Waiting periods 

Help - nib Health Cover - Waiting periods 

Before you can start claiming for your Hospital and Extras, you must be in your chosen cover for a set period of time, (known as a waiting period). nib customers can only claim benefits after they have served their waiting periods. This is necessary to keep health cover fair. Waiting periods protect existing customers who make payments to a fund over time, for when they might need health cover. If we didn’t have waiting periods, people might join a fund to claim for a planned item and then leave.

Waiting periods for hospital procedures

Hospital service

Waiting Period

Accidental injury 1 day
Ambulance Services 1 day
Other hospital services, except those listed 2 months
Psychiatric care, rehabilitation or palliative care services (including pre-existing) 2 months
Other pre-existing ailments/conditions (an illness or condition where evident at any time during the 6 months immediately prior to joining nib) 12 months
Obstetric conditions 12 months


Note: your cover may exclude some of these procedures.

You should also check if a Restriction or Benefit Limitations apply to your cover.

 

Waiting periods for Extras services 

Extras service

Waiting Period

Ambulance services  1 day
All other services, except those listed below  2 months
Optical appliances and repairs  6 months
Healthier lifestyle  6 months
Specialty dental (e.g. endodontia, periodontia)  12 months
Removal of wisdom teeth and oral surgery  12 months
Periodontic surgical, root therapy and endodontic services by a dentist not registered as a specialist  12 months
Dentures, denture maintenance/repairs, other prosthodontic services  12 months
Orthodontia  12 months
Artificial aids (except orthotics and orthopaedic shoes)  12 months
Hearing aids  36 months

Note: your cover may not include some of these Extras services.

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