USA Travel Insurance Guide for New Zealanders
By the Travel Insurance Comparison NZ editorial team
If you fall ill or are injured in the United States, you will be billed for your treatment, and neither ACC nor the New Zealand Government will pay it. That makes the medical section of your policy the part to read most carefully before a US trip.
What the official advice says
New Zealand's Ministry of Foreign Affairs and Trade advises that New Zealanders travelling or living in the United States should have comprehensive travel and medical insurance in place (SafeTravel (MFAT): United States travel advice). Its general travel insurance advice adds that even minor medical treatment overseas can be expensive and that the New Zealand Government will not pay these costs (SafeTravel (MFAT): Travel insurance).
ACC does not help while you are away: it does not cover overseas treatment costs or non-accident medical emergencies, although it may cover treatment for an accidental injury once you are back in New Zealand (ACC: If you're a New Zealander injured overseas).
Medical cover: what to check
- The overseas medical limit. Some policies state a dollar limit, others describe the benefit as unlimited — check the figure or wording in the policy schedule, not the marketing summary.
- Whether the policy sets a separate or lower limit for the Americas, or charges a different premium for the USA.
- Emergency evacuation and repatriation to New Zealand, and whether the insurer must approve it first.
- Pre-existing medical conditions: which are covered automatically, which need an assessment, and which are excluded.
- How the insurer pays: whether its assistance team can arrange payment directly with a hospital, or whether you pay and claim back.
Other cover that matters on a US trip
- Rental vehicle excess cover, and any conditions about who can drive and on which roads.
- Personal liability, which covers claims against you for injury or damage to others, subject to the policy terms.
- Cancellation and delay cover for long-haul flights and connections.
- Activities you plan to do, such as skiing or hiking, which some policies cover only with an add-on.
Before you go
- Read the latest SafeTravel advice for the United States and register your travel with SafeTravel.
- Save your insurer's 24-hour emergency assistance number and your policy number on your phone and on paper.
- Carry enough prescription medication and a letter from your doctor.
- Keep all medical invoices and reports in case you need to claim.
More detail: our longer USA travel insurance guide and how much medical cover you need.
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Insurer overviews on this site (the order is not a ranking):
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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See how the main New Zealand travel insurers set out their cover, then check the policy wording for the points that matter to your trip.
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