Private Health Information Statement - Combined policy

Basic Kickstarter $750 Excess

nib Health Funds Ltd.

Monthly Premium

$108.60 #

(before any rebate, loading or discount)

Covers only one person

Available in Northern Territory

# You may be entitled to an Australian Government rebate on the above premium. Your premium may also include a Lifetime Health Cover loading, an age-based discount or an insurer discount. Check with your insurer for details.

Hospital cover

This policy exempts you from the Medicare Levy Surcharge.

This policy provides accident cover - check with your insurer for details.

This policy does not provide benefits for travel or accommodation (outside of hospital).

This policy includes cover for

Hospital Cover Legend
Hospital psychiatric servicesPalliative careRehabilitation

This policy does not include cover for

Hospital Cover Legend
Assisted reproductive servicesEar, nose and throatMale reproductive system
Back, neck and spineEye (not cataracts)Miscarriage and termination of pregnancy
BloodGastrointestinal endoscopyPain management
Bone, joint and muscleGynaecologyPain management with device
Brain and nervous systemHeart and vascular systemPlastic and reconstructive surgery (medically necessary)
Breast surgery (medically necessary)Hernia and appendixPodiatric surgery (provided by a registered podiatric surgeon – limited benefits)
CataractsImplantation of hearing devicesPregnancy and birth
Chemotherapy, radiotherapy and immunotherapy for cancerInsulin pumpsSkin
Dental surgeryJoint reconstructionsSleep studies
Diabetes management (excluding insulin pumps)Joint replacementsTonsils, adenoids and grommets
Dialysis for chronic kidney failureKidney and bladderWeight loss surgery
Digestive systemLung and chest

The benefits paid for hospital treatment will depend on the type of cover you purchase and whether your fund has an agreement in place with the hospital in which you are treated. See ‘Agreement Hospitals’ on privatehealth.gov.au for which hospitals have arrangements with your insurer – https://privatehealth.gov.au/dynamic/agreementhospitals.

Under this policy, you may have to pay out-of-pocket costs above what you get from Medicare or your private health insurer. Before you go to hospital, you should ask your doctors, hospital and health insurer about any out-of-pocket costs that may apply to you.

The following payments may also apply for hospital admissions

Excess: You will have to pay an excess of $750 per admission. This is limited to a maximum of $750 per person per year.

Co-payments: No co-payments

The following waiting periods for hospital admissions apply to new or upgrading members

Waiting periods:

  • 2 months for palliative care, rehabilitation and hospital psychiatric treatments, even if pre-existing
  • 12 months for other pre-existing conditions
  • 2 months for all other treatments

Gap Cover

This provider offers 'known gap' or 'no gap' cover for medical bills for this product.

The Medical Costs Finder lets you find out more about the cost of specialist medical services.

Other features of this hospital cover

Basic Kickstarter only provides private hospital cover for nibs Accidental Injury Benefit. Palliative care , Hospital psychiatric services and Rehabilitation are paid at minimum benefits payable only. If this treatment is important to you, we recommend you consider a higher level of cover.

For further information about this policy see

https://my.nib.com.au/product-collateral/97

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
TreatmentWaiting period (months)Benefit limits (per 12 months unless otherwise stated)Examples of maximum benefits
General dental2$200 per policyPeriodic oral examination - 50% of charge
Scale & clean - 50% of charge
Fluoride treatment - 50% of charge
Surgical tooth extraction - n/a
Non PBS pharmaceuticals2$100 per policyPer eligible prescription - 50% of charge
Physiotherapy2$150 per policyInitial visit - 50% of charge
Subsequent visit - 50% of charge
Chiropractic2$150 per policy
(combined limit for chiropractic & osteopathy)
Initial visit - 50% of charge
Subsequent visit - 50% of charge
Acupuncture2$100 per policy
(combined limit for acupuncture, chinese medicine & other services)
Initial visit - 50% of charge
Subsequent visit - 50% of charge
Chinese medicine2Initial visit - 50% of charge
Subsequent visit - 50% of charge
Dietetics/dietary advice2$150 per policyInitial visit - 50% of charge
Subsequent visit - 50% of charge
Exercise physiology2$100 per policyInitial visit - 50% of charge
Subsequent visit - 50% of charge
Osteopathy2Combined limit - see ChiropracticInitial visit - 50% of charge
Subsequent visit - 50% of charge
Preventative Tests - $100 limit per person per calendar year (waiting period 6 months): 50% back on preventative health test e.g. thin prep, bone density testing, bowel screening (service limits apply). Myotherapy - $100 combined limit with acupuncture and Chinese herbalism per person per calendar year (waiting period 2 months).

This policy does not include General treatment (Extras) cover for

General treatment legend
Blood glucose monitorsOpticalRemedial massage
EndodonticOrthodonticOther treatments - check with your insurer
Hearing aidsPodiatry
Major dentalPsychology

Other features of this general treatment cover

If you’re looking to take out cover for the first time, Kickstarter could help you avoid paying extra tax. 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/97

Ambulance cover

In Northern Territory 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/97

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.