(before any rebate or insurer discount)
Covers one adult & dependants (2 or more people, only one of whom is an adult)
Available in Victoria
# 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.
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.
| Treatment | Waiting period (months) | Benefit limits (per 12 months unless otherwise stated) | Examples of maximum benefits |
|---|---|---|---|
| General dental | 2 | $1,000 per person | Periodic oral examination - 70% of charge Scale & clean - 70% of charge Fluoride treatment - 70% of charge |
| Major dental | 12 | $1,000 per person (combined limit for major dental & endodontic) | Surgical tooth extraction - 70% of charge Full crown veneered - 70% of charge |
| Endodontic | 12 | Filling of one root canal - 70% of charge | |
| Orthodontic | 12 | $800 per person $1,700 lifetime limit | Braces for upper & lower teeth, including removal plus fitting of retainer - 70% of charge |
| Optical | 6 | $350 per person | Single vision lenses & frames - 70% of charge Multi-focal lenses & frames - 70% of charge |
| Non PBS pharmaceuticals | 2 | $500 per person | Per eligible prescription - 70% of charge |
| Physiotherapy | 2 | $500 per person (combined limit for physiotherapy & other services) | Initial visit - 70% of charge Subsequent visit - 70% of charge |
| Chiropractic | 2 | $400 per person (combined limit for chiropractic, osteopathy & other services) | Initial visit - 70% of charge Subsequent visit - 70% of charge |
| Podiatry | 2 | $250 per person (combined limit for podiatry, orthotics (podiatric orthoses) & other services) | Initial visit - 70% of charge Subsequent visit - 70% of charge |
| Psychology | 2 | $500 per person | Initial visit - 70% of charge Subsequent visit - 70% of charge |
| Acupuncture | 2 | $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 massage | 2 | Initial visit - 70% of charge Subsequent visit - 70% of charge | |
| Hearing aids | 36 | $1,200 per person 2 appliance(s) every 5 years (combined limit for hearing aids & other services) | Hearing aid - 70% of charge |
| Blood glucose monitors | 12 | $400 per person 1 appliance(s) every 1 year (combined limit for blood glucose monitors & other services) | Per monitor - 70% of charge |
| Chinese medicine | 2 | Combined limit - see Acupuncture | Initial visit - 70% of charge Subsequent visit - 70% of charge |
| Dietetics/dietary advice | 2 | $350 per person | Initial visit - 70% of charge Subsequent visit - 70% of charge |
| Exercise physiology | 2 | $250 per person | Initial visit - 70% of charge Subsequent visit - 70% of charge |
| Eye therapy (orthoptics) | 2 | $200 per person | Initial visit - 70% of charge Subsequent visit - 70% of charge |
| Health management / Healthy lifestyle | 6 | $200 per person | Health management - 70% of charge |
| Home nursing | 2 | $200 per person | Initial visit - 70% of charge Subsequent visit - 70% of charge |
| Occupational therapy | 2 | $300 per person | Initial visit - 70% of charge Subsequent visit - 70% of charge |
| Orthotics (podiatric orthoses) | 2 | Combined limit - see Podiatry | Orthotics supply & fit - 70% of charge |
| Osteopathy | 2 | Combined limit - see Chiropractic | Initial visit - 70% of charge Subsequent visit - 70% of charge |
| Speech therapy | 2 | $250 per person | Initial 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). | |||
| Other treatments - check with your insurer |
In Victoria this policy provides:
Emergency: Unlimited with a waiting period of 1 day.
Call-out fees: will be paid for each attendance, including emergency treatment without transport to hospital.
All our health covers include unlimited emergency ambulance (1 day waiting period on all emergency ambulance). Emergency ambulance is when you need immediate transport by a State or Territory ambulance to get to a hospital or other facility for urgent medical treatment. No annual limits for emergency ambulance apply.
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.
For information on what is covered under each category, see https://www.privatehealth.gov.au/categories
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.
These categories are not covered by this policy.