Private Health Information Statement - General treatment policy

Super Extras 85%

nib Health Funds Ltd.

Monthly Premium

$350.71 #

(before any rebate or insurer discount)

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

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.

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 dental2General dental/Oral surgery/Restorative services $500 Endodontia/Periodontia $500 Prosthetic dental - crowns and bridges/dentures $750; Service Limits ApplyPeriodic oral examination - 85% of charge
Scale & clean - 85% of charge
Fluoride treatment - 85% of charge
Surgical tooth extraction - 85% of charge
Major dental12Full crown veneered - 85% of charge
Endodontic12Filling of one root canal - 85% of charge
Orthodontic12$500 per personBraces for upper & lower teeth, including removal plus fitting of retainer - 85% of charge
Optical6$200 per personSingle vision lenses & frames - 85% of charge
Multi-focal lenses & frames - 85% of charge
Non PBS pharmaceuticals*2$600 per personPer eligible prescription - 85% of charge
Physiotherapy2$700 per person
(combined limit for physiotherapy, ante-natal/post-natal classes & exercise physiology)
Initial visit - 85% of charge
Subsequent visit - 85% of charge
Chiropractic2$300 per person
(combined limit for chiropractic & osteopathy)
Initial visit - 85% of charge
Subsequent visit - 85% of charge
Podiatry2$250 per personInitial visit - 85% of charge
Subsequent visit - 85% of charge
Psychology2$300 per personInitial visit - 85% of charge
Subsequent visit - 85% of charge
Acupuncture2$170 per single policy $340 per couple/family policyInitial visit - 85% of charge
Subsequent visit - 85% of charge
Remedial massage2Initial visit - 85% of charge
Subsequent visit - 85% of charge
Hearing aids36$650 per person
2 appliance(s) every 5 years
Hearing aid - 85% of charge
Blood glucose monitors12$500 per person
2 appliance(s) every 1 year
(combined limit for blood glucose monitors, orthotics (podiatric orthoses) & other services - Sub-limits apply)
Per monitor - 85% of charge
Ante-natal/Post-natal classes2Combined limit - see PhysiotherapyInitial visit - 85% of charge
Subsequent visit - 85% of charge
Chinese medicine2Combined limit - see AcupunctureInitial visit - 85% of charge
Subsequent visit - 85% of charge
Dietetics/dietary advice2$200 per personInitial visit - 85% of charge
Subsequent visit - 85% of charge
Exercise physiology2Combined limit - see PhysiotherapyInitial visit - 85% of charge
Subsequent visit - 85% of charge
Eye therapy (orthoptics)2$200 per personInitial visit - 85% of charge
Subsequent visit - 85% of charge
Health management / Healthy lifestyle6$100 per single policy $200 per couple/family policyHealth management - 100% of charge
Home nursing2$500 per personInitial visit - 85% of charge
Subsequent visit - 85% of charge
Occupational therapy2$200 per personInitial visit - 85% of charge
Subsequent visit - 85% of charge
Orthotics (podiatric orthoses)2Combined limit - see Blood glucose monitorsOrthotics supply & fit - 85% of charge
Osteopathy2Combined limit - see ChiropracticInitial visit - 85% of charge
Subsequent visit - 85% of charge
Speech therapy2$200 per personInitial visit - 85% of charge
Subsequent visit - 85% of charge
Artificial aids / Orthotics / Speech processor(36 month waiting period for Speech processor) ($500 limit per person per calendar year) e.g. spacer, peak flow meter, nebuliser, blood glucose monitor, Irlen lens (service limits apply). Myotherapy: combined with acupuncture, remedial massage and Chinese herbalism. Healthier Lifestyle includes nib approved weight management programs, quit smoking and nicotine replacement. Waiting periods for dental treatment range between 2 and 12 months. Postnatal services are not covered. 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/32

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/32

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.