Optical claiming

Lens extras, also known as add ons, are added coatings applied to the lens which you can choose to include to protect or enhance your glasses’ function. Such as anti reflective coating, tinting and UV coating.

No, lens extras aren’t covered under your health insurance, so they’ll come with out of pocket costs if you choose to add them.

A No Gap offer with one of our partner providers means we fully cover the cost of selected standard glasses or contact lenses.

If you had to pay an out of pocket cost, it may be due to selecting additional services or upgrades that aren’t included in the No Gap offer or covered by your health cover.

We only cover prescription sunglasses. However, we offer discount deals on regular sunglasses from selected brands. Visit our Optical page to see our offers.

We only cover prescription glasses. As magnification glasses are not prescription glasses, they are not covered under your Extras cover.

No, products or services must be supplied by a provider recognised by nib. Additionally, Australia has specific requirements for optical services and products, which overseas providers may not meet. For this reason, claims for glasses purchased overseas are not covered under your Extras policy.

To see our list of optical providers in our network, visit our Optical offers page.

Yes, some Australian-based online stores may be recognised within our network of optical providers. If you have a valid and up-to-date prescription, you can purchase glasses or contact lenses online and submit a claim via the nib App or your member account.

However, many members still prefer to visit one of our physical provider stores, where they can update their prescriptions, try on frames in person and speak directly with an optometrist.

Yes, you can. Just keep in mind:

• We can only pay a benefit for frames if prescription lenses are fitted.

• Once you provide proof that the lenses have been added, we can process your claim for the frames.

Yes, if your frames are still in good condition, you can simply update the lenses with your new prescription. Visit your optometrist and we’ll pay a benefit toward the new lenses only.

Routine eye tests are generally covered by Medicare every two years. However, some optometrists offer additional examinations and treatments. These services are not covered by Medicare or private health insurance at the moment.