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MediGap

Medical gap cover for our members.

Please see our recent nib MediGap update below.

What is MediGap

nib MediGap aims to eliminate the out of pocket costs nib members pay for inpatient medical and surgical fees. The MediGap benefit is higher than the Medicare Benefits Schedule (MBS) benefit, as outlined in more detail in the MediGap Schedule of Benefits.

As a registered MediGap provider, you have the right to decide on a case-by-case basis if you wish to participate. When you participate in MediGap for a patient, you agree not to charge the nib member 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.

To claim MediGap benefits, you must first be registered for MediGap. You, the patient, and the claim must also meet the eligibility criteria set out in the MediGap Terms and Conditions.

Update: Introducing Honeysuckle Health as nib's new agent for provider agreements

From 1 October 2020 nib has appointed Honeysuckle Health to act as its agent in relation to nib’s MediGap network.

Under the new arrangement, Honeysuckle Health will represent nib as its agent to manage all of nib's existing hospital, medical and ancillary agreements—including nib's MediGap scheme—as well as negotiate future agreements and funding models.

The current nib MediGap Terms and Conditions. will not change as a result of this transition.

Read more about Honeysuckle Health and what it means for you and your nib patients.

Innovative digital tools

nib members can search for a specialist who is registered to participate in MediGap in the following ways:

  • Using our Going to Hospital tool in Online Services
  • Through the find a provider tool on the nib website or on the nib App

MediGap FAQs

Male and female looking at some documents with a cup of coffee

More than 1 million Aussies trust nib with their health insurance.

Register to participate in MediGap and we'll introduce you to our members through our innovative specialist search tools.

Did you know?

nib underwrites APIA Health Insurance, Qantas Health Insurance, Suncorp, AAMI and United Healthcare Global for Medicare eligible residents in Australia.

The MediGap Schedule of Benefits for nib patients also applies for these customers.

Contact us

Registrations and updating details

For MediGap claim enquiries