nib Health Funds Ltd. (NIB)

As one of Australia's fastest growing health funds, nib provides affordable health cover to more than 1,000,000 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 insurer

nib Health Funds Ltd. provide further information regarding:

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 see Agreement Hospitals for this insurer and further details are available from the insurer.

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.

nib Health Funds Ltd. polices are sold under a number of different brands, including:

  • AAMI Health Insurance
  • Apia Health Insurance
  • ING Health Insurance
  • Priceline Health Insurance
  • Qantas Insurance
  • Suncorp Health Insurance

Performance

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

Ombudsman complaints compared to market share
All complaints 9.1% 9.3% market share
Investigated complaints 9.4%
Health Insurer Retention and Finances Industry result
Member retention (hospital cover) 81% 86%
Benefits as % of contributions 83.2% 85.4%
Management expenses % of contribution income 10.3% 9.5%
Management expenses per average policy $353 $358
Coverage ACT NSW VIC QLD SA WA TAS NT Australia
Hospital Related Charges Covered 76.7% 87.3% 86.0% 84.8% 90.1% 86.9% 90.8% 82.9% 86.7%
Industry Result 83.1% 89.7% 91.9% 90.3% 93.9% 93.0% 93.4% 90.0% 91.0%
Medical Services with No Gaps 68.6% 93.2% 91.4% 88.8% 94.4% 89.9% 95.0% 81.4% 91.9%
Industry Result 78.1% 89.8% 88.8% 89.7% 90.7% 87.6% 91.6% 88.5% 89.3%
Medical Services with No or Known Gaps 68.9% 93.6% 92.8% 89.3% 94.4% 92.0% 95.2% 81.3% 92.6%
Industry Result 92.7% 96.5% 97.6% 96.8% 99.1% 97.0% 98.2% 96.2% 97.1%
General Treatment (extras) Covered 55.8% 55.9% 59.6% 56.5% 59.3% 62.1% 61.6% 58.7% 57.1%
Industry Result 47.7% 50.1% 51.7% 53.4% 56.7% 56.6% 54.1% 58.8% 52.6%
Private Hospital Agreements 6 94 71 52 20 21 5 1 -
Industry Maximum 6 99 84 61 27 28 9 2 -
Day Hospital Agreements 11 93 72 46 26 26 9 2 -
Industry Maximum 11 108 94 64 35 39 9 2 -
Address:
22 Honeysuckle Drive
Newcastle
NSW 2300
Phone: