nib Health Funds Ltd. (NIB)

As one of Australia's fastest growing health funds, nib provides affordable health cover to more than 1,000,000 people nationwide. Established over 60 years ago, nib provides a range of health covers that allow customers to tailor their cover to suit their needs.

This information is provided by the insurer

nib Health Funds Ltd. provide further information regarding:

Agreement Hospitals

This fund has agreements with some private hospitals or day surgeries to provide services at low or no out-of-pocket costs. You can see Agreement Hospitals for this insurer and further details are available from the insurer.

Business Structure

This insurer is a shareholder owned company that operates on a for-profit basis.

nib Health Funds Ltd. operates in all states and territories.

nib Health Funds Ltd. policies are sold under a number of different brands, including:

  • AAMI Health Insurance
  • Apia Health Insurance
  • ING Health Insurance
  • Priceline Health Insurance
  • Qantas Insurance
  • Real Health Insurance
  • Seniors Health Insurance
  • Suncorp Health Insurance

Performance

This table compares this health insurer's performance on a range of factors. Some of this information has previously been published in the Private Health Insurance Ombudsman's State of the Health Funds report, available from the Ombudsman's website (www.ombudsman.gov.au). Please note information is not provided for some insurers in some states, as there are insufficient numbers reported for states in which the insurer does not have a large membership.

Ombudsman complaints compared to market share
All complaints 10.1% 9.6% market share
Investigated complaints 11.0%
Health Insurer Retention and Finances Industry result
Member retention (hospital cover) 82.7% 86.5%
Benefits as % of contributions 79.0% 81.1%
Management expenses % of contribution income 12.3% 10.8%
Management expenses per average policy $438 $413
Coverage ACT NSW VIC QLD SA WA TAS NT Australia
Hospital Related Charges Covered 76.0% 86.9% 84.6% 84.4% 89.2% 85.8% 89.4% 80.8% 85.9%
Industry Result 81.8% 88.7% 90.5% 88.9% 92.6% 92.4% 92.4% 88.6% 89.9%
Medical Services with No Gaps 65.9% 93.2% 89.7% 89.1% 94.4% 93.2% 95.3% 83.4% 91.7%
Industry Result 75.6% 89.3% 87.3% 87.8% 89.0% 88.9% 91.2% 86.7% 88.3%
Medical Services with No or Known Gaps 66.1% 93.6% 90.9% 89.8% 94.4% 93.5% 95.5% 83.4% 92.3%
Industry Result 91.2% 96.4% 97.8% 96.8% 99.3% 98.0% 98.8% 95.9% 97.2%
General Treatment (extras) Covered 55.9% 56.1% 60.0% 56.7% 60.2% 63.1% 55.7% 60.1% 57.5%
Industry Result 46.4% 48.4% 50.5% 51.4% 55.2% 55.9% 51.8% 57.7% 51.1%
Private Hospital Agreements 6 89 67 51 16 21 6 1 -
Industry Maximum 8 98 72 58 24 24 8 2 -
Day Hospital Agreements 8 87 70 44 23 22 7 2 -
Industry Maximum 9 104 79 54 30 29 9 2 -
Address:
22 Honeysuckle Drive
Newcastle
NSW 2300
Phone: