New Zealand has always been an attractive destination, but now it seems more so than ever. My Best Place to Live in New Zealand article suddenly became popular at the end of last year – no prizes for guessing why – and continues to be one of Poms Away’s most-viewed. So, with no sign of global interest in moving to New Zealand slowing down, I thought I’d write an article of use to both potential immigrants and tourists. (Also, I registered at a new medical centre just this morning, so the topic happens to be on my mind. I moved house last week, you see.)
In New Zealand, the medical system is socialised. This means that hospital visits are free for citizens and permanent residents. Even tourists can get help with accidental injury treatment costs through ACC, the Accident Compensation Corporation. Yes, it means you pay for the nation’s healthcare through your taxes, but most people are fine with that and wish more was spent on it. And it means you’re not screwed if you can’t afford health insurance.
Only about a third of New Zealanders have health insurance. It’s a good thing to have if you can afford it, as in the public system waiting times for surgery can be horrendous. (But, hey, it’s a lot better than nothing at all.) Obviously, you can get a better quality of care if you go private.
Seeing a GP in New Zealand isn’t free, but it is subsidised as long as you’re enrolled at the medical centre you’re attending. Enrolling is free – just make sure you take your passport with you. Depending on which medical centre you choose, visits can cost anywhere from $10 to $70, with about $40 being normal. Under-13’s are generally free. You usually need to book appointments a few days in advance, but you can get emergency appointments, or go to an emergency clinic – but they’re quite expensive, maybe between $50 and $100 per visit. (This is New Zealand dollars, remember.)
Most medicine you get on prescription is subsidised, so you’ll only pay $5 for it, no matter what it is. There was a bit of excitement recently following the announcement that the contraceptive pill might soon become available in New Zealand over-the-counter, but my excitement dissipated when I read that it would cost $45 for a three-month supply. (That’s the same as the cost of a six-month supply of on-prescription contraceptive pills, including the doctor’s visit you need to obtain the prescription.)
Doctors’ Visits for Tourists
Long story short, if you’re going to be visiting New Zealand as a tourist, get health insurance. Casual appointments for non-residents can cost in excess of $100. And don’t even ask about the cost of an ambulance.
Okay, I’ll tell you anyway. If you have to take a ride in an ambulance and you’re not a New Zealand resident, it’ll cost you $800. (Yeah. Get travel insurance, tourists.) But it’s less than $100 for residents, and if you’re rushed to hospital following an accident, ACC pays.
Abortion is legal in New Zealand up to 20 weeks, but only if two separate, properly certified abortion doctors declare you physically or mentally unfit to have a child. There are allowances for cases of incest, sexual abuse, foetal abnormality and extremes of age. After 20 weeks, an abortion may only be performed to save the life of the mother, or to prevent serious permanent injury.
Children can visit the dentist for free in New Zealand, but adults can’t. For the majority of the population, dentistry isn’t subsidised at all. Indeed, less than half the population sees a dentist on any kind of regular basis. People simply can’t afford it. You’re looking at an average of perhaps $100 for an examination with x-rays.
Similar to dentistry, children can get free vision checks in certain places, and people with community services cards are entitled to a children’s spectacle subsidy, but not so for adults. The cheapest eye tests I’ve found are $60, and you can expect to pay up to $600 for mid-range glasses. The ones I’m wearing now cost, I think, $250, including lenses.
Overall, I’m happy with the quality of healthcare available in New Zealand. Because it’s socialised, I’ve never had to worry about going to the hospital. People looking at immigrating to New Zealand, however, may have their application declined if it’s judged that they would be an undue burden on the health system.