healthslips.com.au Policy Information

Seniors Health Insurance

Seniors Top Extras

$339.72 / month

(Before Rebate, Discount & Loading)

Available in QLD

You may be entitled to an Australian Government Rebate on the above premium. Your premium may also include an insurer discount. Check with your insurer for details.

This policy covers: Two adults & dependants (3 or more people, only 2 of whom are adults).

Children (0 - 17), non-classified* dependant (18 - 20) and students (21 - 30), as well as persons with a disability who qualify as a child, non-classified* dependant and student in these age ranges. *Non-classified dependant: For nib Policies a person who is not a Policy Holder or Partner and who: is aged under 21 years is not married and does not have a defacto Partner; and includes a Foster Child, legally adopted child or stepchild.

Policy ID: NIB/I80/QTLS2D

Source: Private Health Information Statement (PHIS)

Extras Cover

By using nib's First Choice providers, you will have lower out-of-pocket costs on many allied health services. A list of "preferred providers" is available from the health insurer. See https://www.nib.com.au/find-a-provider.

This policy includes General treatment (Extras) cover for
Treatment & waiting period (months)
Benefit limits per 12 months unless otherwise stated
Examples of maximum benefits
Acupuncture 2

$400 per person

combined limit for acupuncture, chinese medicine, remedial massage & other services

  • Initial visit: 70% of charge
  • Subsequent visit: 70% of charge
Blood glucose monitors 12

$400 per person

  • Per monitor: 70% of charge
Chinese medicine 2

$400 per person

combined limit for acupuncture, chinese medicine, remedial massage & other services

  • Initial visit: 70% of charge
  • Subsequent visit: 70% of charge
Chiropractic 2

$400 per person

combined limit for chiropractic, osteopathy & other services

  • Initial visit: 70% of charge
  • Subsequent visit: 70% of charge
Dietetics/dietary advice 2

$350 per person

  • Initial visit: 70% of charge
  • Subsequent visit: 70% of charge
Endodontic 12

$1,000 per person

combined limit for endodontic & major dental

  • Filling of one root canal: 70% of charge
Exercise physiology 2

$250 per person

  • Initial visit: 70% of charge
  • Subsequent visit: 70% of charge
Eye therapy (orthoptics) 2

$200 per person

  • Initial visit: 70% of charge
  • Subsequent visit: 70% of charge
General dental 2

$1,000 per person

  • Fluoride treatment: 70% of charge
  • Scale & clean: 70% of charge
  • Periodic oral examination: 70% of charge
Health management / Healthy lifestyle 6

$200 per person

  • Health management: 70% of charge
Hearing aids 36

$1,200 per person

  • Hearing aid: 70% of charge
Home nursing 2

$200 per person

  • Initial visit: 70% of charge
  • Subsequent visit: 70% of charge
Major dental 12

$1,000 per person

combined limit for endodontic & major dental

  • Surgical tooth extraction: 70% of charge
  • Full crown veneered: 70% of charge
Non PBS pharmaceuticals 2

$500 per person

  • Per eligible prescription: 70% of charge
Occupational therapy 2

$300 per person

  • Initial visit: 70% of charge
  • Subsequent visit: 70% of charge
Optical 6

$350 per person

  • Multi-focal lenses & frames: 70% of charge
  • Single vision lenses & frames: 70% of charge
Orthodontic 12

$800 per person

$1,700 lifetime limit

  • Braces for upper & lower teeth, including removal plus fitting of retainer: 70% of charge
Orthotics (podiatric orthoses) 2

$250 per person

combined limit for orthotics (podiatric orthoses), podiatry & other services

  • Orthotics supply & fit: 70% of charge
Osteopathy 2

$400 per person

combined limit for chiropractic, osteopathy & other services

  • Initial visit: 70% of charge
  • Subsequent visit: 70% of charge
Physiotherapy 2

$500 per person

  • Initial visit: 70% of charge
  • Subsequent visit: 70% of charge
Podiatry 2

$250 per person

combined limit for orthotics (podiatric orthoses), podiatry & other services

  • Initial visit: 70% of charge
  • Subsequent visit: 70% of charge
Psychology 2

$500 per person

  • Initial visit: 70% of charge
  • Subsequent visit: 70% of charge
Remedial massage 2

$400 per person

combined limit for acupuncture, chinese medicine, remedial massage & other services

sub-limits apply

  • Initial visit: 70% of charge
  • Subsequent visit: 70% of charge
Speech therapy 2

$250 per person

  • Initial visit: 70% of charge
  • Subsequent visit: 70% of charge

Acupuncture

Waiting period:  2 months

Benefit limits per 12 months unless otherwise stated

{$400 per person}

{combined limit for acupuncture, chinese medicine, remedial massage & other services}

Examples of maximum benefits

{Initial visit: 70% of charge}

{Subsequent visit: 70% of charge}

Blood glucose monitors

Waiting period:  12 months

Benefit limits per 12 months unless otherwise stated

{$400 per person}

Examples of maximum benefits

{Per monitor: 70% of charge}

Chinese medicine

Waiting period:  2 months

Benefit limits per 12 months unless otherwise stated

{$400 per person}

{combined limit for acupuncture, chinese medicine, remedial massage & other services}

Examples of maximum benefits

{Initial visit: 70% of charge}

{Subsequent visit: 70% of charge}

Chiropractic

Waiting period:  2 months

Benefit limits per 12 months unless otherwise stated

{$400 per person}

{combined limit for chiropractic, osteopathy & other services}

Examples of maximum benefits

{Initial visit: 70% of charge}

{Subsequent visit: 70% of charge}

Dietetics/dietary advice

Waiting period:  2 months

Benefit limits per 12 months unless otherwise stated

{$350 per person}

Examples of maximum benefits

{Initial visit: 70% of charge}

{Subsequent visit: 70% of charge}

Endodontic

Waiting period:  12 months

Benefit limits per 12 months unless otherwise stated

{$1,000 per person}

{combined limit for endodontic & major dental}

Examples of maximum benefits

{Filling of one root canal: 70% of charge}

Exercise physiology

Waiting period:  2 months

Benefit limits per 12 months unless otherwise stated

{$250 per person}

Examples of maximum benefits

{Initial visit: 70% of charge}

{Subsequent visit: 70% of charge}

Eye therapy (orthoptics)

Waiting period:  2 months

Benefit limits per 12 months unless otherwise stated

{$200 per person}

Examples of maximum benefits

{Initial visit: 70% of charge}

{Subsequent visit: 70% of charge}

General dental

Waiting period:  2 months

Benefit limits per 12 months unless otherwise stated

{$1,000 per person}

Examples of maximum benefits

{Fluoride treatment: 70% of charge}

{Scale & clean: 70% of charge}

{Periodic oral examination: 70% of charge}

Health management / Healthy lifestyle

Waiting period:  6 months

Benefit limits per 12 months unless otherwise stated

{$200 per person}

Examples of maximum benefits

{Health management: 70% of charge}

Hearing aids

Waiting period:  36 months

Benefit limits per 12 months unless otherwise stated

{$1,200 per person}

Examples of maximum benefits

{Hearing aid: 70% of charge}

Home nursing

Waiting period:  2 months

Benefit limits per 12 months unless otherwise stated

{$200 per person}

Examples of maximum benefits

{Initial visit: 70% of charge}

{Subsequent visit: 70% of charge}

Major dental

Waiting period:  12 months

Benefit limits per 12 months unless otherwise stated

{$1,000 per person}

{combined limit for endodontic & major dental}

Examples of maximum benefits

{Surgical tooth extraction: 70% of charge}

{Full crown veneered: 70% of charge}

Non PBS pharmaceuticals

Waiting period:  2 months

Benefit limits per 12 months unless otherwise stated

{$500 per person}

Examples of maximum benefits

{Per eligible prescription: 70% of charge}

Occupational therapy

Waiting period:  2 months

Benefit limits per 12 months unless otherwise stated

{$300 per person}

Examples of maximum benefits

{Initial visit: 70% of charge}

{Subsequent visit: 70% of charge}

Optical

Waiting period:  6 months

Benefit limits per 12 months unless otherwise stated

{$350 per person}

Examples of maximum benefits

{Multi-focal lenses & frames: 70% of charge}

{Single vision lenses & frames: 70% of charge}

Orthodontic

Waiting period:  12 months

Benefit limits per 12 months unless otherwise stated

{$800 per person}

{$1,700 lifetime limit}

Examples of maximum benefits

{Braces for upper & lower teeth, including removal plus fitting of retainer: 70% of charge}

Orthotics (podiatric orthoses)

Waiting period:  2 months

Benefit limits per 12 months unless otherwise stated

{$250 per person}

{combined limit for orthotics (podiatric orthoses), podiatry & other services}

Examples of maximum benefits

{Orthotics supply & fit: 70% of charge}

Osteopathy

Waiting period:  2 months

Benefit limits per 12 months unless otherwise stated

{$400 per person}

{combined limit for chiropractic, osteopathy & other services}

Examples of maximum benefits

{Initial visit: 70% of charge}

{Subsequent visit: 70% of charge}

Physiotherapy

Waiting period:  2 months

Benefit limits per 12 months unless otherwise stated

{$500 per person}

Examples of maximum benefits

{Initial visit: 70% of charge}

{Subsequent visit: 70% of charge}

Podiatry

Waiting period:  2 months

Benefit limits per 12 months unless otherwise stated

{$250 per person}

{combined limit for orthotics (podiatric orthoses), podiatry & other services}

Examples of maximum benefits

{Initial visit: 70% of charge}

{Subsequent visit: 70% of charge}

Psychology

Waiting period:  2 months

Benefit limits per 12 months unless otherwise stated

{$500 per person}

Examples of maximum benefits

{Initial visit: 70% of charge}

{Subsequent visit: 70% of charge}

Remedial massage

Waiting period:  2 months

Benefit limits per 12 months unless otherwise stated

{$400 per person}

{combined limit for acupuncture, chinese medicine, remedial massage & other services}

{sub-limits apply}

Examples of maximum benefits

{Initial visit: 70% of charge}

{Subsequent visit: 70% of charge}

Speech therapy

Waiting period:  2 months

Benefit limits per 12 months unless otherwise stated

{$250 per person}

Examples of maximum benefits

{Initial visit: 70% of charge}

{Subsequent visit: 70% of charge}

Preventative Tests ($200) e.g. thin prep, bone density testing, bowel screening (Service limits apply). Health Aids ($400) e.g. spacer, peak flow meter, nebuliser, Irlen lens. Myotherapy: combined limit of $400 with acupuncture, remedial massage and chinese herbalism. Healthier Lifestyle includes nib approved weight management, quit smoking and health management programs (gym, personal trainer) and more. Psychology has a sublimit of $150 for Digital Cognitive Behavioural Therapy (CBT).

This policy does not include General treatment (Extras) cover for

Ante-natal/Post-natal classes
Audiology
Vaccinations

For further information about this policy see: https://my.nib.com.au/product-collateral/539

Ambulance cover

Ambulance cover is provided by the State government for Queensland residents (https://www.ambulance.qld.gov.au). This includes cover whilst interstate.

Other features of this ambulance cover: Emergency ambulance costs are covered by the state government for residents of Queensland.

For further information about this policy see: https://my.nib.com.au/product-collateral/539

Insurer Details

Seniors Health Insurance

Seniors Top Extras

$339.72 / month

(Before Rebate, Discount & Loading)

Available in QLD

Seniors Health Insurance

https://www.nib.com.au

13 14 63

Disclaimer: This document is not a Private Health Information Statement (PHIS), and it is not intended to replace that document. The details contained in the healthslips.com.au Policy Information was provided by the insurer to the Australian Government. It is intended as general information. It may not take into account your circumstances. For further information contact the insurer. Information used is Licensed from the Commonwealth of Australia under a Creative Commons 3.0 licence.Private Health Information Statement is available from the Private Health Insurance Ombudsman website at https://privatehealth.gov.au/dynamic/Premium/PHIS/NIB/I80/QTLS2D

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