Toi Ora Health Insurance Programme
All about the nib health insurance programme available for ngā uri o Tuperiri living in AotearoaJump to section
Toi Ora – sources of health, the knowledge of wellbeing; the summit of wellbeing to which we live to aspire to. Toi Ora is whakapapa and hauora intertwined to nurture the wellbeing of our whānau.
Ngāti Whātua Ōrākei is committed to improving the health and wellbeing of our people.
Alongside the Ngāti Whātua Ōrākei health insurance scheme, Toi Ora offers a range of resources and tools to support you and your whānau in attaining wellbeing a-wairua, a-tinana, a-hinengaro, a-whānau.
NWŌ Health Insurance Overview
-
Health Insurance Policy
NWŌ Policy DocumentCheck out your Ngāti Whātua Ōrākei nib health insurance policy!
-
Health Insurance Brochure
NWŌ Health Insurance BrochureOverview of your health insurance.
-
Meet our nib kaiārahi
Book a face-to-face or online consultationNeed help navigating the nib policy? Hinemoa & Rawinia’s consultations will be alternating between Tāmaki Hub & Whai Māia tari, fortnightly on Wednesday’s from 9:30am – 3pm. Alternatively you can book an online consultation too!
-
Meet Our nib Wellness Coaches
Enquire Here!Our wellness coaches are registered nurses with extensive experience in public and private healthcare. They will help you in achieving your hauora apsirations through personalised support, motivation and lifestyle strategies.
-
nib App
Download the nib AppThe my nib NZ app allows you to maximise your health insurance programme, make claims or access policy information. Download the my nib nz app on the apple or google play store.
If you have any pātai, please contact the kaiārahi team -
Warrant of Wellness
Check out the Warrant Of WellnessRegular check ups with your medical practitioner, being a little proactive and being kind to yourself can work wonders for your hauora. nib has made it easier to look after the hauora of you and your whānau by providing advice on recommended health screenings to get at every stage of life.
-
Health Management Programme
nib Health Management ProgrammesThe nib health management programmes are designed to support those who are at risk of chronic health conditions. The nib health management programmes help our members to make simply lifestyle changes to minimise health risk and improve their hauora.
-
Northland Pilot
Providing ready access to a GP for whānau living in the North. More information coming soon...
-
Specsavers Offer
Register HereAll nib Ngāti Whātua Ōrākei members are entitled to:
- An Eye Exam worth $60
- A $250 optical appliance benefit for two pairs of glasses from Specsavers $299 range at no extra cost
- Alternatively, you can use your $250 policy benefit towards the cost of any prescription sunglasses or contact lenses.
*This Specsavers offer is available once per policy year and up to the benefit limits. Offer is available to eligible Ngāti Whātua Ōrākei members and includes single vision lenses only.
-
Clearhead (Mental Health) Subscription Offering
Subscribe NowClearhead is a platform designed to help you tackle your mental health by teaching resilience with proactive mental health tools and techniques. In the case that you need professional help, the platform uses wellbeing data to connect you with the right help when you need it. Clearhead offers a network of therapists, who can support you, your friends and whānau when you need it, online or in person.
This is available to you through the Mental Health benefit included in your nib policy. If you have at least $80 still available under this benefit, nib will be able to raise a claim against your policy to create a Clearhead portal subscription available to you at no additional cost .
Benefits & Features Overview
Everday Option Overview of Features, Benefits and Limits
The Everyday Option is great for the basic day-to-day health costs, like visiting the dentist or GP, getting new prescription glasses or contact lenses, or no-referral physio.
With 100% back on claims, this option helps to keep your pockets happy, and keep you healthy too. You won’t pay any excess for this option.
Summary of everyday option features
-
Summary:
Covers general and preventative dental treatments, including examination, cleaning and scaling, fillings, associated x-rays and removal of teeth (except wisdom teeth).
Limits:
Up to $1,000 each policy year
-
Summary
Covers cost of prescription glasses and contact lenses.
Limit:
Up to $250 each policy year
-
Summary:
Covers cost of physiotherapy treatment.
Limit:
Up to $100 each policy year
-
Summary:
Covers cost of GP consultations, cervical screening by a GP and nurse practitioner consultations. -
Summary:
Covers the cost of dietitian and / or nutritionist consultations
Limit:
Up to $300 each policy year
-
Summary:
Covers the cost of pharmaceutical prescriptions; and non-prescription bowel screening kits.
Limit:
No limit for each prescription item, up to $60 per bowel screening kit, up to $300 each policy year
-
Summary:
Covers the cost of vaccinations.
Limit:
Up to $500 each policy year
-
Summary:
Covers the cost of consultations and treatment provided by a Rongoā practitioner.
Limit:
Up to $500 each policy year
-
Summary:
Covers the cost of podiatry treatment.
Limit:
Up to $40 per visit, up to $250 each policy year
-
Summary:
Covers the cost of osteopathy treatment and related x-rays.
Limit:
Up to $40 per visit, up to $250 each policy year
-
Summary:
Covers the cost of audiometric tests and audiology treatment.
Limit:
Up to $250 each policy year for treatment, and up to $250 each policy yearfor tests
Specialist Option Overview of Features, Benefits and Limits
The Specialist Option covers you for specialist consultations and diagnostic procedures that don’t result in hospitalisation.
You won’t pay any excess for this option.
Summary of specialist option features
-
Summary:
Covers the cost of registered specialist consultations, after referral by a GP or registered specialist, even when the registered specialist consultations do not relate to a private surgical or non-surgical treatment.
Limits:
No limits on each consultation No limits on each policy year
-
Summary
Covers the cost of diagnostic investigations, after referral by a GP or registered specialist, even when the diagnostic investigations do not relate to a private surgical or non-surgical treatment.
Limit:
Up to $3,000 each policy year
-
Summary:
Covers the cost of counsellors, alcohol and/or addiction services, psychiatrist/psychologist consultations and related prescriptions.
Limit:
Up to $2,000 each policy year
-
Summary:
Covers the cost of cardiac investigation after referral by a GP or registered specialist, even when cardiac investigations do not relate to a private surgical or non-surgical treatment.- Treadmills
- Holter monitoring
- Ambulatory blood pressure monitoring
- Cardiovascular ultrasound
- Echocardiography
- Myocardial perfusion scans
- Cardioversion
-
Summary:
Covers costs of surveillance testing after referral by a GP or Registered Specialist. Also covers the following health screening tests:
- Bone screening
- Bowel screening
- Breast screening
- Heart screening
- Prostate screening
- Eye test and / or visual fields tests
- Hearing tests and Mole mapping
Limit:
Up to $1,500 each policy year