Private Health Information Statement - General treatment policy

Premium Extras

nib Health Funds Ltd.

Monthly Premium

$126.70 #

(before any rebate or insurer discount)

Covers only one person

Available in Queensland

# You may be entitled to an Australian Government rebate on the above premium. Your premium may also include an insurer discount. Check with your insurer for details.

General Treatment Cover

By using our FirstChoice providers, you may have lower out-of-pocket costs on many allied health services. A list of "preferred providers" is available from the health insurer. See https://www.nib.com.au/find-a-provider.

This policy includes General treatment (Extras) cover for

General treatment legend
Note, for items marked with an asterisk *: Benefit paid after current PBS patient contribution deducted.
TreatmentWaiting period (months)Benefit limits (per 12 months unless otherwise stated)Examples of maximum benefits
General dental2$600 per policyPeriodic oral examination - 65% of charge
Scale & clean - 65% of charge
Fluoride treatment - 65% of charge
Major dental12$1,000 per policy
(combined limit for major dental & endodontic)
Surgical tooth extraction - 65% of charge
Full crown veneered - 65% of charge
Endodontic12Filling of one root canal - 65% of charge
Orthodontic12$300 per policy
$1,500 lifetime limit
Braces for upper & lower teeth, including removal plus fitting of retainer - 65% of charge
Optical6$300 per policySingle vision lenses & frames - 65% of charge
Multi-focal lenses & frames - 65% of charge
Non PBS pharmaceuticals*2$400 per policyPer eligible prescription - 65% of charge
Physiotherapy2$500 per policy
(combined limit for physiotherapy, chiropractic, exercise physiology & osteopathy)
Initial visit - 65% of charge
Subsequent visit - 65% of charge
Chiropractic2Initial visit - 65% of charge
Subsequent visit - 65% of charge
Podiatry2$400 per policy
(combined limit for podiatry, ante-natal/post-natal classes, dietetics/dietary advice, eye therapy (orthoptics), home nursing, occupational therapy & speech therapy)
Initial visit - 65% of charge
Subsequent visit - 65% of charge
Psychology2$300 per policyInitial visit - 65% of charge
Subsequent visit - 65% of charge
Acupuncture2$250 per policy
(combined limit for acupuncture, remedial massage, chinese medicine & other services)
Initial visit - 65% of charge
Subsequent visit - 65% of charge
Remedial massage2Initial visit - 65% of charge
Subsequent visit - 65% of charge
Hearing aids36$400 per policy
(combined limit for hearing aids, blood glucose monitors, orthotics (podiatric orthoses) & other services)
Hearing aid - 65% of charge
Blood glucose monitors12Per monitor - 65% of charge
Ante-natal/Post-natal classes2Combined limit - see PodiatryInitial visit - 65% of charge
Subsequent visit - 65% of charge
Chinese medicine2Combined limit - see AcupunctureInitial visit - 65% of charge
Subsequent visit - 65% of charge
Dietetics/dietary advice2Combined limit - see PodiatryInitial visit - 65% of charge
Subsequent visit - 65% of charge
Exercise physiology2Combined limit - see PhysiotherapyInitial visit - 65% of charge
Subsequent visit - 65% of charge
Eye therapy (orthoptics)2Combined limit - see PodiatryInitial visit - 65% of charge
Subsequent visit - 65% of charge
Health management / Healthy lifestyle6$200 per policyHealth management - 65% of charge
Home nursing2Combined limit - see PodiatryInitial visit - 65% of charge
Subsequent visit - 65% of charge
Occupational therapy2Combined limit - see PodiatryInitial visit - 65% of charge
Subsequent visit - 65% of charge
Orthotics (podiatric orthoses)2Combined limit - see Hearing aidsOrthotics supply & fit - 65% of charge
Osteopathy2Combined limit - see PhysiotherapyInitial visit - 65% of charge
Subsequent visit - 65% of charge
Speech therapy2Combined limit - see PodiatryInitial visit - 65% of charge
Subsequent visit - 65% of charge
Other Therapies ($400) includes antenatal services, dietary advice, eye therapy, home nursing, occupational therapy, podiatry and speech pathology. Hearing aids / Artificial aids / Orthotics ($400) e.g. spacer, peak flow meter, nebuliser, blood glucose monitor, Irlen lens. Myotherapy: combined limit of $250 with acupuncture, remedial massage and Chinese herbalism. Healthier Lifestyle includes nib approved weight management, quit smoking and health management programs (gym, personal trainer) and more. Psychology has a sublimit of $150 for Digital Cognitive Behavioural Therapy (CBT). Non-PBS pharmaceuticals have a sub limit of $150 for Weight Management Medication.

This policy does not include General treatment (Extras) cover for

General treatment legend
Other treatments - check with your insurer

Other features of this general treatment cover

For those who wanted the best when it came to Extras. Of course, you can see your choice of provider, but by choosing a FirstChoice provider, you may have less to pay towards the cost of your treatment. We’ve created the FirstChoice network to help you access quality healthcare and a better deal for you and your family. We’ve locked in lower costs with our FirstChoice providers, so you can enjoy competitive treatment fees when you visit the dentist or a discount the next time you claim for glasses.

For further information about this policy see

https://my.nib.com.au/product-collateral/13

Ambulance cover

Ambulance cover is provided by the State government for Queensland residents (https://www.ambulance.qld.gov.au/). This includes cover whilst interstate.

Other features of this ambulance cover

Emergency ambulance costs are covered by the state government for residents of Queensland.

For further information about this policy see

https://my.nib.com.au/product-collateral/13

Disclaimer

The information contained in this Private Health Information Statement was provided by the insurer and is intended as general information. It may not take into account your particular circumstances. For information please contact the insurer.

Covered

For information on what is covered under each category, see https://www.privatehealth.gov.au/categories

Restricted

Restricted categories partially cover your hospital costs as a private patient in a public hospital. You may incur significant expenses in a private room or private hospital.

Not Covered

These categories are not covered by this policy.