Private Health Information Statement - General treatment policy

Corporate Mid Extras 80%

nib Health Funds Ltd.

Monthly Premium

$243.65 #

(before any rebate or insurer discount)

Covers two adults & dependants (3 or more people, only 2 of whom are adults)

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.

This cover is available to select nib corporate groups.

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 dental0$900 per person
(combined limit for general dental, major dental, endodontic & orthodontic)
Periodic oral examination - 80% of charge
Scale & clean - 80% of charge
Fluoride treatment - 80% of charge
Major dental12Surgical tooth extraction - 80% of charge
Full crown veneered - 80% of charge
Endodontic12Filling of one root canal - 80% of charge
Orthodontic12Braces for upper & lower teeth, including removal plus fitting of retainer - 80% of charge
Optical0$250 per personSingle vision lenses & frames - 80% of charge
Multi-focal lenses & frames - 80% of charge
Non PBS pharmaceuticals*0$300 per person
(combined limit for non pbs pharmaceuticals, podiatry, psychology, acupuncture, remedial massage, hearing aids, blood glucose monitors, ante-natal/post-natal classes, chinese medicine, dietetics/dietary advice, eye therapy (orthoptics), home nursing, occupational therapy, orthotics (podiatric orthoses), speech therapy & other services)
Per eligible prescription - 80% of charge
Physiotherapy0$350 per person
(combined limit for physiotherapy, exercise physiology & other services)
Initial visit - 80% of charge
Subsequent visit - 80% of charge
Chiropractic0$350 per person
(combined limit for chiropractic & osteopathy)
Initial visit - 80% of charge
Subsequent visit - 80% of charge
Podiatry0Combined limit - see Non PBS pharmaceuticalsInitial visit - 80% of charge
Subsequent visit - 80% of charge
Psychology0Combined limit - see Non PBS pharmaceuticalsInitial visit - 80% of charge
Subsequent visit - 80% of charge
Acupuncture0Combined limit - see Non PBS pharmaceuticalsInitial visit - 80% of charge
Subsequent visit - 80% of charge
Remedial massage0Combined limit - see Non PBS pharmaceuticalsInitial visit - 80% of charge
Subsequent visit - 80% of charge
Hearing aids36Combined limit - see Non PBS pharmaceuticalsHearing aid - 80% of charge
Blood glucose monitors12Combined limit - see Non PBS pharmaceuticalsPer monitor - 80% of charge
Ante-natal/Post-natal classes0Combined limit - see Non PBS pharmaceuticalsInitial visit - 100% of charge
Subsequent visit - 100% of charge
Chinese medicine0Combined limit - see Non PBS pharmaceuticalsInitial visit - 80% of charge
Subsequent visit - 80% of charge
Dietetics/dietary advice0Combined limit - see Non PBS pharmaceuticalsInitial visit - 80% of charge
Subsequent visit - 80% of charge
Exercise physiology0Combined limit - see PhysiotherapyInitial visit - 80% of charge
Subsequent visit - 80% of charge
Eye therapy (orthoptics)0Combined limit - see Non PBS pharmaceuticalsInitial visit - 80% of charge
Subsequent visit - 80% of charge
Health management / Healthy lifestyle0$150 per personHealth management - 80% of charge
Home nursing0Combined limit - see Non PBS pharmaceuticalsInitial visit - 80% of charge
Subsequent visit - 80% of charge
Occupational therapy0Combined limit - see Non PBS pharmaceuticalsInitial visit - 80% of charge
Subsequent visit - 80% of charge
Orthotics (podiatric orthoses)0Combined limit - see Non PBS pharmaceuticalsOrthotics supply & fit - 80% of charge
Osteopathy0Combined limit - see ChiropracticInitial visit - 80% of charge
Subsequent visit - 80% of charge
Speech therapy0Combined limit - see Non PBS pharmaceuticalsInitial visit - 80% of charge
Subsequent visit - 80% of charge
For most extras services on your cover your annual limit will increase by $50 each calendar year up to a maximum of four years. Myotherapy is included in Natural Therapies with acupuncture, remedial massage and Chinese herbalism. Combined therapies include: Speech therapy, eye therapy, occupational therapy, psychology, pharmaceuticals, natural therapies (incl. myotherapy), antenatal and postnatal services, dietary advice, podiatry, home nursing services, artificial aids, orthotics, speech processors and hearing aids (service limits apply). Healthy Lifestyle includes approved weight management, quit smoking and health management programs (gym, personal trainer) and more (service limits apply). 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

nib's Corporate medium range of Extras with benefits paid at 80% of the cost. 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/20

Ambulance cover

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.

Other features of this ambulance cover

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.

For further information about this policy see

https://my.nib.com.au/product-collateral/20

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.