Apia Health Insurance
Apia Premium Extras
Apia Health Insurance (a nib policy)
How $440.79 is worked out
- Premium as filed - $580.89 a month
- Government rebate - 24.1% of the premium (never of the loading): -$140.10
- A month - $440.79
Go to insurer no commission on this policy
Extras: what you get back
| Service | Waiting period | Example benefits, as filed | Limits |
|---|---|---|---|
| General dental | 2 months | Check-up (item 012): $35.20; Scale and clean (item 114): $66.85; Fluoride treatment (item 121): $21.85 | $1,000 per person a year |
| Major dental | 12 months | Tooth extraction (item 322): $168.55; Crown (item 615): $1079.10 | $1,300 per person a year (shared with other services) |
| Root canal | 12 months | Root canal (item 417): $178.10 | $1,300 per person a year (shared with other services) |
| Braces | 12 months | Braces, upper and lower, with a retainer (item 881): 75% back | $800 per person a year, $2,600 lifetime |
| Glasses and contact lenses | 6 months | Single vision glasses: 75% back; Multifocal glasses: 75% back | $350 per person a year |
| Prescriptions not on the PBS | 2 months | Prescription: 75% back | $500 per person a year |
| Physiotherapy | 2 months | First visit: 75% back; Follow-up visit: 75% back | $600 per person a year |
| Chiropractic | 2 months | First visit: 75% back; Follow-up visit: 75% back | $500 per person a year (shared with other services) |
| Podiatry | 2 months | First visit: 75% back; Follow-up visit: 75% back | $400 per person a year (shared with other services) |
| Psychology | 2 months | First visit: 75% back; Follow-up visit: 75% back | $500 per person a year |
| Acupuncture | 2 months | First visit: 75% back; Follow-up visit: 75% back | $400 per person a year (shared with other services) |
| Remedial massage | 2 months | First visit: 75% back; Follow-up visit: 75% back | $400 per person a year (shared with other services) |
| Hearing aids | 36 months | Hearing aid: 75% back | $1,200 per person a year, 2 appliances every 5 years |
| Blood glucose monitors | 12 months | Blood: 75% back | $500 per person a year, 1 appliance every year |
| Chinese herbal medicine | 2 months | First visit: 75% back; Follow-up visit: 75% back | $400 per person a year (shared with other services) |
| Dietitian | 2 months | First visit: 75% back; Follow-up visit: 75% back | $600 per person a year |
| Exercise physiology | 2 months | First visit: 75% back; Follow-up visit: 75% back | $300 per person a year |
| Eye therapy (orthoptics) | 2 months | First visit: 75% back; Follow-up visit: 75% back | $200 per person a year |
| Home nursing | 2 months | First visit: 75% back; Follow-up visit: 75% back | $200 per person a year |
| Occupational therapy | 2 months | First visit: 75% back; Follow-up visit: 75% back | $450 per person a year |
| Orthotics | 2 months | Benefit: 75% back | $400 per person a year (shared with other services) |
| Osteopathy | 2 months | First visit: 75% back; Follow-up visit: 75% back | $500 per person a year (shared with other services) |
| Speech therapy | 2 months | First visit: 75% back; Follow-up visit: 75% back | $450 per person a year |
Not covered: Audiology, Antenatal and postnatal, Health management programs, Vaccinations.
Other services, as filed: Preventative Tests - $200 limit per person per calendar year (waiting period 6 months): 75% back on preventative health test e.g. thin prep, bone density testing, bowel screening (service limits apply). Premium Health Aids - $500 limit per person per calendar year (waiting period 12 months): 75% back on health aids e.g. spacer, peak flow meter, nebuliser, blood glucose monitor, Irlen lens (service limits apply). Myotherapy - $400 combined limit with acupuncture, remedial massage and Chinese herbalism per person per calendar year (waiting period 2 months). Healthy Lifestyle includes 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). For Preventative dental service limits apply.
Of course, you can see your choice of provider, but by choosing a FirstChoice provider, you may have less to pay towards the cost of your treatment. We’ve created the FirstChoice network to help you access quality healthcare and a better deal for you and your family. We’ve locked in lower costs with our FirstChoice providers, so you can enjoy competitive treatment fees when you visit the dentist or a discount the next time you claim for glasses.
No yearly limit on preventative dental.
Ambulance
Emergency ambulance. Call-out fees covered. Waiting period for emergency transport: 1 day. No limit on emergency transport.
This policy's other options
Every state, household and excess the insurer filed for this policy, with the premium before the rebate.
Where this comes from
Policy details come from the PrivateHealth.gov.au dataset published by the Private Health Insurance Ombudsman on data.gov.au (release of 1 Oct 2026), licensed under Creative Commons Attribution 3.0 Australia. Statement I36/NECZ2Y, filed by nib Health Funds Ltd., issued 1 Oct 2026.
† Monthly premium: the premium the insurer filed with the Private Health Insurance Ombudsman for this state, household and excess, before the Australian Government rebate. Answer the income and age questions and every figure becomes the premium after your rebate, with any Lifetime Health Cover loading added to the hospital share (the rebate never applies to the loading) and the age-based discount taken off it where the policy offers one. Insurers may quote a different payment frequency and round each step; check the figure with the insurer before you join.
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