family plus from $38.80 pw (NSW)
Varies from state to state
For those who want more cover for things like dental and optical now and are thinking of having kids in the future. NIB Loyalty Bonus - couples - worth $150 per year (up to a maximum of $750)
Extras benefits paid as 65% of the cost to you up to the annual limit.
Hospital
INCLUSIONS - EXAMPLES of services covered for in hospital...
  • Accidents (more info)
  • Removal of teeth (including wisdom teeth)
  • Knee, hip & shoulder investigations
  • Knee & shoulder surgery (e.g. cartilage repair)
  • Removal of tonsils
  • Removal of appendix
  • Hernia surgery
  • Ambulance cover (more info)


EXCLUSIONS - the services not covered for...

Why pay for procedures or services you don't want? Or, if they are important, check our other covers.

  • Major eye surgery (e.g. cataracts)
  • Major joint replacement (e.g. artificial knee / hip)
  • Gastric banding & obesity surgery
  • Cosmetic surgery (to enhance appearance)


Note: The hospital services shown are examples only and intended to be used as a guide. Please be aware that some procedures may not be covered. You should always check with nib before you go to hospital to find out if you've got the cover you need. In some cases there may also be some drugs and surgical items which your cover will not pay benefits for. Please be aware waiting periods may apply for hospital and Extras services for this cover - even if you're an existing nib customer or transferring from another fund. Find out more about hospital cover.

Restrictions apply:

The following services listed below are limited to Public Hospital Benefits

  • Assisted reproductive services (e.g. IVF)
  • Infertility investigations
  • Heart surgery (e.g. stents, open heart surgery)
  • Renal dialysis
  • Psychiatric conditions (e.g. depression, eating disorders)
  • Rehabilitation programs
Hospital Excess Options
$250 Xs $250 per admission
(capped at $1000 for couples per calendar year)
$500 Xs $500 per admission
(capped at $1000 for couples per calendar year)

Extras Benefits (You get 65% of the cost back) Annual Limit
(per person per calendar year)
Waiting Period

General dental & oral surgery
e.g. oral examination, scale and clean, fillings, extractions and a 12 month waiting period for oral surgery by a specialist
$500 2 months
Major dental
e.g. root canal therapy, gum disease, crowns & bridges, implants, dentures
$400 12 months
Orthodontia e.g. braces (increasing by $100 per membership per year to a Lifetime Limit of $1200) $250 12 months
Optical e.g. frames, lenses, contact lenses $200 6 months
Physiotherapy / Exercise Physiology / Chiropractic / Osteopathy $300 2 months
Natural Therapies / Speech Therapy / Podiatry (consultations only)
including acupuncture, herbalism, naturopathy, homeopathy, nutrition, remedial massage, myotherapy, podiatry (consultations only), speech therapy, bowen therapy & shiatsu
$200 2 months
Pharmaceutical Prescriptions benefits paid once the maximum PBS charge has been deducted. Benefits do not apply to prescriptions dispensed to hospital inpatients $300 2 months
Psychology no benefits for tests, assessments or couple/group sessions $200 2 months
Healthier Lifestyle nib approved weight management, quit smoking and health management programs, first aid courses, preventative health tests $100 6 months


Read this if you currently do not have Private Health Insurance

For pregnancy and birth related services, you must serve the normal 12 month waiting period.

You'll then be limited to Public Hospital Benefits for the next 12 months.

This means after 24 months of joining this cover, you can claim the full benefits of this cover for pregnancy and birth related services in a private hospital.



The prices displayed on this site are intended as a guide only. They are quotes for a NSW member, include a discount of up to 4% for direct debit from a cheque or savings account, Federal Government 30% Rebate on Private Health Insurance, excluding Lifetime Health Cover loading and an excess of $500 per admission. Your actual contribution rate may vary. A Standard Information Statement is available for this product. To view the statement click here.

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