Travel Insurance for Australia: Trans-Tasman Cover Guide
By the Travel Insurance Comparison NZ editorial team
New Zealanders visiting Australia can get some public hospital care under the Reciprocal Health Care Agreement (RHCA). It is narrower than many people assume, and it does nothing for cancelled flights, lost luggage or getting you home.
What the Reciprocal Health Care Agreement covers
According to Services Australia, New Zealand visitors are covered for:
- medically necessary care as a public patient, including public hospital inpatient and outpatient services; and
- some Pharmaceutical Benefits Scheme (PBS) prescription medicines at the general rate.
It does not include visits to medical practitioners outside hospital, and it does not apply if you travel to Australia for medical treatment. You don't enrol in Medicare or get a Medicare card: at a public hospital or pharmacy you ask to be treated under the agreement and, as a New Zealand citizen, show your current New Zealand passport. Cover starts the day you arrive and ends the day you leave (Services Australia: Reciprocal Health Care Agreements – visiting from New Zealand).
Where travel insurance fills the gaps
Because the agreement is limited to public hospital care and some PBS medicines, a travel policy is what you would rely on for things such as:
- doctor visits outside a hospital, and treatment as a private patient;
- getting you home to New Zealand if you are too unwell to fly as planned;
- cancellation, delays and missed connections;
- lost, stolen or damaged luggage;
- rental vehicle excess, if the policy includes it; and
- personal liability.
ACC does not cover treatment costs overseas, though it may help with an accidental injury once you are back in New Zealand (ACC: If you're a New Zealander injured overseas).
What to check in the policy
- That the policy's region of cover includes Australia.
- Pre-existing medical conditions and how they are assessed.
- Activities such as diving, surfing or snow sports.
- Rental car excess cover and the driving conditions.
See our longer Australia travel insurance guide.
This page is general information, not financial advice, and does not take your personal circumstances into account. Cover, limits, excesses and exclusions differ between insurers and policies. The policy wording (and any policy schedule or endorsement) is what decides a claim, so read it — or ask the insurer — before you buy.
Sources
Official sources cited on this page, checked 30 September 2026.
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