Progressive Care

Progressive Care Benefit

Progressive Care covers a range of defined medical conditions across five categories*:

1. Cancer;
2. Heart and Arteries;
3. Brain and Nerves;
4. Loss of Function; and
5. Other Health Conditions.

Receive a benefit payment based on the severity of your condition. Receive 10%, 25%, 50%, 75% or 100% of the sum insured in each category.

Unlike traditional trauma products, your cover will not cease after you make a claim. You can make additional claims if your condition gets worse, you suffer from a more severe, related condition, or you suffer from a new condition.

Includes cover if you suffer a major medical condition that isn’t specifically listed in the policy wording but meets AIA’s definition of a severe illness or injury. See the Policy Wording for details.

Special Events Increase Facility

You can increase the amount of cover under your policy following certain life events, without any medical questions, examinations or tests. A premium will be applied to the additional cover. Any loadings, exclusions or special terms on the original Progressive Care Benefit sum assured will be applied to the increased amount.

Future Insurability Benefit

You can increase the amount of cover under your policy at every third policy anniversary date by up to 20% of the original cover (up to a maximum of $200,000), without any medical evidence. An increase in premium applies.

Financial and Legal Advice Benefit

After you receive your claim payment, get reimbursed for up to $2,500 (including GST) for financial planning fees paid to an accredited adviser or for legal advice from a legal professional approved by AIA.

Children’s Trauma Benefit

If a child of yours (aged between 3 months and 21 years) suffers an applicable condition, this benefit will pay 50% of the sum assured (up to $50,000). This benefit provides trauma cover for your children at no additional cost.

Payment of this benefit will not reduce the Progressive Care Benefit.

Newborn Children’s Benefit

If your biological child is born with one of five defined congenital conditions and survives for 30 days after birth, receive a benefit of 50% of the sum assured (up to $50,000).

Payment of this benefit will not reduce the Progressive Care Benefit.

Return Home Benefit

If you are outside New Zealand and suffer from, for the first time, a covered condition, AIA will reimburse the cost of a standard economy flight back to New Zealand for you and one support person, up to a total cost of $10,000.

Parents Grieving Benefit

AIA will pay a Parents Grieving Benefit if a child of yours dies before age 21 and:

• Prior to birth but after at least 24 weeks gestation, provided the child would have been born at least 12 months after the risk commencement date if the pregnancy continued to full term and you are the biological mother of the child; or
• After birth and at least 12 months after the risk commencement date.

If the child is under age 10, the amount payable is $2,000 (the maximum under law), otherwise the amount payable is $15,000. Conditions apply.

Payment of this benefit will not reduce the Progressive Care Benefit.

Counselling Benefit

Get reimbursed for up to $2,500 (including GST) for the cost of a psychiatrist or psychologist consultation and/or counselling where the support treatments and/or consultations directly relate to a claim under the Progressive Care Benefit.

Suspension of Cover Benefit

Flexibility to suspend your cover for up to 12 months if you:

• Go on parental leave;
• Go on leave without pay for any reason;
• Become unemployed or redundant;
• Experience a reduction in pay of 20% or more (comparing the most recent payslip against a previous payslip from the same year); or
• Are self-employed and experience a reduction in revenue of 30% or more (by comparing one month’s revenue against the same month for the previous year).

No premium will be payable during the period that cover is suspended. No claim will be payable for any condition that occurs during the period that cover is suspended.

Children’s Trauma Conversion Facility

The Children’s Trauma Benefit can be converted to a standalone Progressive Care Benefit, or an accelerated Progressive Care Benefit with an equal amount of Life Cover, of up to 50% of the original sum assured (up to a maximum of $50,000), without further medical evidence.

Premium Conversion Facility

At any time before age 65, you can convert all or part of your Progressive Care Benefit from a Rate for Age premium structure to a Level premium structure without needing to produce further medical evidence.