MediGap
Like the idea of "No More to Pay"?
The NIB MediGap Scheme aims to eliminate the 'gap' for members. We've built up a
network of doctors and specialists who charge NIB directly, at no additional cost
to you. Medicare still pays 75% of the MBS, and NIB pays the remaining 25% plus
an agreed amount set by the NIB MediGap Schedule (but not for excluded procedures).
You should know that:
- Doctors can choose on a case-by-case basis if they're going to bill you as a MediGap
patient (or not)
- Always ask your doctor if they'll treat you as a NIB MediGap patient, and if other
providers treating you (e.g. anaesthetist) will be using MediGap also.
- Only services provided during your hospital stay will be covered by NIB MediGap.
- Any consultations before and after your hospital stay aren't covered
- Administration and booking fees are not covered by NIB MediGap
For more information about NIB's MediGap Scheme, please visit our
FAQ's.
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