Health insurance for NZ citizens living in Australia

New Zealand citizens are able to access a range of health care benefits through Medicare in Australia. If you're an NZ citizen but aren't yet enrolled in Medicare, you can still access some health services with Australia and New Zealand's Reciprocal Health Care Agreement (RHCA).

However, not all health care costs are covered by the RHCA or Medicare, so you may want to take out private health insurance.

Healthcare in Australia for NZ citizens

Just like in New Zealand, Australia's healthcare system is split up into public and private sectors:

Medicare

Public health services in Australia are provided by Medicare. If you're a New Zealand citizen living in Australia, you should be able to apply for a Medicare card which gives you access to free emergency care in a public hospital and helps pay for some non-hospital treatments such as GP visits and medication.

Private health insurance

Private health insurance is essentially designed to cover the services that Medicare doesn't help out with. This includes most out of hospital services such as dental, physio and optical. It can also pay for ambulance services which are not free in most Australian states. Health insurance can also give you access to treatment in a private hospital.

Can NZ citizens living in Australia get access to free healthcare?

Yes. New Zealand citizens are eligible to enrol in Medicare if they meet any one of the following:

• Have been in Australia for six or more months in the past 12 months, either continuously or intermittently
• Intend to stay in Australia for more than six of the next 12 months, either continuously or intermittently

You will need to supply all of the following in order to enrol in Medicare:

• A completed Medicare enrolment application form.
• Copies of all used passport pages for any person listed on the application.
• Two documents to confirm your residency in Australia, such as an employment contract, enrolment in university, a rental agreement, a bank statement or an electricity account.

How does Australia's public healthcare system work?

Medicare is available to all Australian citizens and permanent residents, including New Zealand citizens residing in Australia. It provides cover for all or some of the following medical costs:

• Free treatment and accommodation in a public hospital
• 75% of the Medicare Benefits Schedule (MBS) fee for services and procedures if you’re a private patient in a public or private hospital (this does not include hospital accommodation, theatre fees or medicines)
• Doctors’ consultation fees, including specialists
• Tests and examinations performed by doctors, including X-rays and pathology tests
• Most surgical and therapeutic procedures performed by doctors
• Eye tests performed by optometrists
• Some dental surgery procedures
• Specified items for allied health services (as part of the Chronic Disease Management Program)

Should NZ citizens get health insurance while in Australia?

While Australia’s Medicare system allows New Zealanders to access a wide range of subsidised medical services, it only goes so far, which is largely why around half of Australians have private health cover in place. Unlike Medicare, it can help pay for the following:

• Ambulance cover. Ambulance transportation and treatment is not covered by Medicare or any other scheme in most Australian states and territories. Getting private health insurance can help you to avoid being hit with a hefty bill for ambulance costs following an emergency.
• Dental care. Most adult dental treatment isn’t covered by Medicare, though eligible children aged 0–17 can get basic dental services through the Child Dental Benefits Schedule. Private health insurance can provide a high level of cover for expensive dental bills.
• Cover for other extras. Private health insurance can also provide cover for the cost of a wide range of general treatments not included under Medicare, such as optical, physio, chiro, natural therapies, remedial massage, podiatry, hearing aids and health management programs.
• Government subsidies. In order to encourage more Australians to take out cover and reduce the burden on the public healthcare system, the Australian Government offers a private health insurance rebate to help make cover more affordable. The rebate is only available to people who are eligible for Medicare and hold complying Australian private health insurance, and it does not apply to overseas visitors health cover. New Zealand citizens who have enrolled in Medicare can claim it if they also meet the income requirements. Read more on how the rebate works.
• Tax breaks. At the same time, Australian high-income earners who don’t take out private health cover are forced to pay extra tax in the form of the Medicare Levy Surcharge. The Lifetime Health Cover scheme also adds a loading if you don't take out hospital cover by the 1 July following your 31st birthday. If you register for Medicare after turning 31, your base day is the later of that 1 July or the first anniversary of your full Medicare registration, so New Zealanders who enrol later have 12 months to take out hospital cover without a loading. Reciprocal Medicare registration doesn't count for this.

What is the RHCA (Reciprocal Health Care Agreement)?

RHCA stands for the Reciprocal Health Care Agreement. Under the RHCA in place with New Zealand, Kiwi citizens in Australia without a Medicare card are able to access:

• Free necessary treatment as a public inpatient or outpatient at a public hospital
• Subsidies on some PBS medications
• Medical treatment by doctors at day surgeries, clinics and community healthcare centres

However, despite these many benefits, the RHCA is not without limitations:

• It doesn’t provide cover for ambulance costs, dental treatment, elective surgery or any treatment that is not immediately medically necessary.
• It also doesn’t provide cover for treatment in a private hospital, or as a private patient in a public hospital, so you may also have to contend with lengthy public hospital waiting lists.

Due to this it's recommended not to use the RHCA as your sole medical cover and consider taking out a health insurance policy during your stay in Australia.

NZ resident looking for Australian health insurance? Compare your options

FAQs about health insurance in Australia for NZ citizens

• What is the difference between Medicare and the Reciprocal Health Care Agreement for New Zealand citizens?

  Medicare provides more comprehensive coverage for New Zealand citizens living in Australia, similar to Australian permanent residents. It covers free public hospital treatment, subsidised GP visits and pathology tests. The Reciprocal Health Care Agreement (RHCA) is for temporary visitors and only covers immediate, medically necessary treatment in a public hospital along with some PBS medications. It does not cover ambulance costs or elective procedures.

• Are New Zealand citizens exempt from the Medicare Levy Surcharge?

  New Zealand citizens who are eligible for Medicare are generally treated like Australian citizens for Medicare Levy Surcharge purposes. This means if your income is above a certain threshold and you do not hold an appropriate level of private hospital cover, you may be liable to pay the Medicare Levy Surcharge. If you are not eligible for Medicare, the surcharge does not apply.

• Does Medicare cover ambulance services for New Zealand citizens in Australia?

  No, Medicare does not cover ambulance services for anyone including New Zealand citizens. Ambulance transportation and treatment costs can be very high. Private health insurance is highly recommended as it can help cover these costs in most Australian states and territories.

• Can New Zealand citizens get private health insurance if they are not eligible for Medicare?

  Yes, New Zealand citizens not eligible for Medicare can still take out Overseas Visitors Health Cover (OVHC). OVHC is designed for visitors to Australia and provides coverage for various medical expenses that Medicare would normally assist with, as well as services like ambulance or private hospital treatment.

• What documents do New Zealand citizens need to enrol in Medicare?

  To enrol in Medicare as a New Zealand citizen, you will need a completed Medicare enrolment application form, copies of all used passport pages for each applicant and two documents confirming your residency in Australia. These residency documents could include an employment contract, a rental agreement, a bank statement or an electricity account.

• Do New Zealand citizens get the private health insurance rebate?

  Only if you're eligible for Medicare. New Zealand citizens who have enrolled in Medicare and hold a complying Australian hospital or extras policy can claim the Australian Government's private health insurance rebate if they also meet the income thresholds. The rebate is not available on overseas visitors health cover. This rebate helps reduce the cost of private health insurance premiums.

• What health insurance do New Zealand students need in Australia?

  While many New Zealand citizens are eligible for Medicare, if you are an NZ citizen on a student visa specifically, you may be required to hold Overseas Student Health Cover (OSHC) as a condition of your visa. It is important to check your visa requirements to confirm the appropriate cover.

• Can I use my New Zealand health insurance in Australia?

  Generally, no. Most New Zealand health insurance policies are designed for use within New Zealand and may offer limited or no cover for medical treatment received in Australia. It is advisable for New Zealand citizens living or staying in Australia to consider Australian health cover options like Medicare or private health insurance.

• Are pre-existing conditions covered by health insurance for New Zealand citizens in Australia?

  For private health insurance in Australia, waiting periods typically apply for pre-existing conditions. This means you will need to serve a waiting period before your insurer will pay benefits for a medical condition that existed before you took out the policy. The length of these waiting periods can vary but are often 12 months for pre-existing conditions requiring hospital treatment.

Written by

Gary Ross Hunter

Journalist

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Gary Ross Hunter has over 6 years of expertise writing about insurance, including life, health, home, and car insurance. Having reviewed hundreds of product disclosure statements and published over 800 articles, he loves simplifying complex insurance topics for everyday readers. Gary has contributed to major outlets like Yahoo Finance, The Sydney Morning Herald, and news.com.au, and holds a Bachelor of Arts (Honours) in English Literature from the University of Glasgow, along with a Tier 2 General Advice certification, ensuring his work adheres to ASIC’s RG146 standards. See full bio

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Richard Laycock is Finder’s insights editor after spending the last five years writing and editing articles about insurance. His musings can be found across the web including on MoneyMag, Yahoo Finance and Travel Weekly. Richard studied Media at Macquarie University and The Missouri School of Journalism and has a Tier 1 Certification in General Advice for Life Insurance. See full bio