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NIB Health Insurance

NIB Health Insurance

 Verified
NIB Health Insurance
1.7

791 reviews

Positive vs Negative
25%75%
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Claim Resolution Time
  • <10 minutes
  •  · 
  • <1 hour
  •  · 
  • <1 day
  •  · 
  • <1 week
  •  · 
  • 1-2 weeks
  •  · 
  • 3-4 weeks
  •  · 
  • 1-2 months
  •  · 
  • 3+ months
Claim ApprovedYes · No
Value for Money
1.7
Transparency ?
1.6
Customer Service
1.8
791 reviews
1 Kevin L.  · NIB use complicated process to make the claim very difficult. They will ask for document that is impossible to get, no practical process,
1 Andy4210  · I went to the dentist and NIB app didn't work. Lucky I had bit of cash to pay the dentist. Very bad service NIB.
1 Eddy  · Absolutely horrific company to deal with. Very vague with communication, and the biggest price hike of all Insurers back in April!
1 Antonio R.  · So glad I read these reviews.. I was about to sign up to get the 10 weeks free. Thank god I didn’t. Thanks everyone
1 NIKKY N.  · Worst insurance. I have it and I'm really disturbed as I claim everytime but get nothing. They are just money eaters.
1 Cugel The Clever  · Worthless cover negative 5 stars – Worthless cover. Charlatan company absolutely useless humans. Do not sign up
HalfTheWorldAway
HalfTheWorldAway9 posts
 

I've had massive problems since moving to NIB for extras. Issues with waiting periods, a horrible user experience with the waiting periods and the coverage and a poor live chat experience. Switching to NIB for extras has been a disaster and huge regret for me Show details

Ask the reviewer
Reta Cousins-Bray
Reta Cousins-BraySA
 

If I could rate lower I would! I have been trying to cancel my policy of 1 day and have had no success what so ever to actually speak to someone that can and will help me. I have attempted to ring them 5 times yesterday alone with waiting times of1 hour and 45 minutes at one stage! Promised a call back twice and I am still waiting. Absolutely appalled at the lack of service. Glad I opted to stay with previous provider. Show details

Ask the reviewer
Ttttt
Ttttt3 posts
 

If you call them you wait 15 minutes until some specialist takes your phone call then this specialist can’t help you and you stay on line for another 45 minutes until they take your question First specialist is useless I think but getting paid from us members a good specialised dollar lol Show details

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Reviews with attachments

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Moky J.
Moky J.QLD
  Verified

I had a tooth extracted on 25/02/2026 which was covered under 'Major Dental' area of my Core Extras policy. When I presented the card after the procedure it came back 'Declined' with 'Item Not Valid' under the Item number. Why? The day before, I contacted NIB, who stated that the amount to be paid under Item 324 was $357. When I rang the call… Read more

centre to check why it was declined they said "Probably the provider (dentist) had set up that Item number incorrectly in their system." Seriously, you blame the dentist? They would have had many customers use that Item number before, so if everytime they used it Hi-Caps' would decline it wouldn't they have done something about it? The reality is these health funds won't admit they're at fault and aplogise to the customer. Too bad if I didn'have the full amount of $775 in my bank account How would I have paid? So, time to leave NIB and switch to another health fund. Darryl

nib
nib    

Good Morning Moky, Thank you for taking the time and… Read more

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Jem S.
Jem S.QLD7 posts
 

I had changed from a different health fund to NIB, which meant paying more - quite a difference more because the 'paybacks' on items was supposedly far superior and guaranteed by agent from icompare. She told me things like $300 back for spectacles, $1000 when I got a crown - and reading NIB policies that is what is says, hence why I was willing… Read more

to pay more for a better policy, which in the end, I feel I should have stayed with AHM, and that NIB is a waste of money and not transparent in what you actually do get back. For example, my old fund only paid back $170 on optical, wheras NIB states $300 for a single person in their policy. This is inacurrate, I went today to specsavers and they only paid $169 (the policy renews at the start of each year) and I had waited any 'waiting period'. The cheaper health fund AHM that I had left so I could get better value supposedly with NIB, honoured their limits and I actually would have got back more had I stayed with AHM then NIB. When I told specsavers, I believed I was covered $300, the salesperson reported that I was not the first NIB customer to complain. I was out of pocket $170. I am disgusted. Specsavers told me that NIB would pay probably $300 if I'd spent thousands on glasses. Even when originally swapping to NIB, the person from compare the market also told me I got back $300 on optometry. Well, because this allegedly is not true, I have decided to leave NIB and return back to the cheaper health fund - that did honour policies - if only $170 was for optometry/glasses, it didn't matter what you spent, you got with that other fund the correct policy refund back. NIB appears dishonest.

Here is the actual truth and amount. The maximum paid for optometry is $300 BUT NIB only pays 60% of the service. When the consultant for I compare changed me over, this was not made clear - instead she told me I would get $300 back.

I am on a pension, and I compare told me this health fund for my needs was the best in value. It is not - how come when I was with AHM paying nearly $10 less p.f. I got back the same amount for glasses.

So, warning if you go to places that compare funds, make sure they tell it straight. No, you do not get $300 back on the nearly $400 spent - you only get 60%, So, to get 300 back one would have to spend thousands according to Specsavers.

Goodbye NIB, I am going back to AHM where it is better value. I don't just hold NIB responsible, I hold compare the market equally to blame. If you can, do your own online research.

nib
nib    

Hello Jem. I hope this message finds you well. We thank you… Read more

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Alicia C.
Alicia C.QLD2 posts
  Verified

Cancelled my policy and have been charged anyway. Passed around the phone 3 times, no resolution, they can’t refund me yet. I am in extreme financial distress, called to cancel due to this financial stress prior to payment date, and was not only charged anyway, but sent my bank into debt causing me to be charged $30 dishonour fees. Thanks NIB … Read more

When I inform them their customer is in extreme financial distress with no money for food and need this escalated and dealt with, Callan, manager, says “yeah sorry there’s nothing we can do until Monday.” No customer care, no responsibility taken for charging me even though I cancelled within my 30 days cooling off period.

I wish upon you all that serve this company, that you meet the same helpfulness I received when in such facial distress yourselves!

nib
nib    

We are sorry to hear of your most recent experience Alicia… Read more

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Sarah B.
Sarah B.3 posts
  Verified

Absolute Garbage – On 482 visa. Was involved in an accident. Admitted to hospital. Ambulance was paid, hospital stay was eventually paid although I had to call as they were going to pay the hospital instead of me. They're quite incompetent. Checked my app and factsheet because I had to go back and have followup X-rays to see if my bones were healing. Factsheet says:… Read more

Benefits Covered Emergency room visits that lead to a hospital admission 100% cost No wait Outpatient continuing treatment following hospitalisation 100% cost No wait I've posted a photo of it for reference. Now, if you're reading that you're going to say, ok I am going for my outpatient continuing treatments following hospitalization, this will be 100% covered. Submitted claim - denied. Called to ask why. Was told they could not link my appointment to my hospital stay. I obtained all my hospital records and resubmitted the claim. Denied again. Called again. This person told me I needed a letter from the hospital dated for while I was in the hospital with a detailed recovery plan. Well it's five or six weeks after the fact so that doesn't exist. I have the doctor write me a letter explaining why these appointments are needed. Submit that, of course, denied. This all is over the course of two months while I'm learning to walk again, have multiple fractures, etc. Was told that if I was released from the hospital there was no need for me to be going back because that meant the doctors no longer needed to see me and I can do all my recovery at home. Last time I checked I don't own an x-ray machine, but ok. The fact sheet supplied by nib should be reworded. It provides false information, so you believe you're covered when you're actually not. Love having to pay $2500 out of pocket. Since the first time I called in, they didn't think to say, oh you're not actually covered. Perhaps I would've changed my plan then to avoid racking up such debt by going to all these appointments. I was told something different every time I called in. Oh and you cannot email them, and they will not email you. I requested they send me in an email what I need to have my claims approved, because talking to them on the phone they speak in circles, and at the end of it you're so frustrated you forget half of it. Anyways, no we don't send emails, one lady said she would put a request in to have an email sent to me.. it's been like seven weeks and still no email. I'm paying this company, they cannot send an email to me?! Also if you live outside the NSW timezone you'll be happy to know their call centre hours are only accommodating to that part of Australia. Their app is alright, however when you upload everything and they email you back a denial, there's no reasoning in the email, just says no, and you cannot reply. You've got to call in. The app showed they were paying one of my claims to the hospital, so I called to check on that as if should be paid to me, I was excited like yes they're finally approving my outpatient continuing treatment following hospitalization. They guy says oh no that's wrong we're not covering you for that, then it magically disappeared from my app although I took a screenshot while it was there. I wonder if they would've paid the hospital and I could've recovered my money that way? Ah wishful thinking.. After this whole fiasco, I am only 2.5months away from reaching a year with them, and am only staying so I can carry proof of 12-months coverage onto a new insurance provider. My husband is doing the same. We have warned all our friends and family about this company. It's been 2.5 months since my hospitalization. I just attended my final follow-up appointment yesterday and was officially discharged meaning I don't have to go back. I should be free of crutches in a week and my bones are healing properly. My doctors have been understanding and are going to write one last letter for me in the hopes of having my claims covered but no one is overly optimistic at this point. I'm just really disappointed that I was basically lied to at the start. I wasn't told up front that no you're not covered, and asked if I wanted to upgrade my plan. I was lead on several wild goose chases while I accumulated more bills that they knew they weren't going to cover. This company should be shut down. It's a harsh lesson to learn when you come from Canada. Also like, why doesn't Canada have reciprocal coverage with Australia? That's a question for another day. If you're reading this review, avoid nib like the plague!

nib
nib    

Hey Sarah, I truely hope you're recovering well from your… Read more (+2 replies)

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Mai
Mai
 

Refuse to pay for my emergency bill – I will rate 0 star if I could. Very terrible service, My dog bite me on saturday there was no GP open so I needed to go to emergency. They refuse to pay. They even told me I need to get the discharge letter from the hospital so they can have a look. And the hospital refused to give it to me. I was very very frustrated Show details

nib
nib    

Hi there, hope all is well now. We will be happy to discuss… Read more

Latest follow-ups

Jen
JenNSW9 posts
 

Yet AGAIN! In hospital blood tests every day. YET AGAIN NIB is the ONLY Health Fund that doesn’t cover pathology. The last time I I posted a review about this they replied that they do cover pathology . That is a blatant lie Asked for claim forms… Read more

for other claims to be posted WEEKS ago. I imagine that the will blame Australia Post. If you are shopping around for an ethical, service driven Health Fund leave NIB off your shopping list!

 Follow-up  · NIB contribute a SMALL amount to inpatient pathology BUT they are the ONLY fund to not fully cover. So they say that they cover pathology but don’t ever let you know that unlike ALL other funds they only cover a small portion.

nib
nib    

Hi Jen, I am sorry to hear about your experience with your… Read more

Julio N.
Julio N.
 

I have been a NIB insurance customer for 15 years. I have been loyal, paying fees on time and have made no dramas with the company. Recently I needed to have an emergency operation for my gallbladder that couldn't be delayed waiting for a public… Read more

hospital. When the time came to pay for these operations, I was refused any rebates or financial assistance from NIB. My policy states I have hospital cover so I was shocked that this operation fell out of my policy coverage. This was an important emergency operation and they did not pay me a single dollar. I am very unhappy with this outcome and have cancelled this product with them. A warning to those looking at being customers with NIB that their coverage is unclear and have put me in a very terrible position.

 Follow-up  · As usual NIB they care less about my complaint, they have not contacted me.

nib
nib    

Good Morning Julio N, Thank you for reaching out to us and… Read more

Bretto
BrettoQLD3 posts
  Verified
Value for Money
Transparency
Customer Service

We’ve been disappointed by our experience with NIB so far. When we initially signed up, we did so with the expectation of comprehensive health insurance coverage and genuine peace of mind—especially given the significant annual cost of our policy. … Read more

Unfortunately, that hasn’t been our reality. Following a recent accident, my wife was left covering the majority of her surgery and hospital expenses out of pocket, despite being insured. On my side, I’ve reached the annual limit on dental claims, meaning I’m unable to access further benefits, though I’m continuing to pay monthly premiums.

When claims are restricted or declined during genuine times of need, it undermines the very purpose of health insurance. We hoped for better support from NIB, particularly during moments when coverage should matter most.

 Follow-up  · Despite being advised by NIB that my case would undergo review, I’ve received no follow-up and observed no changes stemming from my rating. This lack of responsiveness suggests a concerning disregard for customer feedback and care.

nib
nib    

Hi Bretto. Thank you for reaching out and providing your… Read more (+1 reply)

Recent reviews

Michael
Michael2 posts
 

What a reprehensible organisation. I’ve been a customer for 10 years and have quietly paid my monthly fees without ever making a claim. Now due to a sports injury I need an operation and how much are they willing to cover - you guessed it, $0!!! Show details

nib
nib    

Hi Michael, I am sorry to hear about your experience with… Read more (+1 reply)

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Kim
KimVIC
  Verified

I am extremely dissatisfied with the cancellation process at NIB Health Insurance. During my initial call, my identity was fully verified. Despite this, I was informed that cancellation cannot proceed without a secondary callback [from an unknown number] within 3 business days to reconfirm my personal details. No alternative secure method [such… Read more

as written confirmation or online verification] was offered.

Given the prevalence of scams, requesting customers to disclose personal information to unidentified callers raises legitimate security concerns.

I also attempted to resolve the matter via online chat and was placed on a same-day callback list, which was not honoured.

The process appears unnecessarily restrictive, complicated, inconvenient and creates avoidable barriers for customers wishing to cancel. I expect a more secure, transparent and efficient system. Very disappointing experience.

nib
nib    

Hi Kim, I am sorry to hear about your experience with… Read more

Bruce
Bruce2 posts
 

Almost non-existent customer service, phoned NIB, the AI hung up on me, I did a chat and it would not put me through to a human. I phoned again and it had considerable trouble understanding me, I finally got put through to a human, and expressed my frustration and he was angry with me because of my complaint. WoW. Been with them since early 80's on and off, used to be great, Now, the words don't describe Show details

nib
nib    

I hope this message finds you well Bruce. We're so sorry… Read more

Bhagwati K.
Bhagwati K.QLD
 

I really had really really very bad experience with this insurance. I am blaming myself why i choose this insurance for my father in law. They came from overseas, I was authorized person and got policy for them and paid everything from my pocket. They told me when they return I can email the cancellation form signed by my father in law then it… Read more

will cancelled. They left the country two days ago, i emailed them cancellation form but now they are saying they have to upload the form from their end and they have to talk to service provider. I already told them he doesn't know how to speak English or open this browser to upload. Now they are saying they can't cancel his policy, really ???? they want me to pay them for nothing. My father in law is already back in overseas. I told them i am happy for them to provide their return ticket, passport details all evidence that they are back but still said they can't cancel policy. BUPA and Allianz has far more better service than this company. If they have explained all these before I bought this policy, I would never ever had join, they just told me I can email them cancellation form signed by my father in law. If you guys are getting insurance for your parents from overseas and if they doesn't know how to speak and write English than never ever use this insurance. They doesn't deserve even 1 star it should be on 0 or minus.

nib
nib    

Good Morning Bhagwati. Thank you for reaching out to us and… Read more

MSN2010
MSN20104 posts
 

15+ Years With NIB After being a loyal NIB member for over 15 years, I’ve just had the most frustrating and disappointing experience imaginable. I have been paying for a premium plan for years, believing I was properly covered. Yet I’ve now discovered that my plan actually provides less coverage than cheaper plans that NIB currently offers. At no… Read more

point did NIB ever bother to contact me, review my plan, or advise me to adjust my cover—even though my claims history clearly showed I wasn’t getting value. Now, when I urgently need support for cancer treatment, NIB informs me that I’m not covered and must serve a waiting period. This is despite the fact that I have consistently paid higher premiums, trusting that I was properly protected. This is beyond disappointing—it feels like a complete failure of customer care. After more than a decade of loyalty, to be told “your plan doesn’t include that benefit” when facing a serious illness is absolutely unacceptable. I cannot recommend NIB. Choose a provider that looks after its members, not one that leaves long‑term customers stranded while continuing to increase premiums. Deeply disappointed and strongly advise others to look elsewhere.

nib
nib    

Hello. I hope this message finds you well. We thank you for… Read more

dexter d.
dexter d.QLD2 posts
 

I was doing online quotes as it’s that time of year. Check NIB, more expensive and go fine. I get a call from someone rude and arrogant. Firstly, I was not expecting a call. Other insurers ask if you want a call. He was rude, unprofessional and arrogant. Stating he knows other insurers policies and will give me a better price. I stated I use… Read more

my extras a lot for my son, his response of but you don’t really use it much as you don’t use everything. I stated I don’t want to drop my level of cover, he tells me I need to look to do that for a better price. 10minutes of him being rude before I cut the call. I used to be a NIB customer, but this level of service and interaction just reaffirms my decision to leave

nib
nib    

Hello Dexter. I hope this message finds you well. We thank… Read more

Geoff
Geoff3 posts
 

Never had problems with NIB. Been with them for many years. Always prompt and informative via phone or online chat. Kept up-to-date with claim procedures and extremely helpful. Put in a claim on 2/1/26 at 3.36pm, processed and finalised by 3.43pm. Received a text and email. Very happy. Maybe those complaining need to check your cover on a regular basis or if going into have a procedure at hospital contact NIB prior. Show details ·  1

Wendy D.
Wendy D.
 

This review is about a Staff. I used to work for NIB. I was working with [Name Removed], He was the worst team managers I had ever worked with. He does not respect anyone, Just yaps in team meetings and goes away. He favours a few people in team and only talks to them. He dislikes people like me, he does not like Asians, and other ethnicity for… Read more

some reason. The head of contact centre [Name Removed] is lovely and helpful but she is very busy. Many of my colleague resigned from NIB after working with this person. When we are working, we have to struggle under people like [Name Removed]. Main reason why I am doing this is, I do not want other people like me to suffer under this id*ot. I was tempted to use another word but did not want to do it.

nib
nib    

Hi Wendy. Sorry to hear of your experience. To enable us to… Read more

Sarah f
Sarah f
 

The worst health insurance Australia could possibly have. They don’t help with anything and put nurses on the phone who say they don’t know how to help their patients. Terrible! The worst of all Show details

nib
nib    

Hi Sarah, I hope this message finds you well. We thank you… Read more

Bush
Bush2 posts
 

Another company only interested in collecting your money, getting out of covering a minor surgery for our 2 year old because of a fine print technicality. If you value your health, the health of your family and your money stay well away from NIB. You have been warned. Show details

nib
nib    

I hope this message finds you well. We're so sorry about your… Read more

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TAN WAN ZHEN S.
TAN WAN ZHEN S.2 posts
 

Not even Worthing any stars. Once they know I had applied for Medicare, they not helping anything’, instead their recovery team was fast enough to contact me to ask for money, stating they overpaid it. However can’t validate which exactly billing, and what’s the reason behind. As the so called “overpaid” bill they requested me to pay WAS BEFORE I… Read more

applied Medicare. How funny. Tried to solve this about 2 months but no outcome, contacted them about 4 times also can’t resolve it. Chat online and they told me, they can’t do anything as it is not from their team. Called directly to the number they provided, which is recovery team, within 2 months, within office hours, and it always went to voice note and failed , they phone line is CLOSED on weekday office hour. So called professional? I really don’t understand how they works.

Asked for proof or reasons or clarification on certain questions, they can’t even answer. And chosen to change topic and demand for money. We are happy to pay only with the right explanation and clarification with LOGICAL way.

Thank you. From loving nib as loyal customers for yearsss, to dislike it now.

nib
nib    

Hello Tan, I hope this message finds you well. We're so sorry… Read more

MRP
MRP
 

just tried to call them for advise on coverage - wait time on the was over 2 hrs. When finally talking to a person the answers were non sensical and after stating they couldn't look at my details due to technical difficulties the person simply hung up. I've never experienced such bad costumer service. Show details

nib
nib    

Hi there. We're so sorry you had to wait so long in the… Read more

Lien N.
Lien N.VIC5 posts
 

I wondered why nib got bad reviews as they are good ! I hope everyone should be honest don’t give false reviews as you are misleading customers to have a good insurance and it affects people’s live! Show details ·  1

Ming Fei
Ming Fei6 posts
 

They won't pay for my hospital admission!!! – Been submitted this hospital claim for months, they called me and wont pay me a cent. I am so p*ssed off and 350 is a lot of money for overseas student in Australia. Show details

Rumi
Rumi
  Verified

I have been with nib for 10 years, since 2015. I just received a renewal notice and it says my premium would increase from $319p.m to$451p.m, 141% increase despite no claim last whole year. Increase of $1,584 per year. The explanation is as follows. "We adjust your premium each year to reflect the increased likelihood of needing treatment as you… Read more

get older, as well as a range of other factors, including rising healthcare costs. We also factor in changes in the number and cost of claims which, across the healthcare sector, have been significantly increasing as more Kiwis turn to private health insurance for fast access to care".

nib
nib    

Hi Rumi, I hope this message finds you well. We are more than… Read more

Serena B.
Serena B.QLD8 posts
 

Worst insurance provider i have ever been with in terms of communication and human error. I was with BUPA for around 10 years first on a family plan then a single plan, it was a tad expensive but i could never fault the service. In a moment of stupidity I thought I'd go to a cheaper service as I only claimed once every 2 years for my glasses (so… Read more

really they would have made money off me as I rarely ever claimed). They charged me for a solid 5 years with only 2 claims ever made. Come January of this year a payment wasn't cleared (why I dont know as funds were available) so they sent a email, then cancelled my funds. No phone call, nor attempt to contact me bar 1 email. Come to find out the email they had was incorrect. They advised very rudely they would reinstate my insurance but only if I paid the last 6 months (if I did that it would actually exceed the rebate I would get if I claimed for my glasses by about 400 dollars). I asked for a waving of the fees as claims were not made in 2 years, my email was taken down incorrectly and they did not ring me to discuss my account. They again rudely advised no, the last man I spoke to said "I've worked here 12 years you wont be getting anything more then what you were already offered" which was nothing. I will never recommend nib, its cheap and nasty, no service, no compassion. I'll be taking back up with bupa so I know im being provided a reputable service.

nib
nib    

Hello Serena, thank you for taking the time to leave your… Read more (+3 replies)

Jason C.
Jason C.QLD
 

I if could give 0 stars I would. I have been a NIB member for over a decade and recently requested quotes to increase my cover which were provided in writing via email and when I have gone to action the quote I have been told that I was quoted incorrectly on all 4 quotes and they will not be honoured. How an insurance company of this size can… Read more

provide 4 incorrect quotes on two separate occasions and the refuse to honour them is beyond me. I will be leaving NIB and finding an insurer who has their act together.

nib
nib    

Thank you Jason for taking the time to share your feedback.… Read more

Solifugae
SolifugaeNSW9 posts
  Verified

We are a family of husband and wife plus 2 kids. We were with NIB health insurance for about ten years. We paid about $400 per month, so nearly $5k per year. Our first issue came when I had to have an operation on my throat. We got the chance to go through a private surgeon and took it. The bill was $3k, NIB paid out $220. When we asked why,… Read more

they said that they used the Govt schedule of operation costs. The Govt schedule of operation costs was about 10 years out of date from the real world costs, which explains why NIB only paid out 10% of the costs.

Next I had a gall bladder issue. By issue, I mean it needed to be removed. They refused to cover it, saying that our $4,800 policy does not cover gall bladder issues.

If you think these dishonest PoS will help you, you are mistaken. Listen to my story.

Post note: this website made me tick a lot of [Content Removed] boxes to get this review published.

nib
nib    

Thank you for taking the time to share your feedback. We… Read more

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