The nib MediGap network helps eliminate out of pocket costs for nib members for inpatient medical and surgical fees. If you’re a medical specialist, you can register to become a MediGap provider, which means you agree not to charge nib members any out of pocket costs for their inpatient service. The benefits to you as a provider include receiving faster payment from nib, not having to chase your patients for payment of their invoice, and being listed in our MediGap specialist search directory.
If you are a medical specialist (such as diagnostic or imaging specialist) there are a few things we want you to know to help you service and bill nib members and how to get in contact with us if you have any questions.
If you do not wish to register for nib MediGap or if you are not eligible, we can still pay you directly. So that we can simplify payments to you, we are switching from cheque payments to direct deposit into your account. If you would like to receive payments electronically, please register for direct billing.
nib's GapSure Anaesthetics network was designed to provide members with greater certainty when it comes to claiming and out of pocket costs. Unique features of the nib GapSure Anaesthetics network include:
Single RVG unit value - The nib GapSure Anaesthetics network applies a single uniformed value of $41 per unit on all MBS Item numbers with ASA RVG unitisation
Known gap - A discretionary $500 known gap is permissible. The application of this known gap is only applicable to procedures with 5 and above RVG base units
The nib GapSure Anaesthetics network is not discretionary. Once registered, the application of the network schedule is applicable to all your nib patients, rather than the current case by case opt-in opt-out nature of current schemes
Plus, the network covers all locations you work from.
We are helping our members find medical providers by directing them to search for a specialist who is registered to participate in MediGap.
Members can search for a MediGap specialist in our Going to Hospital tool in their Member Account, our find a provider tool, or within the nib App.