NIB Health Insurance
VerifiedABN: 83000124381801 reviews
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Very disappointed with this health fund. They have slashed rebates for 'non-preferred providers'. This is unacceptable. Admittedly they did advise of this change but I was shocked at how much they have slashed the rebates. My husband had a root canal procedure which should have been covered by his major dental cover. NIB rejected it and say he… Read more
had reached his annual limit. It was his only dental claim that year. We changed to NIB several years ago and recommended NIB to friends and family members. I am now going to recommend that they change funds. Even the customer service staff are not as friendly and helpful as they used to be.
Absolutely useless if you don't live in a major city. Only paid out a 20% of claim "because I didn't go with a preferred provider". When asked what options nearby were actually 'preferred providers' I was given the names of an infusion clinic and an eye Hospital - not exactly helpful for a colonoscopy. So 15 years of coverage with NIB and the moment you actually claim you get absolutely nothing back. Show details
Terrible Experience with NIB Health Insurance I have had a terrible experience with NIB Health Insurance. I received a promotion stating that if I switched to NIB Health Insurance, I would receive Costco vouchers. Based on this promotion, I decided to change my health insurance provider from my existing health fund to NIB. Although NIB was more… Read more
expensive than my previous health insurer, I decided to go ahead and switched to NIB on 30 September at around 4:30 pm.
However, when I received my insurance details, I discovered that the policy did not include the extras cover I had with my previous health fund. Therefore, on 1 October at around 8:15 am, I contacted NIB and cancelled the policy because I did not want to have any issues with my previous health fund.
A senior NIB consultant assured me that my previous health insurance would not be affected and that the money I had paid would be refunded to my bank account by Wednesday, 7 October. Unfortunately, this did not happen.
Despite cancelling the policy, NIB proceeded to notify my previous health fund that I was leaving them. I also continued to receive welcoming emails and phone calls from NIB.
When I missed one of their calls today 7th Oct , I called NIB back. Unfortunately, the senior consultant I spoke to was very aggressive and would not listen to my concerns. Instead, she insisted that I listen to her. The conversation became so stressful that I eventually had to end the call.
Customer service representatives should know how to communicate respectfully and professionally with customers, especially when dealing with complaints or cancellations. If I have to deal with this type of service, I might need additional health insurance just to manage the stress!
Overall, I am extremely disappointed with the service I received from NIB. This has been a very frustrating and stressful experience, and I would not recommend NIB based on my experience.
Hi EJJ, we're sorry to hear this was your experience. This… Read more
Reviews with attachments
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
Good Morning Moky, Thank you for taking the time and… Read more
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.
Hello Jem. I hope this message finds you well. We thank you… Read more
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!
We are sorry to hear of your most recent experience Alicia… Read more
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!
Hey Sarah, I truely hope you're recovering well from your… Read more (+2 replies)
Latest follow-ups
Terrible customer service,l gave the gentleman all of my previous health fund information he asked for and also told him I had a 58% loading, and for some reason when he signed me up,he forgot to add the loading on my policy , Show details
Follow-up · Still waiting for a response from this company!!!!!!!!!!! Really poor communication skills and no contact from them what so ever !!!!!!!!!!!!!!lm not happy at all.
We totally appreciate your frustration Giovanni, and hope… Read more (+1 reply)
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.
Good Morning Julio N, Thank you for reaching out to us and… Read more
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.
Hi Bretto. Thank you for reaching out and providing your… Read more (+1 reply)
Positive reviews
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
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
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Our family has been with NIB core extras only for some years. It has been worth it. Recently we also wanted to join hospital cover. I rang NIB to update our cover and talked to Harry on the phone for over an hour . He was so good at his job and patient. He even helped me to install Nib app on mobile and explained how to use it as I'm not good with… Read more · 1
technology. With him, it was such pleasant and easy process to update my cover. Again, it reminds me how important the service of staff over the phone in business. Each time I needed to claim and rang NIB I only have had good experience. So this hospital cover, I didn't look much other insurance companies but was happy to go with NIB. We're human. I honestly don't know in depth how much better nib is with the cover compare to others yet having good and friendly staff to explain and providing good customer service made huge difference.
Negative reviews
They have a rewards program where you can buy gift cards. You buy them and then after a couple of hours of delay, a message comes : sorry we have a stock issue and are refunding. We will let you know when that happens. The cards are electronic! Clearly NIN have contracted it out. They company plays some game where it takes your money for a… Read more
certain brand card, then itself needs to source it and if it can’t.
It is illegal in all Australian states to advertise a product you don’t actually have.
Hi, we're sorry to hear about your experience with the… Read more
Dodgy health insurance in Australia. If I can give 0 rating than would give 0. Very disappointed with my experience with nib. I took out private health insurance specifically for tax purposes and paid for the policy for a full year. Before taking out the policy, I clearly communicated that I have Medicare and explained that my intention was to… Read more
have the appropriate private health insurance cover for tax purposes.
After paying for the policy for a year, I was then told that my account/policy was not considered suitable for the tax purpose I had clearly discussed when joining.
I feel extremely frustrated because this could have been avoided if my circumstances and requirements had been properly explained and confirmed at the beginning. I paid for the policy based on the information and understanding I was given.
I expected much clearer communication and better customer service from nib. I would strongly recommend that customers carefully confirm in writing exactly what their policy covers and whether it meets their specific tax requirements before making payments.
Hi Manita, we're sorry to hear you're disappointed with your… Read more
Hm, recently got update email that the dental refund will change in Oct2026 if not using their cluster of dentists which are only 2500 Australia wide. I had dodgy dentists before and am now in good hands. I want you NIB to still do the whole refund for a dental work code, no matter which dentist. It's far below the actual cost anyway. Also the… Read more
surprise that a covered private hospital was NOT including their lab work, was very unexpected additional cost. (Canberra Calvary Bruce hospital 2025) Lab work is usual during surgery pre and post. You cannot say when I check if NIB includes this hospital "yes", when the lab work is excluded which puts me another 720aud out of pocket ..
At least many hospitals are in the NIB network, and had no other surprises, but please state clearly if lab is not covered, as I would refuse daily lab parameters like full blood count when it is not life threatening necessary and no events.
Otherwise cover and claims were easy to process with NIB.
But am looking at other providers due to the lab out of pocket in covered hospital and dental refund changes.
Hi Sanja. Thank you for taking the time to provide your… Read more
Recent reviews
WORST EXPERIENCE I HAVE EVER HAD WITH HEATH INSURANCE I work for an insurance company. So I know my ins and outs with health insurance better than most. I have had multiple problems with nib since switching from Australia Unity. I signed up with nib in late may. For starters, when I signed up it took them over a month to send me my health… Read more
insurance statement for the policy, as well as any welcome packages. It then took me to call them to send this through and the lady who I spoke to was absolutely rude and said it was somehow my fault that I didn’t receive it and that maybe I hadn’t checked my emails properly. It also took them almost two months to get my transfer certificate and apply it. Even when I manually sent to to them myself, as well as Australian unity sending them one. When I did finally get that sorted, I found that I had to wait another 12 months for my major dental, when I have already served the waiting periods and my annual limits were not higher than the ones I had with Australian unity. They then proceeded to tell me I had to wait another extra 6 months for my optical. Again, I had served the waiting periods for $200 and only needed to serve the 6 months for the extra $50. When I contacted them about this and questioned them. They cancelled my policy without my permission. And now I am left with no cover at all. I have even tried contacting them about this but I get no reply.
As someone who sells health insurance and one being NIB, I can absolutely say. I will NOT ever be offering anyone NIB, ever again. And I will be making it clear that NIB is not a trustworthy health fund.
We hope this message finds you well Jameson, and we're so… Read more
One key question to NIB would be "Would you ever remove critical cover from my policy without ensuring I had acknowledged and consented to changing to a new policy that meet my specific needs?" I found out the hard way that NIB show no compassion and just keep taking my premium each month even though I no longer have the critical cover I need.… Read more
They then insist I have to wait 12 months on the new policy to make a claim for the critical item I thought I'd been paying for. To add insult to injury the premiums for the corrected policy would have been less than what I paid, and they still won't budge on the 12 month wait. Think twice before choosing NIB!
I'd been with NIB, changed to another provider then switched back. 7 weeks on I'm still waiting for my continuity of cover to be recognised. I've lodged a complaint with the Ombudsmen. One more day for NIB to contact me with a resolution. I'm not holding out much hope. Show details
Hello Suzy. We totally appreciate your frustration, and hope… Read more
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
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
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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
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
Hi Michael, I am sorry to hear about your experience with… Read more (+1 reply)
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.
UPDATE (1 June) I am extremely disappointed that this issue remains unresolved almost three months after my initial cancellation request.
On 4 March, I contacted NIB to cancel my policy. After verifying my identity over the phone, I was told that I would need to wait for another team to call me back from an unknown number to reconfirm my details before the cancellation could be processed. I waited, but no one ever called.
Despite my cancellation request in March, NIB continued deducting premiums from my bank account through April and May. When I contacted NIB again on 1 June, I was informed that they were unable to refund the April and May payments and that I would once again need to wait up to 48 hours for an unknown number to call me back to reconfirm my details before my policy could be cancelled.
I find it unreasonable that a customer can verify their identity during a cancellation call but still be required to wait for another unsolicited callback to complete the process. It is even more concerning that payments continued to be taken for months after my original cancellation request, yet no satisfactory explanation or resolution has been provided.
This experience has caused significant frustration and inconvenience. I expect NIB to review this matter, investigate why my March cancellation request was not actioned, and provide a fair outcome regarding the continued direct debits taken from my account.
Hi Kim, I am sorry to hear about your experience with… Read more (+1 reply)
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
I hope this message finds you well Bruce. We're so sorry… Read more
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.
Good Morning Bhagwati. Thank you for reaching out to us and… Read more
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.
Hello. I hope this message finds you well. We thank you for… Read more
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
Hello Dexter. I hope this message finds you well. We thank… Read more
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.
Hi Wendy. Sorry to hear of your experience. To enable us to… Read more
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Hi Dan, we're sorry this has left you feeling let down,… Read more