above benefit maximums.

Dental, Optical, and Therapeutic

Ideal if you have regular trips to the dentist, chiropractor, podiatrist, or osteopath or need glasses or contacts. There are also benefits covering acupuncture and speech, occupational, and eye therapy. You won’t pay any excess for this option.

Key Features:

  • Dental treatment: Up to $500 each policy year
  • Eye care: Up to $55 each visit, up to $275 each policy year, and up to $330 each policy year for prescription glasses or contact lenses
  • Ear care: Up to $250 each policy year for audiology treatments and up to $250 each policy year for audiometric tests
  • Chiropractic care: Up to $40 each visit, up to $250 each policy year, and up to $80 each policy year for X-rays
  • Acupuncture: up to $40 each visit, up to $250 each policy year

Note: Covers 80% or 100% of the cost to the above benefit maximums.

Add family to your small business health insurance

The public health system provides immediate care in an emergency. For other health problems, even serious ones like a heart condition, you and your family could face public health waiting lists. It could take months, or even years, to be treated.

Adding family is flexible and easy.

  • 90-day window to add your spouse, partners, and dependent children.
  • No health declarations to complete
  • Automatic acceptance with cover for pre-existing conditions
  • Add children up to the age of 20.
  • Staff can add their family at own cost.

Customer Feedback from businesses like yours

See how our benefits solutions have worked for businesses like yours

Case study: Auckland based manufacturing company

Number of People: 12


The owner and manager of a twelve-person manufacturing business suffered from a degenerative disc and could not work. ACC had declined to help.


The business owner decided to offer small business health insurance for all full-time staff and fully subsidise the base plan. Employees customised their medical plan by adding GP, Dental & Vision modules, and family members at their own expense.

All staff joined the workplace health insurance plan covering pre-existing medical conditions. The business owner claimed immediately due to his degenerative disc and had the claim approved after five working days. After a successful surgery and full recovery, the business owner was able to return to work.

Case study: Nationwide investment company

Number of People: 9


Because of the size of the small business, their health insurance provider wouldn’t cover pre-existing conditions. A costly hip replacement meant increasing sick days and expensive out-of-pocket surgery costs for a leading staff member. 


All spinal surgery costs were paid under our Small Business Health Insurance plan. For businesses with over five staff, surgical and non-surgical claims up to $500,000 are covered immediately, even for pre-existing conditions.

Two weeks after the policy was activated, the staff member organised the surgery for the pre-existing condition. After recovery and rest, the staff member returned to work and could restart his favourite leisure activity. 

Small business health insurance broker


Willi Olsen


Willi has worked in the insurance industry since 2004, accumulating a wealth of knowledge broadly across all aspects of health insurance and financial protection, and as a business owner.

The New Zealand Certificate in Financial Services (NZCFS Level 5) in Life, Health, and Disability and the (NZCFS Level 5) Investments strand back up this practical experience.

Get a Small Business Health Insurance Quote

Complete the forms here, and I’ll be in touch with some options. Or call me on 0278168783

What are the benefits of small business health insurance?

Small business health insurance is the most attractive work perk New Zealand businesses can offer employees². Employees covered by corporate health insurance experience a 54% reduction in wait times for elective surgery compared to individuals without private health insurance. In addition, insurance provides peace of mind in a time of uncertainty. Here are some of the benefits of group medical insurance for your business.

Small business health plans typically cover:

  • Private hospital surgical procedures and operations and in-hospital nursing care
  • Cancer surgeries and treatment (chemotherapy, radiotherapy and brachytherapy)
  • Consultations with a specialist
  • Diagnostic imaging (such as x-ray, ultrasound, ct-scan, MRI-scan )
  • Psychiatrist consultations and mental health assistance

Benefits for employers

  • Medical insurance is a highly valued employee benefit and helps improve employee retention and recruitment.
  • Employees receive faster and better treatment and, therefore, are sooner back to work.

Benefits for employees

  • Pre-existing conditions are covered for staff and their partner and children.
  • Family members may be included at a discounted rate.
  • Claim right away – no wait or stand-downs.
  • Mental health service

Key Points

  • A company health insurance policy helps increase productivity and employee retention
  • Automatic acceptance for all staff and no paper application process
  • Your staff can claim right away – no stand-downs
  • Pre-existing conditions are covered for staff and their family members.
  • Claim online via app or portal
  • Provide your staff with faster medical treatment and return to work quicker.
  • Quick and simple onboarding

Small Business Health Insurance FAQ's

How much will small business health insurance cost?

The cost will depend on a few factors, including:

  • Number of employees
  • Gender and age
  • Benefits