Most New Zealand working holiday applicants must hold medical and comprehensive hospitalisation insurance for their whole stay. The official exceptions are the schemes with Ireland, Japan, Malaysia and the United Kingdom. Immigration New Zealand may ask for evidence before or on arrival. ACC covers accidental injuries here, but not illness or treatment once you go home. This is general information, not financial advice. Checked as at November 2026.
On this page
Key facts
- INZ rule
- Medical and comprehensive hospitalisation insurance, for most schemes
- Exempt schemes
- Ireland, Japan, Malaysia and the United Kingdom
- Evidence
- May be required before or on arrival
- ACC covers
- Accidental injuries in New Zealand, while you are here
- ACC does not cover
- Illness, or treatment after you leave
- Public health care
- Temporary visa holders generally are not eligible
- Checked
- As at November 2026
If you are coming to New Zealand on a working holiday visa, insurance is not only a nice-to-have for most passport holders. Immigration New Zealand says all applicants, except those applying under the schemes with Ireland, Japan, Malaysia or the United Kingdom, must hold medical and comprehensive hospitalisation insurance that remains in force throughout the stay. You may have to show evidence before or on arrival.
That official wording is about medical and hospital cover for the whole time you are here. It is not the same as a short holiday travel policy, and it is not the same as ACC, which only helps with accidental injuries.
This is general information, not financial advice. It does not take into account your scheme, health history or the policy you are looking at. Read the official Immigration New Zealand page, read the current policy wording, and if you need advice, talk to a licensed financial adviser.
What Immigration New Zealand actually requires
Immigration New Zealand’s working holiday insurance page is short and specific. The agreement with your government decides whether you must hold cover. Then it says:
- All applicants, except those applying under the Working Holiday Schemes with Ireland, Japan, Malaysia or the United Kingdom, are required to hold medical and comprehensive hospitalisation insurance.
- That insurance must remain in force throughout the applicant’s stay in New Zealand.
- You may be required to produce evidence that you hold health insurance before or on your arrival in New Zealand.
As at November 2026, that is the official rule we checked. It does not publish a required dollar limit, a required insurer list, or a required wording template on that page. If a particular scheme’s operations manual adds extra detail, use that country’s scheme page as well. We have not tried to turn INZ’s phrase into a claim that any one commercial policy automatically meets it.
A working holiday visa is also not an NZeTA. An NZeTA is for visiting or transiting. If you want to work, including on a working holiday, you need the right visa before you travel. Our NZeTA guide covers the visitor side, and the backpacker budget covers visa fees and stay lengths in outline.
Which schemes are exempt, and what that still leaves out
The exempt schemes are Ireland, Japan, Malaysia and the United Kingdom. If you are on one of those schemes, Immigration New Zealand does not impose that insurance condition in the page we checked.
That is not the same as being fully covered by New Zealand’s public health system. Immigration New Zealand says that, in general, people on temporary visas to visit, study and work cannot get publicly funded health care, and it recommends comprehensive travel insurance, including full health insurance, especially if you are not eligible for publicly funded care.
Two extra wrinkles for some readers:
- United Kingdom citizens may get some public treatment under the reciprocal health agreement, if they are ordinarily resident in the UK and on a temporary stay, for conditions that need prompt attention after arrival. The agreement does not cover everything, and it does not cover UK permanent residents who are not UK citizens. Health New Zealand still tells travellers to have comprehensive travel insurance.
- Australians have a separate reciprocal agreement, but they are not entitled to publicly funded ambulance transport, and they cannot usually use subsidised GP visits on a temporary stay. The working holiday insurance condition still applies to Australian applicants, because Australia is not on the exempt list.
Our travel insurance and ACC guide sets out those agreements in more detail.
What ACC covers, and what it does not
Working in New Zealand does not automatically give you the same public health cover as a resident. Immigration New Zealand’s public health page says temporary visa holders generally cannot get publicly funded health care, and that you (or a sponsor) must pay for care you need if you do not qualify.
ACC is separate. It is a no-fault accident scheme, and it covers visitors and other people injured in an accident in New Zealand, for treatment and rehabilitation while they are here. A fall off a bike, a burn in a hospitality job kitchen, or a sprain on a track can go through ACC if it is an accident.
ACC does not cover illness, a throat infection, a repeat prescription, a mental health appointment, or treatment after you go home. Pregnancy care is not ACC’s job either, except where another eligibility rule applies.
So a working holiday still has two different safety nets to understand: ACC for accidents here, and whatever medical or travel policy you hold for everything else. If you drive a rental or a campervan on days off, rental excess is a third issue. Travel medical cover and vehicle excess cover are not the same product.
What kinds of cover people typically look for
Immigration New Zealand’s condition is about medical and comprehensive hospitalisation cover for the whole stay. Many working holidaymakers also look at a wider set of benefits, because a year here is not a two-week package tour.
Typical questions include:
- Medical and hospital treatment for illness as well as injury, including if you need to see a GP or pay for tests.
- Emergency travel home, or evacuation, if you cannot stay in New Zealand for treatment.
- How long the policy lasts, and what happens if your visa is 12 months, or longer. Some schemes, including the Canadian one, can last more than a year. Check your own scheme.
- Care while you are back home for a short visit, if the policy only works outside your home country.
- Routine or ongoing care, such as prescriptions or follow-up appointments, which a short travel policy often excludes.
- Mental health and pre-existing conditions, which are common gaps.
- Adventure activities, if you plan tramp, ski, bungy or a river trip.
- Rental vehicle excess, if you will hire a car or campervan. This is often sold separately.
A cheap emergency-only policy may look fine until you need a clinic visit. A 12-month health-style plan may cover more of ordinary life, and still exclude things you assumed were in. The wording decides it, not the product category name.
Questions to ask any insurer
Before you pay, put these to the insurer or into the policy document:
- Does this policy provide medical and comprehensive hospitalisation cover for my whole stay in New Zealand, including if I am working?
- What is the medical limit, and is there a deductible or excess on claims?
- Are GP visits, prescriptions, tests and follow-up care included, or only emergencies and hospital stays?
- How does the policy treat pre-existing conditions, and what lookback period does it use?
- Are the activities I will actually do named as included, excluded, or only covered with an add-on?
- Is search and rescue, evacuation, or a flight home included, and in what circumstances?
- If I go home for a visit, or if I stay longer than 12 months, what happens to cover?
- Can I buy the policy after I have already left home, and when does cover start?
- What evidence or certificate can I show at the border, and does the insurer say it cannot guarantee visa acceptance?
- If I hire a car or campervan, is rental excess included? If not, I need another product for that.
No brand can answer those for every reader in a marketing paragraph. You have to check the document you would actually rely on.
How to check a policy, including activities and pre-existing conditions
Read the benefit schedule and the exclusions, not only the brochure. Look up the exact activity name. “Hiking on official paths” is not the same as an unmarked alpine route. A river cave trip and a whitewater rafting trip can be treated differently, even if both are sold as adventure.
Pre-existing conditions are a frequent shock. Some policies use a short lookback, such as recent treatment or symptoms. Others treat anything you have ever been diagnosed with as pre-existing. A condition that starts during one policy term can be treated as pre-existing if you have to buy a second term. If your visa can run longer than the first policy, ask what happens at renewal.
For claims, check whether you must call before treatment, whether you pay first and claim back, how long reimbursement usually takes, and which documents they want. Save invoices, medical notes and policy numbers somewhere you can reach without your luggage.
Immigration New Zealand may ask for evidence before or on arrival. Keep a copy of the policy, proof it is current for the whole stay, and any certificate the insurer provides. A certificate is not a promise that a visa or border officer will accept the policy. Compare it with INZ’s “medical and comprehensive hospitalisation insurance” phrase yourself.
Some people compare long-stay travel medical or global health plans, including SafetyWing Nomad Insurance. That is one example, not a required product, and it does not replace a careful reading of the official wording.
See SafetyWing Nomad Insurance
Insider tip: if your visa can last longer than 12 months, or you might apply for a further stay, check how the first policy ends and what happens to conditions that start during that year. The documents, not the sales page, are what a claims or visa check will look at.
A practical order is: read the Immigration New Zealand insurance page and your scheme’s conditions, decide what you need besides the visa rule, then test any policy against the questions above. For remote work rather than a working holiday visa, see health and travel cover for digital nomads. For the general ACC picture, stay with travel insurance for New Zealand.
If you are applying under a specific scheme, read the country rules first: the Netherlands Working Holiday Visa or the USA Working Holiday Visa, then come back to this page for the insurance questions to ask.
FAQ
Do I need insurance for a New Zealand working holiday visa?
Does any one brand automatically meet the Immigration New Zealand rule?
Is ACC enough on a working holiday?
I am from the United Kingdom. Do I still need a policy?
What should I look for in a working holiday policy?
When might I have to show proof of insurance?
Sources
Last checked 11 November 2026
- Medical insurance for Working Holiday Visa · Immigration New Zealand
- Who can get public health care · Immigration New Zealand
- If you're a visitor injured in New Zealand · ACC
- Reciprocal health agreements · Health New Zealand



