In The Media | Age Brightly

Why Health Insurance Won't Save You (And What Will)

Written by Brightly | Jun 26, 2026 12:13:01 AM

If you're over 65 and you have health insurance, you're probably feeling reasonably well prepared. You're not alone — and your instinct to have cover is a good one. But there's something important that most people with health insurance don't realise until it's too late.

Insurance pays out after the event. If you're trying to prevent the event, it's not much help at all.

Let's look at the numbers. Around 27% of New Zealanders have health insurance, dropping to 16% for those aged 75 and above. The average annual premium at age 70 is around $12,000. About two thirds of policyholders make at least one claim per year, with the average claim sitting around $14,000. So financially, for frequent claimers, it more or less evens out.

But here's what the numbers don't show: 70% of unplanned hospital admissions don't qualify for an insurance claim. The falls, the infections, the medication-related incidents, the gradual declines that tip someone into crisis — these aren't surgical events that insurance was designed to cover. They're the everyday emergencies that a reactive system deals with after the fact.

Insurance is genuinely valuable when surgery is needed and you want to skip the queue. That matters, and we're not dismissing it. But as a line of defence against the kind of decline that leads to rest home admission, it has real limits.

There's another problem worth naming: most insurance policies held by people over 65 aren't optimised. In our experience reviewing policies, around 80% are either over-priced for what they provide, or under-utilising entitlements the holder is already paying for. That's money leaving the table every month.

What actually protects independence in older age is something insurance wasn't built to provide: early detection, comprehensive assessment, and proactive management. Knowing your baseline. Measuring against it. Catching the small shifts before they compound into something serious.

This is the gap Age Brightly was designed to fill. Our baseline assessment — led by a geriatrician and supported by a full multidisciplinary team — gives you 250 data points across 100 biomarkers. It's not a GP visit. It's five hours of clinical time specifically designed to understand where you are, what your risks are, and what to do about them.

The goal isn't to replace your GP or your insurance. It's to add what neither currently provides: a proactive, whole-of-person strategy for staying well.

And there's a practical upside: once we've reviewed your existing insurance, we often find savings of $100 to $200 per month. In some cases, that saving effectively covers the cost of an Age Brightly membership. You end up with better prevention and the same safety net — for the same price you were already paying.

Prevention and protection aren't competing priorities. But only one of them can change your trajectory before something goes wrong.