NIB Health Funds Ltd. (NIB)

As one of Australia's fastest growing health funds, nib provides affordable health cover to more than 900,000 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 fund

NIB Health Funds Ltd. provide further information regarding Gap cover doctors, Agreement hospitals, Preferred providers, Overseas students, Overseas visitors and Corporate products .

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 view Agreement Hospitals for this fund in your region and further details are available from the fund.

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.

Performance

The Private Health Insurance Ombudsman prepares an annual report on the service delivery and performance of Australian health funds. The following is a selection of statistics about this health fund - the full report and an explanation of these figures is available from the Ombudsman's website. Please note information is not provided for some funds in some states, as there are insufficient numbers reported to PHIAC for states in which the fund does not have a large membership.

Performance Fund Industry
Benefits as a % of contributions 86.8% 86.9%
Management expenses (% cont) 8.2% 8.8%
Management expenses (average policy) $211 $263
Surplus 5% 4.3%
Member retention (%) 85.8% 87.8%
Coverage ACT NSW VIC QLD SA WA TAS NT
Hospital Related Charges Covered 72.8% 85.2% 82.7% 80.9% 86.2% 80.8% 88.0% 81.2%
Industry Result 81.4% 89.1% 93.3% 90.4% 95.7% 92.9% 93.5% 88.3%
Medical Services with No Gaps 61.0% 84.2% 76.8% 74.1% 84.1% 64.5% 82.4% 73.8%
Industry Result 77.8% 88% 91.5% 88.2% 93.6% 81.6% 89.3% 81.5%
Medical Services with No or Known Gaps 61.0% 84.2% 76.8% 74.1% 84.1% 64.5% 82.4% 73.8%
Industry Result 82.2% 89.8% 92.2% 90.9% 96% 94.7% 95.4% 87.8%
General Treatment (extras) Covered 53.5% 53.9% 61.4% 56.9% 60.9% 61.1% 56.4% 57.0%
Industry Result 45.8% 50.6% 51.4% 52.6% 55% 52.7% 51% 52.1%
Private Hospital Agreements 5 84 67 45 27 18 5 1
Industry Maximum 5 90 76 54 30 21 6 1
Day Hospital Agreements 8 77 50 37 20 13 2 1
Industry Maximum 10 85 72 49 25 21 4 1
Share of PHIO complaints Compared to fund's market share
Benefit Complaints 10.1% 7.7%
Service Complaints 9.1%
All Complaints 8.8%
Investigations 8.4%
Address
22 Honeysuckle Drive
Newcastle
Newcastle
NSW  2300


Phone: 13 14 63
Email: nib@nib.com.au
Website: http://www.nib.com.au
Branches: http://www.nib.com.au/home/newtonib/contactnib/retailcentres/NSWACT.aspx

To view a list of NIB Health Funds Ltd. products, please complete the following:

Policies

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