Member Frequently Asked Questions
We're making changes to our health insurance products that are designed to provide greater cover, value and benefits.
To see what’s changing in your policy, please refer to the Change Summary and the new Policy Document included in your Renewal Pack.
The changes are designed to provide greater value to your cover and make health insurance simpler and easier to understand. This includes changes such as higher limits on some benefits and expanded cover for many of our members.
Updates to your Policy Document are designed to make it easier to understand what you’re covered for, and help you get the most value from your health insurance.
In your Renewal Pack, the Change Summary outlines the main changes to your cover, your Policy Document includes the details of your cover, and your Renewal Certificate shows any exclusions you have listed and Options you have added.
These documents will also be available to view on mynib from your renewal date onwards.
The new terms and benefit changes will come into effect at your renewal date, which you can find in your Renewal Letter.
You don’t need to do anything. The changes will automatically apply on your renewal.
We recommend reviewing the Change Summary document to see the main changes to your cover.
We have not removed any benefits from your policy.
In some cases, benefits may have been changed, moved, renamed or combined. We’ve moved benefits to simplify your cover by having the same types of treatments or procedures grouped together.
We’ve also reviewed and updated some general exclusions to ensure greater consistency across nib’s products. In some cases, this may also impact what you can claim for going forward.
The Change Summary included with your Renewal Pack outlines the key changes to your policy.
Your premium change this year was not impacted by this.
Premiums are based on age, gender, and for some, smoking status. Premiums are also affected by medical inflation, which is impacted by the rising cost and number of medical and surgical procedures.
As age and medical inflation are both variables that change over time, policy premiums change as well.
Any changes you make to your policy will apply from your next available billing date, in line with the policy terms that apply on that day.
If this happens before your renewal, the planned update will happen on your renewal and will include any changes that you’ve made to your policy.
No, when your policy renews, the new terms and benefit changes will apply.
If you feel that your new terms and benefits don’t meet your needs, we suggest reviewing your cover with your financial adviser or our team at nib.
If the treatment takes place after your renewal, but within three months of the pre-approval issue date, then we will stand by the original approval or re-assess in line with the new terms, whichever provides you with the most cover.
If your treatment is planned more than three months after your pre-approval was issued, then your cover may have changed. Please check your new Policy Document to confirm what you’re entitled to.
No, your annual benefit limits will refresh on the renewal and again on your policy anniversary if they are different dates. After this renewal your annual benefit limits will refresh in line with your policy anniversary, as per usual.
If the treatment date is before your renewal, then your claim will be assessed based on the old policy terms.
The processes for claiming have not changed. Information on how to do this can be found on our website.
The process for making a complaint has not changed. Information on how to do this can be found on our website.
You can find the new and old policy documents by clicking here and searching your policy name (e.g. Ultimate Health etc).