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Your options and next steps

Before planning your visit to hospital, it's important to review your options and understand the next steps to make the most of your health cover. We will guide you through this process so you can be confident about the choices you’re making regarding your treatment.

Emergency hospital trip?

The last thing you want to worry about in an emergency situation is the cost of your ambulance; that’s why our health covers have no annual limits on Emergency Ambulance transportation. Excludes residents of QLD and TAS who have ambulance services provided by their State Ambulance Schemes.

What are my next steps?

1. Call us to save time and stress

Even if you don’t know what treatment or surgery is required at this stage, you should check what your cover includes before your see the specialist as well as if there are any waiting periods on your cover. Call us first on 13 16 42 with your nib and Medicare cards handy to check if:

  • Your potential treatment or procedure is included in your cover
  • You have served your waiting periods
  • You will need to pay a hospital excess
  • Your payments are up to date
  • Your contact details are up to date and match your Medicare details

By making sure your Medicare details and nib details match exactly you’ll save on time and stress when it comes to your hospital admission and claiming.

2. Use our hospital tools

We have a range of tools to help you with your hospital journey. If you’re an existing nib customer, you can call us to check if a procedure is included in your cover and login to Online Services to learn about the average costs involved.

3. Check out our Health Management programs

Going to hospital may not be your only option. Our Health Management Programs are delivered by qualified health professionals and are tailored to your needs – whether that’s to help get you in shape, keep you out of hospital or to aid a quicker recovery after you’ve been in hospital. These programs are available at no additional cost for eligible nib customers.

4. Be prepared with questions for your GP

Unless you arrive at hospital in an ambulance, you’ll probably talk to your GP first about any concerns you have. They’ll assess your condition and refer you to a specialist for further treatment if necessary. Your GP might also order tests ahead of your specialist appointments, such as x-rays, blood tests or ultrasounds.

Here are some questions you may wish to ask your GP:

  • Could you tell me more about my condition, tests and treatment?
  • Are there options other than surgery that I can try first?
  • What happens if I delay or don’t have surgery?
  • Why am I being referred to this particular specialist?
  • Are there other specialists who can also treat my condition?
  • What is this specialist’s experience in this type of condition?
  • Do you know if this specialist participates in nib MediGap?
  • Is it possible to have an open referral so I can see the specialist of my choice?

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