{
  "vertical": "pet",
  "topic": {
    "slug": "annual-benefit-and-co-pay",
    "title": "Annual Benefit Limits + Co-Payment Rules in NZ Pet Insurance",
    "short_title": "Annual benefit + co-pay",
    "description": "Annual benefit caps range from ~$15,000 (entry tier) to unlimited (comprehensive). Co-payments (the % the owner pays after excess) range from 0% (Cove) to 20% (Tower) across NZ insurers — this can double or halve a real claim payout. Excess options also matter: lower excess + higher co-pay vs higher excess + 0% co-pay are different economic shapes. This page consolidates the cost-side rules verbatim.",
    "fact_keys": [
      "annual_benefit_nzd",
      "co_pay_percent",
      "excess_options_nzd"
    ],
    "keywords": [
      "pet insurance annual benefit",
      "co-payment",
      "excess",
      "NZ pet insurance cost"
    ]
  },
  "snapshot": {
    "generated_at": "2026-05-18T08:27:31.134Z",
    "counts": {
      "insurers": 8,
      "products_total": 11,
      "products_active": 11
    },
    "wording_date_range": {
      "oldest_ingested_at": "2026-05-17",
      "newest_ingested_at": "2026-05-18"
    }
  },
  "products": [
    {
      "insurer": {
        "slug": "aa-pet",
        "name": "AA Pet Insurance"
      },
      "product": {
        "slug": "pet-policy",
        "name": "AA Pet Insurance Policy"
      },
      "wording_version": "2025-04-05",
      "source_url": "https://www.aa.co.nz/content/dam/nzaa/02-services/insurance/pet-insurance/documents/AAPetInsurancePolicyDocument.pdf",
      "confidence_tier": "verified",
      "primary_value": "$5,000, $10,000 or $15,000 per policy period, as shown on your Certificate of Insurance",
      "values_by_key": {
        "annual_benefit_nzd": "$5,000, $10,000 or $15,000 per policy period, as shown on your Certificate of Insurance",
        "co_pay_percent": "20% — benefit percentage is 80% of eligible vet expenses (after excess)",
        "excess_options_nzd": "Selectable excess as shown on Certificate of Insurance; examples in policy show $0 and $500 — full list not specified in wording"
      },
      "endpoints": {
        "product_facts": "https://petinsurancecomparison.co.nz/api/product/aa-pet/pet-policy/facts.json",
        "product_summary": "https://petinsurancecomparison.co.nz/api/product/aa-pet/pet-policy/summary.md",
        "product_wording": "https://petinsurancecomparison.co.nz/api/product/aa-pet/pet-policy/wording.md"
      }
    },
    {
      "insurer": {
        "slug": "cove-pet",
        "name": "Cove Pet Insurance"
      },
      "product": {
        "slug": "pet-insurance",
        "name": "Cove Pet Insurance"
      },
      "wording_version": "2026-05-18",
      "source_url": "https://www.coveinsurance.co.nz/wp-content/uploads/2022/05/Pet-Insurance-Policy-CovePet012022.pdf",
      "confidence_tier": "verified",
      "primary_value": "As stated in the certificate of insurance (combined accidental injuries and illness conditions)",
      "values_by_key": {
        "annual_benefit_nzd": "As stated in the certificate of insurance (combined accidental injuries and illness conditions)",
        "co_pay_percent": "As shown on the certificate of insurance; example in policy uses 10%; Dental illness and Everyday stuff benefits have 0% co-payment (100% benefit percentage)",
        "excess_options_nzd": "As shown on the certificate of insurance (example in policy uses $1,000; Dental illness benefit excess is $100)"
      },
      "endpoints": {
        "product_facts": "https://petinsurancecomparison.co.nz/api/product/cove-pet/pet-insurance/facts.json",
        "product_summary": "https://petinsurancecomparison.co.nz/api/product/cove-pet/pet-insurance/summary.md",
        "product_wording": "https://petinsurancecomparison.co.nz/api/product/cove-pet/pet-insurance/wording.md"
      }
    },
    {
      "insurer": {
        "slug": "pd-insurance",
        "name": "PD Insurance"
      },
      "product": {
        "slug": "pet-insurance-pds",
        "name": "PD Pet Insurance (PDS)"
      },
      "wording_version": null,
      "source_url": null,
      "confidence_tier": "unknown",
      "primary_value": null,
      "values_by_key": {},
      "endpoints": {
        "product_facts": "https://petinsurancecomparison.co.nz/api/product/pd-insurance/pet-insurance-pds/facts.json",
        "product_summary": "https://petinsurancecomparison.co.nz/api/product/pd-insurance/pet-insurance-pds/summary.md",
        "product_wording": "https://petinsurancecomparison.co.nz/api/product/pd-insurance/pet-insurance-pds/wording.md"
      }
    },
    {
      "insurer": {
        "slug": "petcover",
        "name": "Petcover (Petplan NZ)"
      },
      "product": {
        "slug": "catastrophe",
        "name": "Petcover Catastrophe Plan"
      },
      "wording_version": "2026-05-17",
      "source_url": "https://www.petcovergroup.com/nz/wp-content/uploads/sites/18/2022/12/PCNZ-PDS_SOV-SN_Catastrophe-v14112022.pdf",
      "confidence_tier": "verified",
      "primary_value": "Catastrophe 1: Up to $5,000 Annual Benefit Limit; Catastrophe 2: Up to $10,000 Annual Benefit Limit (as shown in the Certificate of Insurance)",
      "values_by_key": {
        "annual_benefit_nzd": "Catastrophe 1: Up to $5,000 Annual Benefit Limit; Catastrophe 2: Up to $10,000 Annual Benefit Limit (as shown in the Certificate of Insurance)",
        "co_pay_percent": "Not specified in the wording; Excess definition notes Veterinary Fees Excesses may be either the Fixed Excess only, or the Fixed Excess and the Co-Payment, but no percentage is stated",
        "excess_options_nzd": [
          450,
          900
        ]
      },
      "endpoints": {
        "product_facts": "https://petinsurancecomparison.co.nz/api/product/petcover/catastrophe/facts.json",
        "product_summary": "https://petinsurancecomparison.co.nz/api/product/petcover/catastrophe/summary.md",
        "product_wording": "https://petinsurancecomparison.co.nz/api/product/petcover/catastrophe/wording.md"
      }
    },
    {
      "insurer": {
        "slug": "petnsur",
        "name": "PetNSur"
      },
      "product": {
        "slug": "rhodium",
        "name": "PetNSur Rhodium / Standard"
      },
      "wording_version": null,
      "source_url": null,
      "confidence_tier": "unknown",
      "primary_value": null,
      "values_by_key": {},
      "endpoints": {
        "product_facts": "https://petinsurancecomparison.co.nz/api/product/petnsur/rhodium/facts.json",
        "product_summary": "https://petinsurancecomparison.co.nz/api/product/petnsur/rhodium/summary.md",
        "product_wording": "https://petinsurancecomparison.co.nz/api/product/petnsur/rhodium/wording.md"
      }
    },
    {
      "insurer": {
        "slug": "southern-cross-pet",
        "name": "Southern Cross Pet Insurance"
      },
      "product": {
        "slug": "accipet",
        "name": "AcciPet (Accident-only)"
      },
      "wording_version": "2023-12-01",
      "source_url": "https://www.southerncross.co.nz/society/-/media/Southern-Cross-Pet-Insurance/Member-collateral/Plan-documents/Policy-docs/AcciPet-Policy-Doc.pdf",
      "confidence_tier": "verified",
      "primary_value": 5000,
      "values_by_key": {
        "annual_benefit_nzd": 5000,
        "co_pay_percent": "10%, 20%, or 30% — policyholder selects one option; co-payment is deducted from eligible claim amount after excess is applied.",
        "excess_options_nzd": [
          100,
          250,
          500
        ]
      },
      "endpoints": {
        "product_facts": "https://petinsurancecomparison.co.nz/api/product/southern-cross-pet/accipet/facts.json",
        "product_summary": "https://petinsurancecomparison.co.nz/api/product/southern-cross-pet/accipet/summary.md",
        "product_wording": "https://petinsurancecomparison.co.nz/api/product/southern-cross-pet/accipet/wording.md"
      }
    },
    {
      "insurer": {
        "slug": "southern-cross-pet",
        "name": "Southern Cross Pet Insurance"
      },
      "product": {
        "slug": "freecover",
        "name": "FreeCover (Trial)"
      },
      "wording_version": "2025-09-01",
      "source_url": "https://www.southerncross.co.nz/society/-/media/Southern-Cross-Pet-Insurance/Member-collateral/Plan-documents/Policy-docs/freecover-policy-Doc.pdf",
      "confidence_tier": "verified",
      "primary_value": 2000,
      "values_by_key": {
        "annual_benefit_nzd": 2000,
        "co_pay_percent": 0,
        "excess_options_nzd": [
          100
        ]
      },
      "endpoints": {
        "product_facts": "https://petinsurancecomparison.co.nz/api/product/southern-cross-pet/freecover/facts.json",
        "product_summary": "https://petinsurancecomparison.co.nz/api/product/southern-cross-pet/freecover/summary.md",
        "product_wording": "https://petinsurancecomparison.co.nz/api/product/southern-cross-pet/freecover/wording.md"
      }
    },
    {
      "insurer": {
        "slug": "southern-cross-pet",
        "name": "Southern Cross Pet Insurance"
      },
      "product": {
        "slug": "petcare",
        "name": "PetCare (Comprehensive)"
      },
      "wording_version": "2023-12-01",
      "source_url": "https://www.southerncross.co.nz/society/-/media/Southern-Cross-Pet-Insurance/Member-collateral/Plan-documents/Policy-docs/PetCare-Policy-Doc.pdf",
      "confidence_tier": "verified",
      "primary_value": "BlueRibbon $15,000 / GoldRibbon $10,000 / SilverRibbon $5,000 / BronzeRibbon $2,500 per pet per policy period",
      "values_by_key": {
        "annual_benefit_nzd": "BlueRibbon $15,000 / GoldRibbon $10,000 / SilverRibbon $5,000 / BronzeRibbon $2,500 per pet per policy period",
        "co_pay_percent": "10%, 20%, or 30% (policyholder selects); 20% applies to consult care extra and dental care extra claims; 0% applies to day-to-day care extra claims",
        "excess_options_nzd": [
          100,
          250,
          500
        ]
      },
      "endpoints": {
        "product_facts": "https://petinsurancecomparison.co.nz/api/product/southern-cross-pet/petcare/facts.json",
        "product_summary": "https://petinsurancecomparison.co.nz/api/product/southern-cross-pet/petcare/summary.md",
        "product_wording": "https://petinsurancecomparison.co.nz/api/product/southern-cross-pet/petcare/wording.md"
      }
    },
    {
      "insurer": {
        "slug": "spca-pet",
        "name": "SPCA Pet Insurance"
      },
      "product": {
        "slug": "big-stuff",
        "name": "Big Stuff Cover"
      },
      "wording_version": "2026-05-17",
      "source_url": "https://www.spcapetinsurance.co.nz/documents/spca-pet-insurance-big-stuff-cover-policy-document.pdf",
      "confidence_tier": "verified",
      "primary_value": 25000,
      "values_by_key": {
        "annual_benefit_nzd": 25000,
        "co_pay_percent": "10% — Benefit Percentage is 90% of eligible Vet Expenses; you are responsible for the remaining 10% plus the Excess",
        "excess_options_nzd": [
          1000
        ]
      },
      "endpoints": {
        "product_facts": "https://petinsurancecomparison.co.nz/api/product/spca-pet/big-stuff/facts.json",
        "product_summary": "https://petinsurancecomparison.co.nz/api/product/spca-pet/big-stuff/summary.md",
        "product_wording": "https://petinsurancecomparison.co.nz/api/product/spca-pet/big-stuff/wording.md"
      }
    },
    {
      "insurer": {
        "slug": "spca-pet",
        "name": "SPCA Pet Insurance"
      },
      "product": {
        "slug": "the-works",
        "name": "The Works (Comprehensive)"
      },
      "wording_version": "2026-05-17",
      "source_url": "https://www.spcapetinsurance.co.nz/documents/spca-pet-insurance-the-works-cover-policy-document.pdf",
      "confidence_tier": "verified",
      "primary_value": 20000,
      "values_by_key": {
        "annual_benefit_nzd": 20000,
        "co_pay_percent": 20,
        "excess_options_nzd": [
          0
        ]
      },
      "endpoints": {
        "product_facts": "https://petinsurancecomparison.co.nz/api/product/spca-pet/the-works/facts.json",
        "product_summary": "https://petinsurancecomparison.co.nz/api/product/spca-pet/the-works/summary.md",
        "product_wording": "https://petinsurancecomparison.co.nz/api/product/spca-pet/the-works/wording.md"
      }
    },
    {
      "insurer": {
        "slug": "tower-pet",
        "name": "Tower Pet Insurance"
      },
      "product": {
        "slug": "pet-comprehensive-essentials",
        "name": "Pet Comprehensive + Essentials"
      },
      "wording_version": "2026-05-18",
      "source_url": "https://www.tower.co.nz/wp-content/uploads/2021/11/Pet_Comprehensive_Essentials.pdf",
      "confidence_tier": "verified",
      "primary_value": {
        "Essentials": 7000,
        "Comprehensive": 15000
      },
      "values_by_key": {
        "annual_benefit_nzd": {
          "Essentials": 7000,
          "Comprehensive": 15000
        },
        "co_pay_percent": "20% mandatory co-payment for all Plans, applied to every treatment claimed under Section 1 – Vet Expenses and Section 3 – Optional Benefit (Dental Care).",
        "excess_options_nzd": []
      },
      "endpoints": {
        "product_facts": "https://petinsurancecomparison.co.nz/api/product/tower-pet/pet-comprehensive-essentials/facts.json",
        "product_summary": "https://petinsurancecomparison.co.nz/api/product/tower-pet/pet-comprehensive-essentials/summary.md",
        "product_wording": "https://petinsurancecomparison.co.nz/api/product/tower-pet/pet-comprehensive-essentials/wording.md"
      }
    }
  ],
  "canonical_url": "https://petinsurancecomparison.co.nz/topics/annual-benefit-and-co-pay/",
  "license": "CC BY 4.0 — attribute https://petinsurancecomparison.co.nz",
  "citation_note": "Each product.primary_value is a verbatim excerpt from the cited insurer wording PDF (source_url). For the authoritative answer in any specific case, refer to the source PDF."
}