Private Health Information Statement - General treatment policy

Quality Extras

nib Health Funds Ltd.

Monthly Premium

$98.76 #

(before any rebate or insurer discount)

Covers only one person

Available in Tasmania

Closed to new members

# 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
Note, for items marked with an asterisk *: Benefit paid after current PBS patient contribution deducted
TreatmentWaiting period (months)Benefit limits (per 12 months unless otherwise stated)Examples of maximum benefits
General dental2General Dental/Major Dental: Multiple Limits, Sub-Limits, Shared Limits and Service Limits Apply; See insurer for details Periodic oral examination - $21.00
Scale & clean - $35.00
Fluoride treatment - $19.00
Surgical tooth extraction - $65.00
Major dental12Full crown veneered - $415.00
Endodontic12Non-specialty Endodontia: $400; Specialty Endodontia: $450, $1600 per Lifetime; Service Limits Apply Filling of one root canal - $80.00
Orthodontic12Non-specialty Orthodontia: $350, $1050 per Lifetime; Specialty Orthodontia: $350, increasing by $100 per calendar year to $2400 per LifetimeBraces for upper & lower teeth, including removal plus fitting of retainer - 100% of charge
Optical6$200 per policySingle vision lenses & frames - $140.00
Multi-focal lenses & frames - $190.00
Non PBS pharmaceuticals*2$600 per policyPer eligible prescription - $60.00
Physiotherapy2$900 per policy
(combined limit for physiotherapy, chiropractic, acupuncture, ante-natal/post-natal classes, exercise physiology, eye therapy (orthoptics), occupational therapy, osteopathy & speech therapy - Sub-limits apply)
Initial visit - $28.00
Subsequent visit - $26.00
Chiropractic2Initial visit - $25.00
Subsequent visit - $22.00
Podiatry2$220 per policyInitial visit - $25.00
Subsequent visit - $21.00
Psychology2$300 per policyInitial visit - $45.00
Subsequent visit - $40.00
Acupuncture2Combined limit - see PhysiotherapyInitial visit - $21.00
Subsequent visit - $11.00
Remedial massage2$170 for single policies, $340 for family groups (Combined limit with Chinese Herbalism and Myotherapy)Initial visit - $19.00
Subsequent visit - $18.00
Hearing aids36$560 per policy
2 appliance(s) every 5 years
Hearing aid - $560.00
Blood glucose monitors12$600 per policy
2 appliance(s) every 1 year
(combined limit for blood glucose monitors & other services)
Per monitor - $180.00
Ante-natal/Post-natal classes2Combined limit - see PhysiotherapyInitial visit - $11.00
Subsequent visit - $11.00
Chinese medicine2Combined limit - see Remedial massageInitial visit - $19.00
Subsequent visit - $18.00
Dietetics/dietary advice2$250 per policyInitial visit - $27.00
Subsequent visit - $25.00
Exercise physiology2Combined limit - see PhysiotherapyInitial visit - $28.00
Subsequent visit - $26.00
Eye therapy (orthoptics)2Combined limit - see PhysiotherapyInitial visit - $28.00
Subsequent visit - $25.00
Health management / Healthy lifestyle6$100 for single policies, $200 for family groupsHealth management - 100% of charge
Home nursing2$750 per policyInitial visit - $72.00
Subsequent visit - $72.00
Occupational therapy2Combined limit - see PhysiotherapyInitial visit - $29.00
Subsequent visit - $28.00
Orthotics (podiatric orthoses)2$200 per policyOrthotics supply & fit - $100.00
Osteopathy2Combined limit - see PhysiotherapyInitial visit - $25.00
Subsequent visit - $23.00
Speech therapy2Combined limit - see PhysiotherapyInitial visit - $29.00
Subsequent visit - $27.00
Vaccinations2$100 per policyPer service - $16.00
Combined Therapies ($900) includes acupuncture ($200 sub-limit, $400 sub-limit for families), antenatal services, chiropractic / osteopathy ($400 sub-limit), exercise physiology, eye therapy, occupational therapy, physiotherapy and speech pathology. Artificial aids ($600) e.g. spacer, peak flow meter, nebuliser, Irlen lens. Myotherapy: combined (limit of $170 for singles, $340 for family groups) with remedial massage and Chinese herbalism. Healthier Lifestyle includes nib approved weight management programs, quit smoking and nicotine replacement. Post-natal services not included. 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

Other features of this general treatment cover

A comprehensive Extras cover for services customers can use everyday to stay healthy. 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/29

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/29

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.