nib Health Insurance

Do a side-by-side of nib's policy range and get covered

nib Health Insurance options

nib offers Hospital and Extras cover for singles, couples and families, with four levels of Hospital cover including Basic, Standard, Advantage and Top. nib also offers two levels of Extras cover: Top Extras and Core Extras (which can be tailored to help meet your needs).

Hospital cover

Basic Hospital

• Basic Hospital includes treatment for accidental injury, ambulance, appendix, tonsils and adenoid removal, colonoscopies, dental surgery, gastroscopies, treatment for ear infections, 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.

Standard Hospital

• Standard Hospital includes everything offered in Basic Hospital cover plus brain surgery, cancer treatment, heart procedures and stroke treatment.
• Excludes back surgery, obesity surgery, eye treatments, joint replacements, renal dialysis, IVF, infertility investigations, pregnancy and birth services and cosmetic surgery.

Advantage Hospital

• Advantage Hospital includes everything covered in Standard Hospital cover plus back surgery, eye treatments, joint replacements and renal dialysis.
• Excludes obesity surgery, IVF, infertility investigations, pregnancy and birth services and cosmetic surgery.

Top Hospital

• Top Hospital includes everything covered in Advantage Hospital plus IVF, infertility investigations, obesity surgery, pregnancy and birth services.
• Excludes cosmetic surgery.

Extras cover

nib also offers two levels of Extras cover; Core Extras and Top Extras. Core Extras is basic extras cover (dental, optical, physio and ambulance) which you can add bundles to in order to create a package more tailored to your needs. You can add up to two extra bundles to your Core Extras from three different categories including Family, Wellbeing and Young at Heart.

• Family Extras – this bundle adds extras that would be useful to a typical family and includes orthodontia, speech pathology, podiatry, orthotics, occupational therapy, antenatal and postnatal services, family health aids and preventative tests.
• Wellbeing Extras – this bundle adds extras suitable for those seeking to maintain a healthy lifestyle. They include chiro, osteo, natural therapies, dietary advice, psychology, wellbeing health aids, preventative tests and a healthier lifestyle benefit.
• Young at Heart Extras – this bundle contains extras most useful for those wanting to maintain their health in later life. They include podiatry, orthotics, dietary advice, pharmaceutical prescriptions, hearing aids, preventative tests and young at heart health aids.

For those wanting premium extras, nib’s Top Extras provides the ultimate cover. It includes an extensive range of extras with higher annual limits including ambulance, dental, optical, physio, antenatal and postnatal services, chiro, osteo, dietary advice, exercise physiology, eye therapy, top health aids, a healthier lifestyle benefit, hearing aids and speech processors, home nursing, natural therapies, occupational therapy, orthodontia, pharmaceutical prescriptions, podiatry, orthotics, preventative tests, psychology and speech pathology.

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.

How much does it 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.

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

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.

Making a Claim

To make a claim with nib, you can to fill out a claim form that is available on nib’s website or in one of nib’s Retail Centres. After the form has been filled out and any necessary documents have been attached you are required to mail the form to nib or you can take it into one of its retail outlets. Alternatively if you sign up to an online account with nib then you can quickly and easily make your claim online. nib has also recently released an nib iPhone, iPad & Android app that allows you to submit your claim via your phone. All you have to do is take a photo of your medical receipts and submit them to nib through the app.

Get the nib claims app

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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.