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nib Health Funds Ltd.

nib United Gold Resident Cover

Corporate Policy

$1,141.98 / month

(Before Rebate, Discount & Loading)

Available in NT

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

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

Children (0 - 17), non-classified* dependant (18 - 20), students (21 - 30) and non-students (21 to 30), as well as persons with a disability who qualify as a child, non-classified* dependant, student and non-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.

Corporate policy: Only available to Australian Residents eligible to take out a corporate plan with UnitedHealthcare

This policy exempts you from the Medicare Levy Surcharge.
This policy provides accident cover - check with insurer for details.
This policy does not provide benefits for travel or accommodation outside of hospital.

Policy ID: NIB/J41/DEHC2Y Source: Private Health Information Statement (PHIS)

Hospital Cover

Covered

Restricted Cover

Not Covered

This policy includes cover for

Assisted reproductive services

Back, neck and spine

Blood

Bone, joint and muscle

Brain and nervous system

Breast surgery (medically necessary)

Cataracts

Chemotherapy, radiotherapy and immunotherapy for cancer

Dental surgery

Diabetes management (excluding insulin pumps)

Dialysis for chronic kidney failure

Digestive system

Ear, nose and throat

Eye (not cataracts)

Gastrointestinal endoscopy

Gynaecology

Heart and vascular system

Hernia and appendix

Hospital psychiatric services

Implantation of hearing devices

Insulin pumps

Joint reconstructions

Joint replacements

Kidney and bladder

Lung and chest

Male reproductive system

Miscarriage and termination of pregnancy

Pain management

Pain management with device

Palliative care

Plastic and reconstructive surgery (medically necessary)

Podiatric surgery (provided by a registered podiatric surgeon)

Pregnancy and birth

Rehabilitation

Skin

Sleep studies

Tonsils, adenoids and grommets

Weight loss surgery

The benefits paid for hospital treatment will depend on the type of cover you purchase and whether your fund has an agreement in place with the hospital in which you are treated. See ‘Agreement Hospitals’ on privatehealth.gov.au for which hospitals have arrangements with your insurer – https://privatehealth.gov.au/dynamic/agreementhospitals.

Under this policy, you may have to pay out-of-pocket costs above what you get from Medicare or your private health insurer. Before you go to hospital, you should ask your doctors, hospital and health insurer about any out-of-pocket costs that may apply to you.

The following payments may also apply for hospital admissions

Excess: No excess

Co-payments: No co-payments

The following waiting periods for hospital admissions apply to new or upgrading members

Waiting periods:

Gap Cover

This provider offers 'known gap' or 'no gap' cover for medical bills for this product. The Medical Costs Finder (https://www.health.gov.au/resources/apps-and-tools/medical-costs-finder) lets you find out more about the cost of specialist medical services.

For further information about this policy see: https://my.nib.com.au/product-collateral/95

By using our FirstChoice providers, you may 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.

Policy ID: NIB/J41/DEHC2Y Source: Private Health Information Statement (PHIS)

Extras Cover

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

No annual limit

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

Initial visit: 100% of charge
Subsequent visit: 100% of charge

Ante-natal/Post-natal classes

No annual limit

Initial visit: 100% of charge
Subsequent visit: 100% of charge

Blood glucose monitors

$5,000 per person

combined limit for blood glucose monitors, orthotics (podiatric orthoses) & other services

Per monitor: 100% of charge

Chinese medicine

No annual limit

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

Initial visit: 100% of charge
Subsequent visit: 100% of charge

Chiropractic

combined limit for chiropractic & osteopathy

Initial visit: 100% of charge
Subsequent visit: 100% of charge

Dietetics/dietary advice

No annual limit

Initial visit: 100% of charge
Subsequent visit: 100% of charge

Endodontic

$2,500 per person

combined limit for endodontic, general dental, major dental & orthodontic

Filling of one root canal: 80% of charge

Exercise physiology

combined limit for exercise physiology & physiotherapy

Initial visit: 100% of charge
Subsequent visit: 100% of charge

Eye therapy (orthoptics)

Initial visit: 100% of charge
Subsequent visit: 100% of charge

General dental

$2,500 per person

combined limit for endodontic, general dental, major dental & orthodontic

Fluoride treatment: 100% of charge
Scale & clean: 100% of charge
Periodic oral examination: 100% of charge

Health management / Healthy lifestyle

$250 per person

Health management: 100% of charge

Hearing aids

$5,000 per person

Hearing aid: 100% of charge

Home nursing

No annual limit

Initial visit: 100% of charge
Subsequent visit: 100% of charge

Major dental

$2,500 per person

combined limit for endodontic, general dental, major dental & orthodontic

Surgical tooth extraction: 80% of charge
Full crown veneered: 80% of charge

Non PBS pharmaceuticals

No annual limit

Per eligible prescription: 100% of charge

Occupational therapy

Initial visit: 100% of charge
Subsequent visit: 100% of charge

Optical

$350 per person

Multi-focal lenses & frames: 100% of charge
Single vision lenses & frames: 100% of charge

Orthodontic

$2,500 per person

combined limit for endodontic, general dental, major dental & orthodontic

Braces for upper & lower teeth, including removal plus fitting of retainer: 60% of charge

Orthotics (podiatric orthoses)

$5,000 per person

combined limit for blood glucose monitors, orthotics (podiatric orthoses) & other services

Orthotics supply & fit: 100% of charge

Osteopathy

combined limit for chiropractic & osteopathy

Initial visit: 100% of charge
Subsequent visit: 100% of charge

Physiotherapy

combined limit for exercise physiology & physiotherapy

Initial visit: 100% of charge
Subsequent visit: 100% of charge

Podiatry

No annual limit

Initial visit: 100% of charge
Subsequent visit: 100% of charge

Psychology

No annual limit

Initial visit: 100% of charge
Subsequent visit: 100% of charge

Remedial massage

No annual limit

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

Initial visit: 100% of charge
Subsequent visit: 100% of charge

Speech therapy

Initial visit: 100% of charge
Subsequent visit: 100% of charge

Preventative Tests (no annual limit) e.g. thin prep, bone density testing, bowel screening and breast screening. Artificial aids / Orthotics / Speech processor (annual limit $5,000) e.g. spacer, peak flow meter, nebuliser, blood glucose monitor, orthotic appliances, Irlen lens (service limits apply). Myotherapy: Included in Natural Therapies benefit (no annual limit) along 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

Audiology

Vaccinations

Other features of this general treatment cover: We do not have a preferred-provider-network-arrangement but operate a MediGap scheme aiming to eliminate the 'gap' payments for specialist fees in hospital. When a specialist chooses to participate in MediGap, they agree not to charge an out-of-pocket expense for your procedure. We do this by building a network of specialists who may agree to receive a higher benefit from us than they would ordinarily receive. In exchange, they do not charge you an out-of-pocket expense. Ask your specialist if they'll MediGap for you!

For further information about this policy see: https://my.nib.com.au/product-collateral/95

Ambulance cover

In NT this policy provides:

Emergency: Unlimited with a waiting period of 1 day.

Call-out fees: Will be paid for each attendance, including emergency treatment without transport to hospital.

Other features of this ambulance cover: All our health covers include unlimited emergency ambulance (1 day waiting period on all emergency ambulance). Emergency ambulance is when you need immediate transport by a State or Territory ambulance to get to a hospital or other facility for urgent medical treatment. No annual limits for emergency ambulance apply.

For further information about this policy see: https://my.nib.com.au/product-collateral/95

Insurer Details

nib Health Funds Ltd.

nib United Gold Resident Cover

Corporate Policy

$1,141.98 / month

(Before Rebate, Discount & Loading)

Available in NT

Call now 13 14 63 Sponsor link

nib Health Funds Ltd.

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/J41/DEHC2Y