(before any rebate or insurer discount)
Covers two adults & dependants, including non-student dependants (3 or more people, only 2 of whom are adults)
Available in NSW & ACT
# 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, students up to and including the age of 30 and non-students up to and including the age of 30, as well as persons with a disability who qualify as a child, student or non-student in these age ranges.
Available to employees/members of organisations with arrangements with this health insurer
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.
| Treatment | Waiting period (months) | Benefit limits (per 12 months unless otherwise stated) | Examples of maximum benefits |
|---|---|---|---|
| General dental | 0 | $600 per person (no limit on preventative dental) | Periodic oral examination - 70% of charge Scale & clean - 70% of charge Fluoride treatment - 70% of charge |
| Major dental | 12 | $700 per person (combined limit for major dental & endodontic) | Surgical tooth extraction - 70% of charge Full crown veneered - 70% of charge |
| Endodontic | 12 | Filling of one root canal - 70% of charge | |
| Orthodontic | 12 | $600 per person $1,800 lifetime limit | Braces for upper & lower teeth, including removal plus fitting of retainer - 70% of charge |
| Optical | 0 | $250 per person | Single vision lenses & frames - 70% of charge Multi-focal lenses & frames - 70% of charge |
| Non PBS pharmaceuticals | 0 | $500 per person (combined limit for non pbs pharmaceuticals, podiatry, psychology, hearing aids, blood glucose monitors, ante-natal/post-natal classes, dietetics/dietary advice, eye therapy (orthoptics), home nursing, occupational therapy, orthotics (podiatric orthoses), speech therapy & other services) | Per eligible prescription - 70% of charge |
| Physiotherapy | 0 | $500 per person (combined limit for physiotherapy & exercise physiology) | Initial visit - 70% of charge Subsequent visit - 70% of charge |
| Chiropractic | 0 | $400 per person (combined limit for chiropractic & osteopathy) | Initial visit - 70% of charge Subsequent visit - 70% of charge |
| Podiatry | 0 | Combined limit - see Non PBS pharmaceuticals | Initial visit - 70% of charge Subsequent visit - 70% of charge |
| Psychology | 0 | Combined limit - see Non PBS pharmaceuticals | Initial visit - 70% of charge Subsequent visit - 70% of charge |
| Acupuncture | 0 | $200 per person (combined limit for acupuncture, remedial massage, chinese medicine & other services) | Initial visit - 70% of charge Subsequent visit - 70% of charge |
| Remedial massage | 0 | Initial visit - 70% of charge Subsequent visit - 70% of charge | |
| Hearing aids | 36 | Combined limit - see Non PBS pharmaceuticals | Hearing aid - 70% of charge |
| Blood glucose monitors | 12 | Combined limit - see Non PBS pharmaceuticals | Per monitor - 70% of charge |
| Ante-natal/Post-natal classes | 0 | Combined limit - see Non PBS pharmaceuticals | Initial visit - 70% of charge Subsequent visit - 70% of charge |
| Chinese medicine | 0 | Combined limit - see Acupuncture | Initial visit - 70% of charge Subsequent visit - 70% of charge |
| Dietetics/dietary advice | 0 | Combined limit - see Non PBS pharmaceuticals | Initial visit - 70% of charge Subsequent visit - 70% of charge |
| Exercise physiology | 0 | Combined limit - see Physiotherapy | Initial visit - 70% of charge Subsequent visit - 70% of charge |
| Eye therapy (orthoptics) | 0 | Combined limit - see Non PBS pharmaceuticals | Initial visit - 70% of charge Subsequent visit - 70% of charge |
| Health management / Healthy lifestyle | 0 | $100 per person | Health management - 70% of charge |
| Home nursing | 0 | Combined limit - see Non PBS pharmaceuticals | Initial visit - 70% of charge Subsequent visit - 70% of charge |
| Occupational therapy | 0 | Combined limit - see Non PBS pharmaceuticals | Initial visit - 70% of charge Subsequent visit - 70% of charge |
| Orthotics (podiatric orthoses) | 0 | Combined limit - see Non PBS pharmaceuticals | Orthotics supply & fit - 70% of charge |
| Osteopathy | 0 | Combined limit - see Chiropractic | Initial visit - 70% of charge Subsequent visit - 70% of charge |
| Speech therapy | 0 | Combined limit - see Non PBS pharmaceuticals | Initial visit - 70% of charge Subsequent visit - 70% of charge |
| Preventative Tests - Included in combined services limit with pharmaceutical presciptions: 70% back on preventative health test e.g. thin prep, bone density testing and bowel screening (service limits apply). Top Health Aids (12 month waiting period) - Included in combined services limit with pharmaceutical presciptions: 70% back on health aids e.g. spacer, peak flow meter, nebuliser, blood glucose monitor, Irlen lens. Myotherapy - $200 combined limit with acupuncture, remedial massage and Chinese herbalism per person per calendar year. Healthy Lifestyle includes approved weight management, quit smoking and health management programs (gym, personal trainer) and more. Psychology has a sublimit of $150 for Digital Cognitive Behavioural Therapy (CBT). For Preventative dental service limits apply. | |||
| Other treatments - check with your insurer |
Extras services to help look after your overall health and wellbeing. 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.
In NSW & ACT 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.
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.
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.
For information on what is covered under each category, see https://www.privatehealth.gov.au/categories
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.
These categories are not covered by this policy.