Sunday Star-Times

Insurers go into battle over healthy youngsters

- By ROB STOCK

A MEDICAL insurance battle is unfolding with the major players aiming to win the hearts, minds, and wallets, of younger people.

Health insurer giant Southern Cross has responded to Australian-owned nib’s launch of cutprice medical insurance for the young, with the launch of a dollara-day policy.

The policies are not traditiona­l health insurance which people buy to cover the ‘‘major medical’’ bills of private surgery and hospital stays which allow them to avoid a long wait in the state health system.

Instead these budget policies allow people to claim back for comparativ­ely minor things like GP consultati­ons, and the cost of prescripti­on glasses, the kinds of costs most people just take in their stride.

Nib, an Australian listed private company, and Southern Cross, a not-for-profit owned by its members have designed the policies to be attractive to young people who do not see traditiona­l health insurance as worth the money, but many of whom, the insurers’ research shows, would pay for a policy on which they are likely to be able to make claims.

The insurers argue the policies will encourage the carefree young to adopt good habits of regular dentist check-ups and GP consultati­ons and the policies represent a foot in the door to build their brands with the ‘‘major medical’’ policyhold­ers of the future.

So which company represents

Insurers argue the policies will encourage the carefree young to adopt good habits of regular dentist check-ups and GP consultati­ons.

better value in this area – nib or Southern Cross? With insurance, the devil is in the detail, and comparing insurance contracts can be notoriousl­y hard, which is why many seek profession­al advice.

That’s not possible for such cheap policies which are not costly enough for an insurer to pay commission to an adviser.

The Southern Cross and two basic nib policies are very similar, and due to the limited amount of cover, the offers are relatively easily compared (see table). Care must be taken to note the ‘‘stand down’’ periods which a person must own a policy for before they can make a claim.

For example, a new policyhold­er does not qualify for a dental claim under Southern Cross for three months, while under the nib Basic cover the stand down period is two months. On the nib Mid Everyday Cover, which has more dental coverage, the stand down period is a year.

Care must also be taken over exactly what is covered. For example, dental care on both the nib Basic and Southern Cross Health Essentials policies do not include wisdom teeth extraction­s.

The cheapest of the three policies – the nib Basic policy, which can be thought of as a GP, basic dental care and glasses/ contact lens plan (with a small physiother­apy benefit) provides the lowest possible claims potential of the three policies.

At the cost of $4.95 a week (64 cents a day), it is cheap, but when a treatment is covered, there is a cost gap as nib will pay only 60 per cent of the treatment cost, up to the maximum allowable claims in a single year.

Nib’s more costly Mid Everyday

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