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Private health insurance premiums in Australia have increased by an average of 4.41% from April 1, 2026, marking the largest hike in nearly a decade. This rise, approved by the federal government, will cost households an estimated extra $80 to $160 annually.Private health insurance premiums in Australia have increased by an average of 4.41% from April 1, 2026, marking the largest hike in nearly a decade. This rise, approved by the federal government, will cost households an estimated extra $80 to $160 annually.
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nib health fund Health Insurance Review 2025

Compare 285 NIB Health policies. Prices shown for: Single, NSW, Age 30, $500 excess.

NIB Health Insurance - Quick Facts

Policies285
Hospital From$54.80/mo
PHIO
🟢 Average Service RecordBased on 310 complaints  |  Oct 2024 – Sep 2025

Prices reflect your profile settings (Single, NSW, Age 30, $500 excess). Policy information from PrivateHealth.gov.au (7 April 2026). Reviews from ProductReview.com.au (January 2026). Not affiliated with NIB Health.

Ready to compare?

See all 285 NIB Health policies side-by-side with personalised pricing.

Prices reflect your profile settings (Single, NSW, Age 30, $500 excess). Policy information from PrivateHealth.gov.au (February 2026). Reviews from ProductReview.com.au (January 2026). Not affiliated with NIB Health.

Explore NIB Health Policies

NIB Health offers 285 health insurance policies across three coverage types. Prices shown are for Single, NSW, Age 30, $500 excess.

Hospital Cover

100 policies covering private hospital treatment, from $54.80* per month. Ranges from Basic tier (lowest coverage, avoid Medicare Levy Surcharge) to Gold tier (highest coverage, most treatments included).

100 policies available
From:$54.8/mo*
*For Single
View Policies

Extras Cover

157 policies covering general treatment (dental, optical, physio, etc.), from $3.70* per month. Extras policies help reduce out-of-pocket costs for everyday health services not covered by Medicare.

157 policies available
From:$3.7/mo*
*For Single
View Policies

Combined Cover

28 policies bundling both hospital and extras coverage, from $108.60* per month. Combined policies often include a discount (typically 2–5%) compared to purchasing hospital and extras separately.

28 policies available
From:$108.6/mo*
*For Single
View Policies
Policy Name
Type
Tier
Price*
Hospital
Extras
Premier - Gold
Combined
Gold
$399.93
Basic Kickstarter
Combined
Basic
$108.60
-
Gold Executive Hospital
Hospital
Gold
$114.18
-
Silver Secure Hospital Plus
Hospital
Silver+
$87.84
-
Silver Corporate Assured Hospital
Hospital
Silver
$87.06
-
Bronze Protect Hospital Plus
Hospital
Bronze+
$68.70
-
Bronze Hospital
Hospital
Bronze
$66.90
-
Basic Care Hospital Plus
Hospital
Basic+
$62.56
-
Basic Accident Hospital
Hospital
Basic
$54.80
-
-
DentalPass
Extras
-
$3.70
-
-

*Prices for Single, NSW, Age 30, $500 excess. Actual prices may vary — confirm with NIB Health directly. Update profile settings ↑

NIB Health Pricing Overview

Based on PrivateHealth.gov.au data (last updated 7 April 2026), NIB Health's policies for Single cover start from:

Hospital Only

From:$54.8/mo*

Extras Only

From:$3.7/mo*

Combined

From:$108.6/mo*

*Prices reflect your profile: Single, NSW, Age 30, $500 excess.
Actual premiums may vary — always obtain an official quote from NIB Health before making decisions. Update your profile ↑

What NIB Specialises In

Find policies suited to your situation. Prices are indicative only.

Hospital Coverage
Gold
Comprehensive — all clinical categories
Silver
26+ clinical categories
Bronze
17+ clinical categories
Basic
Minimal coverage, MLS avoidance
Extras Coverage
Dental General
Physiotherapy
Optical
Dental Major
Endodontic
Chiropractic
Osteopathy
Dietetics

All prices shown are indicative only and were last updated using data from PrivateHealth.gov.au. Actual prices may vary based on individual circumstances. Please confirm pricing directly with insurers.

Customer Service Record & Complaints

NIB Health competes primarily with other mid-sized insurers focused on competitive pricing and simplified product ranges. Key competitors include Medibank, Bupa, and NIB.

Average Service Record310 complaints in Oct 2024 – Sep 2025 · 99% resolved internallySource: Private Health Insurance Ombudsman (PHIO) Quarterly Reports, Q2 2024-25 to Q1 2025-26
Official PHIO Data

Based on official data from the Private Health Insurance Ombudsman (PHIO), nib health fund has a Average Service Record.

8.79Complaint Rateper 1% market share
1%Investigation Rate1% required formal investigation
99%Resolution Rate99% resolved internally

Source: Private Health Insurance Ombudsman (PHIO) Quarterly Report, Q1 2025-26 (Jul–Sep 2025). Note: All health insurers receive some complaints. Lower rates indicate better service and faster internal resolution of member concerns.

Complaint breakdown

310
Complaints
9.1
Mkt Share %
99%
Resolved
Quarter-on-Quarter: up 8% (74 → 80 complaints)

Complaints per Quarter

Latest quarter
Previous quarters
80
Oct-Dec '24
76
Jan-Mar '25
74
Apr-Jun '25
80
Jul-Sep '25

Source: Private Health Insurance Ombudsman (PHIO) Quarterly Reports, Q2 2024-25 to Q1 2025-26

Top Complaint Categories — All Insurers Combined
Industry-wide from all 35+ insurers, Q1 2025-26. Not specific to AIA Health.
Disputes referred to insurer94%
Resolved at first contact5%
Formal investigations1%
How AIA Health Addresses These

Average Service Record — complaint handling is in line with industry norms.

Source: Private Health Insurance Ombudsman (PHIO) Quarterly Report, Q1 2025-26. 849 total complaints industry-wide across all 35+ Australian health insurers.

NIB Health vs Industry Average - Complaint Rate per 1% Market Share

8.79
310 complaints
NIB Health
7.36
Industry Avg

nib health fund handles 9.1% of the market. Complaint rate of 8.79 vs industry average of 7.36.

Source: Private Health Insurance Ombudsman (PHIO) Quarterly Reports, Q2 2024-25 to Q1 2025-26

How to Resolve Issues

1
Contact NIB Health13 14 63 or
2
Request Internal ReviewIf unsatisfied, request a formal review.
3
Contact the OmbudsmanFree: 1800 640 695 or privatehealth.gov.au/ombudsman

Data Source: Private Health Insurance Ombudsman (PHIO) Quarterly Update Q1 2025-26 (Jul–Sep 2025). Complaint data is independently collected and published by the Commonwealth Ombudsman's office. Update Frequency: Ombudsman data is updated quarterly (Jan, Apr, Jul, Oct). This page reflects the most recent publicly available PHIO data. Last updated: December 2025.

Learn how Ombudsman ratings are calculated →

Compare NIB Health to Competitors

How nib health fund compares to other Australian health insurers based on pricing, service record, and product range.

PricingCompare nib health fund's premiums against other funds for similar coverage levels.
Service RecordOmbudsman complaint data from PHIO Oct 2024 – Sep 2025 shows how each fund handles member issues.
Product rangenib health fund offers 285 policies — compare the breadth of coverage options available.
Market Positionnib health fund holds 9.1% market share among Australian health insurers.
nib health fundnib health fund
MedibankMedibank
BupaBupa
Policies
285
748
745
Rating
N/A
2.6/5
3.5/5
Hospital From*
$54.80/mo
$55.25/mo
$60.65/mo
Type
For-profit
For-profit
For-profit
Service
🟠 Average
🟠 Average
🟢 Good

*For Single in NSW. Service record data from PHIO Q1 2025-26. Update profile ↑

Contact & Support

PhoneGeneral: 13 14 63Claims: 13 14 63Mon-Fri 8am-6pm AEST
Email
Onlinehttps://www.nib.com.au
Mail22 Honeysuckle DriveNewcastleNSW2300

Frequently Asked Questions

All information provided in these FAQs is general information only and does not constitute financial, insurance, or personal advice. For advice specific to your circumstances, consult with a licensed financial or insurance adviser, or contact insurers directly. Information is based on our understanding as of 7 April 2026 and may change. Always verify current information with official sources.

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