nib Health Insurance Review

Published: July 21, 2017

It’s no secret that private health insurance offers you more health care options than Medicare can provide. However, with so many health insurance options to choose from it’s important to carefully compare health funds before you decide which one will provide you with the most value for money.

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If you’ve been considering nib as a viable health cover option, then take a few minutes to read through this article and find out more about nib’s health insurance solutions. Compare their plans, get a nib health insurance quote, and see if what they offer is suitable to your specific needs and circumstances.

Hospital cover

  • Basic Hospital
  • Standard Hospital
  • Top Hospital

Extras cover

  • Core Extras
  • Core Extras Plus
  • Young at heart

Life stages

  • Singles cover
  • Couples cover
  • Family cover

nib private health insurance started in 1952, with a group of like-minded workers at BHP Steelworks in Mayfield who came together to set up Newcastle Industrial Benefits, better known as nib,. 65 years later, nib is one of Australia’s fastest growing private health fund, providing health cover to more than one million customers.

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Compare nib health insurance plans

nib health insurance plans provide a variety of offerings to suit many different types of people, at different stages of life. Whether you’re single, starting a family or getting ready for retirement, nib has got you covered. Their Hospital cover consists of three plans with four different levels and includes a wide choice of optional extras.

nib Hospital Cover options

If you’re looking for a hospital plan that best suits your lifestyle and budget, then take a moment to compare and review nib’s four different levels of cover. nib’s Hospital Cover options include Basic, Standard, Advantage, and Top.

While there are clear differences between these levels, each hospital cover option includes:

  • Access to the nib MediGap scheme, which means you’re less likely to face out-of-pocket expenses by using participating practitioners.
  • Cover for ward fees, day surgery, special care unit accommodation, nursing expenses, and operating theatre fees*.
  • Unlimited emergency ambulance cover.
  • No excess for dependent children (up to age 21 years) upon hospital admission.

Take note; the above features are not always available with basic hospital plans. Carefully read through your product disclosure statement (PDS) documents to make sure what you are and are not covered for.

Hospital CoverWhat is coveredWhat is excluded
Basic Hospital $250 or $500 excess
  • Treatment for accidental injury.
  • Ambulance
  • Appendix, tonsils and adenoid removal
  • Colonoscopies
  • Dental surgery
  • Gastroscopies
  • Treatment for ear infections
  • Gynaecological services
  • Hernia repair
  • Joint investigations and reconstructions
  • Back surgery
  • Brain surgery
  • Obesity surgery
  • Heart procedures & stroke treatment
  • Cancer treatment
  • Eye treatments
  • Joint replacements
  • Renal dialysis
  • IVF & Infertility investigations
  • Pregnancy & birth related services
  • Cosmetic surgery
Standard Hospital $500
  • Everything offered in Basic
  • Brain surgery
  • Cancer treatment
  • Heart procedures
  • Stroke treatment
  • Back surgery
  • Obesity surgery
  • Eye treatments
  • Joint replacements
  • Renal dialysis
  • IVF & Infertility investigations
  • Pregnancy and birth related services
  • Cosmetic surgery
Advantage Hospital $250 or $500 excess
  • Everything offered in Standard
  • Back surgery
  • Eye treatments
  • Joint replacements
  • Renal dialysis
  • Obesity surgery
  • IVF & Infertility investigations
  • Pregnancy & birth related services
  • Cosmetic surgery
Top Hospital $250 or $500 excess
  • Everything offered in Advantage
  • VF & Infertility investigations
  • Obesity surgery
  • Pregnancy & birth related services
  • Cosmetic surgery

nib Extras Cover options 

Core Extras

If you choose Core Extras, then you’ll receive cover for a wide variety of health services, including dental, optical, physiotherapy, and so much more.

Core Extras Plus

If you choose Core Extras Plus, then you’ll receive cover for the same wide variety of treatments and services, but the difference is that you’ll enjoy higher annual limits.

Core Extras vs. Core Extras Plus

What’s coverednib Core Extras (65% Back)nib Core Extras Plus (75% Back)
Emergency ambulance
Preventative dental treatments, including examinations, scale and clean, fluoride treatments.
General dental, including fillings, x-rays, and basic extractions.
Major dental, including crowns, bridges, root canal, wisdom teeth, dentures, and implants.
Orthodontics
Optical
Physiotherapy
Antenatal & postnatalYou can add it
Chiropractic & OsteopathyYou can add it
Dietary adviceYou can add it
Exercise physiology
Eye Therapy
Health AidsYou can add it
Hearing aidsYou can add it
Speech processor for hearing aids
Home nursing
Natural therapiesYou can add it
Occupational therapyYou can add it
PharmaceuticalsYou can add it
Podiatry & orthoticsYou can add it
Preventative testsYou can add it
PsychologyYou can add it
Speech pathologyYou can add it

Family Extras

The only add-on which lets you get orthodontics and speech therapy cover with your Core policy. If you’re looking for nib family cover, these add-ons offer Extras that your family needs as they grow, including kids’ items that they would use for things like asthma or dyslexia.

Wellbeing Extras

These will help you look after your general wellbeing, including cover for things like splints, braces, joint fluid replacements, and other items that a healthy person who’s experienced an injury might need to use. It also includes cover for chiropractic, osteopathy, natural therapies, and psychology.

Young at Heart Extras

Designed for the older and wiser among us, it includes a specialised range of useful health devices cover, like cover for hearing aids, pharmaceuticals, preventative tests, and more.

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Cover options at different life stages

nib offers singles health insurance, couples health insurance, and family health insurance. Each is tailored to suit a variety of lifestyles, from nuclear families and older individuals living the single life, to single-parent families on a budget.

nib Singles health insurance 

Singles health insurance includes treatments and services, like emergency ambulance and accidental injury, as well as some specific hospital treatments, will look to this option. You can tailor your cover by choosing between Basic, Standard, Advantage, or Top hospital cover levels. Don’t forget to bundle in your choice of Extras for a range of services, including dental, optical, and physiotherapy.

nib Couples health insurance 

Couples health insurance offers a variety of plans suitable for different kinds of couples, including older couples who have no dependents, young couples without children, or couples planning to start a family. To get more from your health insurance, add on some Extras to cover things like a trip to the dentist or a new pair prescription glasses.

nib Family health insurance 

From growing families, young families, established families, single-parent families, and families on a tight budget, nib can offer you cover on a variety of services. After all, if you or your child becomes sick or injured, the last thing you should be worrying about is the cost of getting well again. Remember to include your choice of Extras so you can get cover for the things that matter most, like dental, optical, and physiotherapy.

Benefits of nib health cover

There are many benefits to having private health insurance, but to enjoy those benefits, it is essential that you choose the correct cover for your needs and profile.

  • Use nib’s app for easy mobile claiming from your iPhone, iPad, and Android, by simply snapping and submitting a photo of your treatment receipt.
  • Use the app to check your remaining Extras benefits, update your details, and find your nearest nib centre.
  • Hospital cover levels include Accidental Injury Benefit which offers more protection against the unexpected accidents.
  • If you get treatment at nib Agreement Private Hospitals, you can keep your hospital costs down, by reducing/eliminating the need to pay out-of-pocket expenses.
  • All new members benefit from a 30-day guarantee, so if you’re unhappy, they’ll refund your premiums if you haven’t already claimed.

nib Exclusions | What’s not covered 

  • If you claim for treatment that is excluded from your health insurance policy.
  • If you claim for treatments/services performed during the waiting period on your policy.
  • If it’s for a treatment/service that hasn’t been received
  • Any hospital excess.
  • Pharmaceuticals available under the PBS.
  • If your claim is not lodged within two years of the date of service.
  • Care and accommodation in nursing homes.
  • Respite care.
  • Special nursing.
  • If you claim for services/treatments performed outside of Australia.

Waiting Periods and Excesses

A waiting period refers to the amount of time you’ll have to wait before you can claim for a specific service or treatment. The excess is the amount you pay first, reducing the burden on the insurer and allowing them to provide policies at a lower premium.

Waiting periods

  • Pregnancy and birth-related services: 12 months.
  • Pre-existing conditions: 12 months. This was when symptoms of your illness or injury were evident at any time during the 6 months immediately before
  • Psychiatric, rehabilitation or palliative care services: 2
  • Accidental injury: 1 day
  • Ambulance services: 1 day.

Excess amounts

  • nib has two levels of excess you can choose, $250 or $500 per person.
  • The number of times that you pay excess per calendar year is determined by your policy.
  • nib doesn’t cover hospital excess.
  • You can choose a higher excess to lower your premiums, or a lower excess and pay higher premiums.
  • Most hospitals expect that you pay your excess before admission into the hospital.

Frequently asked questions about nib health care

Nib dental insurance is part of their selection of Extras cover that enables you to keep your teeth healthy. With this option, you could receive up to 100% cash back for dental check-ups at nib Dental Care Centres, and Pacific Smiles Dental. These check-ups include an examination, scale, clean, and fluoride treatment. However, there are limits, so check your policy.

You claim from your nib health insurance policy by simply swiping your membership card at participating providers or submit your claim via the nib app on your smartphone. If you prefer going old school, you can post your claim form to nib or submit it in person at any nib retail centre

To cancel a health insurance policy from nib, the policyholder must notify nib in writing, or call them directly. Alternatively, you can cancel face-to-face at any nib retail centre. The cancellation will take effect from the date on which you give notice and must be in accordance with the terms and conditions of your policy.

nib offers a diverse range of health insurance products, suitable for people from all stages of life. However, if you want to be sure they are the right fit for you and your family, it might be worth comparing their policy options against other top health insurers in Australia.

Compare Top Health Cover Options

Ask an Expert?

4 Comments

  • Naomi Turnbull |

    Hello. I have been overseas for the last 3 years (and a bit) in which my company provided expat insurance – does this cover private health insurance or do I need to restart? I previously had private health insurance for over 10 years prior to that.

    • SPECIALIST
      Anneke Van Aswegen |

      Hi Naomi,

      Thank you for your question. I would love to help you, but I require a bit more information and some clarity. What I first want to know is, did you mean you are an Australian citizen who has lived abroad for 3 years or have you been living in Australia for 3 years as an expatriate?

      I suggest filling in the quote form above so that a specialist health insurance consultant can give you a call and take you through the process step-by-step.

  • DJ |

    Does NIB cover Osteo appointments?

    • SPECIALIST
      Anneke Van Aswegen |

      Hi DJ,
      If you have Extras cover that includes Osteopathy, you’ll generally be able to claim a portion of the appointment and treatment costs.

      For example, NIB Top Extras provides cover for Osteopathy, however, as with most health funds, a 2 month waiting period will usually apply before you are able to claim for this benefit.

      While Osteopathy is covered by most private health funds in Australia, the amount you can claim varies from fund to fund and depends on your choice of basic, medium or comprehensive extras cover.

      Review and compare extras cover options from a variety of health funds to ensure you are getting the best policy at the best possible price. Simply fill in the form above and a health consultant will give you a call to take you through all the options available to you.