05/08/2026
If you’ve opened your latest health insurance renewal and felt a bit of a sting, you’re definitely not alone.
Stats NZ data recently showed health insurance premiums jumped around 20.5% over the past year. It’s a huge shift, and it’s largely driven by "medical inflation"- the actual cost of private scans, surgeries, specialist appointments, and advanced treatments rising faster than regular everyday living costs.
When premiums climb, the knee-jerk reaction for a lot of people is to hit "cancel." But before walking away from cover you’ve paid into for years, it helps to look at what that cover actually does when life throws a curveball.
One of New Zealand’s largest insurers, AIA, recently released their latest Claims Compass report. Here is what those numbers look like in the real world:
👉 91% of all claims were accepted, totaling $790 million paid out to Kiwis in a single year.
👉 $177 million went straight to health insurance claims (like private surgeries and diagnostics).
👉 $142 million was paid out for trauma claims (lump sums for major illnesses).
👉 $108 million helped keep food on the table through income protection.
What are Kiwis actually claiming for? It’s not just rare conditions - it’s everyday life.
• For health insurance, the top claims were for musculoskeletal issues (joints, hips, backs at 22%), cancer care (20%), digestive health (12%), and heart conditions (10%).
• For income protection, mental health and burnout accounted for nearly a quarter of all claims (23%), right alongside back/joint injuries (31%).
• Payouts peaked for people in their 40s and 50s - the exact age where mortgages, family commitments, and health pressures tend to overlap.
The takeaway?
Insurance is working hard in the background when people need it most. If your premium is getting tight on the household budget, don't just dump the policy. There are smart ways to restructure it, like changing your excess amount, dropping small add-ons, or adjusting minor benefit limits - so you keep the major medical protection in place without stressing your weekly budget.
Drop a comment below or send me a DM if your renewal has come up recently and you'd like to review your options!
Want to read the full article? Link below 👇
https://www.interest.co.nz/insurance/138462/aia-nz-paid-out-790-million-total-insurance-claims-2025-those-17731-million