Interested in taking out nib Health Insurance? Compare options and apply for cover.
nib is one of Australia’s fastest growing health funds. nib Health Insurance provides health and medical cover to over one million Australian and New Zealand residents. Private health insurance provides more health care options than Medicare and is an investment in peace of mind. Keep reading to review nib Health Insurance and find out if it's right for you.
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nib Health Insurance options
nib offers Hospital and Extras cover for singles, couples and families, with four levels of Hospital cover including Basic, Standard, Starter Plus and Top. nib also offers two levels of Extras cover: Top Extras and Core Extras (which can be tailored to help meet your needs).
- Basic Hospital includes treatment for accidental injury, ambulance, appendix, tonsils and adenoid removal, colonoscopies, dental surgery, gastroscopies, gynaecological services, hernia repair and joint investigations and reconstructions.
- Excludes back surgery, brain surgery, obesity surgery, heart procedures, stroke treatment, cancer treatment, eye treatments, joint replacements, renal dialysis, IVF, infertility investigations, pregnancy and birth services and cosmetic surgery.
Starter Plus Hospital
- Starter Plus Hospital includes everything covered in Basic Hospital cover plus brain surgery, cancer surgery and stroke treatment.
- Excludes heart-related procedures, cochlear implant surgery, back surgery, infertility investigations, pregnancy and birth services and cosmetic surgery.
- Starter Plus includes everything offered in Starter Plus Hospital cover plus heart-related procedures, cochlear implant surgery, palliative care and rehabilitation.
- Excludes back surgery, weight loss surgery, infertility investigations, pregnancy and birth services, joint replacements and cosmetic surgery.
- Top Hospital includes everything covered in Standard Hospital plus joint replacements, pregnancy and birth services, infertility investigations and weight loss surgery.
- Excludes cosmetic surgery.
nib also offers four levels of Extras cover; Core Extras, Core Extras Plus, Core & Wellbeing and Top Extras. Each offers a range of treatments from optical to podiatry. nib also have great dental coverage with all four options including unlimited preventative dental:
- Core Extras – With Core, you get 60% back on each visit for general dental, major dental, optical and physiotherapy. You're also covered for emergency ambulance.
- Core Extras Plus – This option also gives you 60% back on the same services as Core - but the treatments come with a higher limit you can claim each year.
- Core and Wellbeing– With Core and Wellbeing you get the same services as Core Extras Plus and additional treatments including Chiropractic, dietary advice, remedial massage and psychology.
- Top Extras - Top includes treatments from other packages with a bigger 75% rebate. Plus antenatal & postnatal, eye therapy, hearing aids, podiatry, speech therapy and more.
How many members does nib service?
nib provides health and medical insurance cover to more than one million Australians. This gives it a market share of 8.1%.
Does nib get many complaints?
nib accounts for:
- 8.3% of the health insurance market
- 8.5% of all complaints about benefit payments
- 3.0% of all complaints about service
- 6.1% of all complaints that require investigation
Source: Private Health Insurance Ombudsman, State of the Health Fund Report 2017
How many hospital agreements does nib have in my state and in total?
The benefit your health fund pays for hospital service isn’t just determined by the level of cover you have in place; it’s also affected by whether or not your health fund has an agreement with the hospital where you are treated.
The number of hospital agreements nib has in each Australian state and territory is shown in the table below.
|Private hospital agreements||Day hospital agreements|
Source: Private Health Insurance Ombudsman, State of the Health Fund Report 2017
Is there an option for overseas visitors?
nib offers a health insurance option for overseas students and working visitors through a wholly owned subsidiary company called IMAN Australian Health Plans. IMAN offers a range of different covers for working visitors, these include: Budget, Value, Basic, Mid and Top Visitor Cover. There are a number of different benefits that its cover offers:
- It meets the Department of Immigration and Citizenship (DIAC) working visa requirements
- You won’t pay any hospital Excess
- It covers ambulance and medical repatriation cover
- They will provide you with a confirmation of health cover letter
- It covers 100% of the cost of private and public hospitals.
Are there any additional benefits?
nib offers a 30-day guarantee to all of its new customers. This means that if you aren’t happy with your cover it will refund your premiums as long as you contact it within the first 30 days of signing up and you haven’t already made a claim. Not to mention nib is a well-known health fund with a good reputation, which will give you confidence knowing that your health is in good hands.
How much does cover cost?
The cost of nib’s Health Insurance depends on a number of factors such as:
- The cover option you select. The amount of money you pay depends on what cover option you select. If you select singles health insurance then you will pay less because you are paying to cover one person. Couples is almost doubled because you are paying for two people and family health insurance is the most expensive because you are paying for your whole family.
- What level of cover you select. The level of cover you select will impact the amount you pay. The higher level of cover the more you pay and the more you are covered for.
- What Extras you select. The additional extras you select will also add to the cost of insurance. The cost will go up depending on how many you choose.
- Hospital Excess. nib has two different levels of hospital excess, $250 or $500. The amount of excess you pay will reduce the amount that you pay for your insurance per week.
Paying your nib health insurance premiums
There are several payment methods available:
- Direct debit. This option is available from your bank account or credit card, and you may be entitled to a discount if you select to pay from your bank account.
- Payroll deduction. This option is available for customers on an nib Corporate Health Plan.
- Online. Online credit card payment can be made via nib Online Services.
- Over the phone. You can use the Phone Pay service and make a credit card payment by calling 13 14 63.
- At an nib Retail Centre. Credit card, EFTPOS and cheque payments are accepted.
- By mail. Cheques are accepted if they’re made payable to ‘nib Health Funds’.
- Auspost and BPAY. These payment options are also accepted.
If you have ambulance-only cover, you have the option of paying your premiums half-yearly or yearly. For all other policies, the following payment schedules are available:
- Direct debit: fortnightly, monthly, quarterly, half yearly and yearly.
- Payroll deduction: weekly, fortnightly, monthly, quarterly, half yearly and yearly.
- At an nib Retail Centre, by Phone Pay, by mail or at an Australia Post Office: monthly, quarterly, half yearly and yearly.
How to save on your policy
- Choosing the right cover for you. Tailor your policy to your specific health requirements, then you are less likely to be paying for cover that you don’t need.
- Medicare Levy Surcharge. Rather than paying the Medicare Levy, people earning over the threshold can spend it on their private health care.
- Having Health Insurance saves you money. While paying a weekly fee may seem costly at the time, if you actually do get sick, health insurance will help reduce the cost of hospital fees and may save you money in the long run.
What excesses apply to cover?
An excess charge is the amount that you pay for a stay in hospital. With nib there are two levels of excess you can choose, $250 or $500 per person. The number of times that you pay excess per calendar year is determined by your policy. The less excess you pay the more your premium will be. Most hospitals expect that you pay your excess before admission into the hospital. Something to be aware of is that nib doesn’t cover hospital excess and neither does Medicare
Making a Claim
There are several options to choose from when you need to make an extras claim with nib:
- Swipe your nib card. All you have to do is swipe your nib card when you visit your service provider to claim on the spot.
- Claim online. You can use nib Online Claiming 24/7 and claim for extras services by uploading a photo of your receipt. Benefits will be paid into your account within five working days.
- Claim via the nib app. There are iPhone, iPad and Android apps available so you can claim on the go.
- Visit an nib retail centre. You can visit your nearest nib retail centre to lodge a claim in person.
- Claim by mail. Download and complete an nib claim form, then mail it and your original receipts to nib health funds, Locked Bag 2010, Newcastle NSW 2300.
Get the nib claims app
What exclusions apply to nib cover?
With any policy there will be exclusions involved but it is always good to make sure that your health insurance doesn’t exclude something you need. Some of the exclusions from nib’s health cover are:
- Any service listed as Excluded on a Customer's Policy
- Any Hospital Excess
- Pharmaceuticals available under the PBS
- Services rendered in a nursing home
- Respite care
- Special nursing
- Cosmetic procedures to enhance appearance
- Hospital Treatments that aren't directly related to a Patient's Treatment and care
- Private room Accommodation for a same day procedure
- Procedures performed in a doctor's surgery
- In-Hospital Treatment
- Drugs or disposable items not recognised for payment of Benefits by Medicare
- Cosmetic procedures to enhance appearance (including dental implants)
- Beauty services
- Phone calls
- TV hire
- Car parking
- Luxury rooms and other Hospital Treatment that aren't directly related to a Patient's Treatment and care
- Admission or booking fees charged by a specialist or the Hospital
- Oral contraceptives
- Take-home items, Experimental and/or Treatment not Covered by Medicare
- Autologous blood collection and storage
- Private Hospital emergency or Outpatient fees
- Nursing care at home for patients who have been discharged from Hospital early
- Outpatient services performed by a doctor or specialist
Frequently asked questions about nib
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- Final day to opt out of My Health Record
- Medibank is offering members a new way to save on health insurance
- Is Afterpay for dental the cheapest option?
- Deadline for opting out of My Health Record looms