Private Health Information Statement - General treatment policy

Core and Young at Heart Extras

nib Health Funds Ltd.

Monthly Premium

$71.27 #

(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
TreatmentWaiting period (months)Benefit limits (per 12 months unless otherwise stated)Examples of maximum benefits
General dental2$600 per policy
(no limit on preventative dental)
Periodic oral examination - 60% of charge
Scale & clean - 60% of charge
Fluoride treatment - 60% of charge
Major dental12$600 per policy
(combined limit for major dental & endodontic)
Surgical tooth extraction - 60% of charge
Full crown veneered - 60% of charge
Endodontic12Filling of one root canal - 60% of charge
Optical6$250 per policySingle vision lenses & frames - 60% of charge
Multi-focal lenses & frames - 60% of charge
Non PBS pharmaceuticals2$400 per policyPer eligible prescription - 60% of charge
Physiotherapy2$350 per policyInitial visit - 60% of charge
Subsequent visit - 60% of charge
Podiatry2$200 per policy
(combined limit for podiatry & orthotics (podiatric orthoses))
Initial visit - 60% of charge
Subsequent visit - 60% of charge
Hearing aids36$500 per policy
2 appliance(s) every 5 years
Hearing aid - 60% of charge
Dietetics/dietary advice2$300 per policyInitial visit - 60% of charge
Subsequent visit - 60% of charge
Orthotics (podiatric orthoses)2Combined limit - see PodiatryOrthotics supply & fit - 60% of charge
Preventative Tests - $100 limit per person per calendar year (waiting period 6 months): 60% back on preventative health tests e.g. thin prep, bone density testing, bowel screening (service limits apply). YAH Health Aids - $250 limit per person per calendar year (waiting period 12 months): 60% back on health aids e.g. hip protector, walking frame, blood pressure monitor (service limits apply). For Preventative dental service limits apply. 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
AcupunctureOrthodonticOther treatments - check with your insurer
Blood glucose monitorsPsychology
ChiropracticRemedial massage

Other features of this general treatment cover

The Extras that people use most + The Extras services you may need as you grow older. 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/61

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/61

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.