mid plus

nib Health Insurance Image of Girl 
from $21.45 pw* *(NSW) Varies from state to state. Price includes discount of up to 4% for direct debit from cheque or savings account, Federal Government 30% rebate on private health insurance, an excess of $500 per person per calendar year but does not the include Lifetime Health Cover loading.  

Highlights

  • Hospital & Extras health insurance package

  • Get 65% back on Extras. So if your provider charges $200, you'll get $130 back from nib (waiting periods and annual limits apply)

  • Could help you avoid the Medicare Levy Surcharge

  • Could help you avoid the Lifetime Health Cover Loading
Health Insurance suitable for people aged over 40, not planning to have kids, who want more hospital cover
Extras
Hospital
Info Annual limit* Waiting period
General dental For example: oral examination, scale and clean, fillings, basic extractions. $500 2 months
Major dental For example: root canal therapy, gum disease, crowns & bridges, implants, dentures, orthodontia, oral surgery. $600 12 months
Optical For example: frames, lenses, contact lenses $250 6 months
Physiotherapy/Exercise Physiology/Chiropractic/Osteopathy Includes group physiotherapy, group exercise physiology and antenatal classes by a physiotherapist $350 2 months
Natural Therapies (consultations only) Including acupuncture, herbalism, naturopathy, homeopathy, nutrition, remedial massage, myotherapy, bowen therapy & shiatsu $200 2 months
Pharmaceutical Prescriptions Benefits paid once the maximum Pharmaceutical Benefits Scheme (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 $150 6 months
What are Extras? *Per person per calendar year
Inclusions Exclusions
Examples of services covered
  • Removal of teeth Including wisdom teeth
  • Knee, hip & shoulder investigations
  • Knee & shoulder surgery For example: cartilage repair
  • Removal of tonsils
  • Removal of appendix
  • Hernia surgery
  • Digestive disorders For example: stomach ulcers
  • Colonoscopies & bowel surgery
  • Kidney stone & gall stone removal
  • Minor eye surgery For example: squints, pterygiums
  • Heart surgery For example: stents, open heart surgery
  • Rehabilitation programs
  • Renal dialysis
  • Ambulance cover Ambulance cover is not included in health cover for Queensland or Tasmanian residents as ambulance services are provided by State Government schemes.
  • Accidents

The following services are limited to Public Hospital Benefits:

  • Psychiatric conditions For example: depression, eating disorders, drug and alcohol rehabilitation
    What is hospital cover? | Waiting periods apply
     The services not covered
    • Assisted reproductive services For example: IVF
    • Major eye surgery For example: cataracts
    • Major joint replacement For example: artificial knee/hip
    • Gastric banding & obesity surgery
    • Cosmetic surgery To enhance appearance
    • Infertility investigations
    • Pregnancy & birth related services
    • Spinal fusion surgery
    Hospital excess options

    $250 or $500 per admission
    (capped at $500 for singles per calendar year)

    Important information 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 for which your cover will not pay benefits. 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.
    Standard Information Statement
    Pay your premiums by Direct Debit from your bank, building society, credit union cheque or savings account and we'll give you up to 4% discount off the cost of your premiums (not available for Ambulance Only cover).

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