AIA Private Health Policy Wording

Benefit

Benefit entitlement

Maximum cover

AIA Private Health Cover and AIA Private Health Plus

All payments made under this benefit will be in New Zealand dollars and will be credited directly to the bank account nominated by the policy owner . We will not accept responsibility for costs associated with any complications during or following any treatment or procedure covered under this benefit that arise as a direct or indirect result of the treatment, procedure, consultation, test, diagnostic imaging, support or care. No Medical Misadventure benefit is payable in relation to any treatment, procedure, consultation, test, diagnostic imaging, support or care covered under this benefit. Prior approval must be obtained before the treatment, procedure, consultation, test, diagnostic imaging, support or care takes place. The excess applies to any claims under this benefit. Treatment in Australia This benefit covers the costs for the approved treatment, procedure, consultation, test, diagnostic imaging, support or care, subject to the maximum cover under this policy for the applicable benefit in New Zealand dollars, at a health service facility approved by AIA . Treatment outside Australia This benefit covers the costs for the approved treatment, procedure, consultation, test, diagnostic imaging, support or care recommended by a New Zealand specialist . Cover is also provided for the cost of a single return economy class airfare for the life assured and one support person. The total amount payable under this benefit is 85% of the reasonable charges , subject to the maximum cover under this policy for the applicable benefit in New Zealand dollars, at a health service facility approved by AIA . Treatment in and outside Australia Following the treatment, procedure, consultation, test, diagnostic imaging, support or care, a receipt in English needs to be provided to AIA , together with any other information reasonably required by AIA from the health service provider. Where applicable, any translation services must be provided by an appropriate registered translator in New Zealand acceptable to AIA . This benefit covers the cost of any translation services provided by an appropriate registered translator in New Zealand acceptable to AIA , where translation of any receipt or information into English is required by AIA to support a claim under the Voluntary Treatment Overseas Benefit.

Maximum cover for the applicable benefit, subject to the additional limits, exclusions and requirements set out in this section

VOLUNTARY TREATMENT OVERSEAS

$500 per life assured , per policy year

TRANSLATION COSTS

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1300 APH-UMB version 6 Effective 17 April 2025

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