Private Health Information Statement - General treatment policy

Seniors Top Extras

Seniors Health Insurance

Monthly Premium

$253.00 #

(before any rebate or insurer discount)

Covers one adult & dependants (2 or more people, only one of whom is an adult)

Available in Tasmania

# 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.

This policy covers children and other dependants up to and including the age of 20, students up to and including the age of 30, as well as persons with a disability who qualify as a child or other dependant or student in these age ranges.

General Treatment Cover

By using nib's First Choice providers, you will 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$1,000 per personPeriodic oral examination - 70% of charge
Scale & clean - 70% of charge
Fluoride treatment - 70% of charge
Major dental12$1,000 per person
(combined limit for major dental & endodontic)
Surgical tooth extraction - 70% of charge
Full crown veneered - 70% of charge
Endodontic12Filling of one root canal - 70% of charge
Orthodontic12$800 per person
$1,700 lifetime limit
Braces for upper & lower teeth, including removal plus fitting of retainer - 70% of charge
Optical6$350 per personSingle vision lenses & frames - 70% of charge
Multi-focal lenses & frames - 70% of charge
Non PBS pharmaceuticals2$500 per personPer eligible prescription - 70% of charge
Physiotherapy2$500 per person
(combined limit for physiotherapy & other services)
Initial visit - 70% of charge
Subsequent visit - 70% of charge
Chiropractic2$400 per person
(combined limit for chiropractic, osteopathy & other services)
Initial visit - 70% of charge
Subsequent visit - 70% of charge
Podiatry2$250 per person
(combined limit for podiatry, orthotics (podiatric orthoses) & other services)
Initial visit - 70% of charge
Subsequent visit - 70% of charge
Psychology2$500 per personInitial visit - 70% of charge
Subsequent visit - 70% of charge
Acupuncture2$400 per person
(combined limit for acupuncture, remedial massage, chinese medicine & other services - Sub-limits apply)
Initial visit - 70% of charge
Subsequent visit - 70% of charge
Remedial massage2Initial visit - 70% of charge
Subsequent visit - 70% of charge
Hearing aids36$1,200 per person
2 appliance(s) every 5 years
(combined limit for hearing aids & other services)
Hearing aid - 70% of charge
Blood glucose monitors12$400 per person
1 appliance(s) every 1 year
(combined limit for blood glucose monitors & other services)
Per monitor - 70% of charge
Chinese medicine2Combined limit - see AcupunctureInitial visit - 70% of charge
Subsequent visit - 70% of charge
Dietetics/dietary advice2$350 per personInitial visit - 70% of charge
Subsequent visit - 70% of charge
Exercise physiology2$250 per personInitial visit - 70% of charge
Subsequent visit - 70% of charge
Eye therapy (orthoptics)2$200 per personInitial visit - 70% of charge
Subsequent visit - 70% of charge
Health management / Healthy lifestyle6$200 per personHealth management - 70% of charge
Home nursing2$200 per personInitial visit - 70% of charge
Subsequent visit - 70% of charge
Occupational therapy2$300 per personInitial visit - 70% of charge
Subsequent visit - 70% of charge
Orthotics (podiatric orthoses)2Combined limit - see PodiatryOrthotics supply & fit - 70% of charge
Osteopathy2Combined limit - see ChiropracticInitial visit - 70% of charge
Subsequent visit - 70% of charge
Speech therapy2$250 per personInitial visit - 70% of charge
Subsequent visit - 70% of charge
Preventative Tests ($200) e.g. thin prep, bone density testing, bowel screening (Service limits apply). Health Aids ($400) e.g. spacer, peak flow meter, nebuliser, Irlen lens. Myotherapy: combined limit of $400 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).

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

General treatment legend
Other treatments - check with your insurer

For further information about this policy see

https://my.nib.com.au/product-collateral/539

Ambulance cover

Ambulance cover is provided by the State government for residents of Tasmania. This may include cover whilst interstate, except for South Australia and Queensland where no cover applies. In other states please check with Ambulance Tasmania - https://www.health.tas.gov.au/ambulance/fees_and_accounts.

Other features of this ambulance cover

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

For further information about this policy see

https://my.nib.com.au/product-collateral/539

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.