Government data · 01-Oct-2026 · No fund pays us

nib extras cover

Is nib Core, Family and Young at Heart Extras worth it?

For one adult in NSW, it costs more than it pays back in all three of the ways of using extras worked through below. It is $103.28 a month before the rebate, $78.37 after.

Three ways of using it

Worked for one adult in NSW, under 65, on the 24.118% rebate, over a year, at typical prices: $200 for general dental, $300 for optical and $90 for physiotherapy.

  • One dental check-up a year

    $905 behind

    That costs $200 with no cover. On this policy you’d pay $940 in premiums and get $35 back.

    163rd of the 219 policies from funds anyone can join that cover this. nib’s DentalPass does best, $895 better off over the year.

  • Two dental visits and new glasses

    $690 behind

    That costs $700 with no cover. On this policy you’d pay $940 in premiums and get $250 back.

    138th of the 189 policies from funds anyone can join that cover this. Latrobe’s Core Essential Extras does best, $739 better off over the year.

  • Two dental visits, new glasses and six physio sessions

    $366 behind

    That costs $1,240 with no cover. On this policy you’d pay $940 in premiums and get $574 back.

    120th of the 181 policies from funds anyone can join that cover this. HCF’s Flex My Extras does best, $735 better off over the year.

Your year won’t look like any of those.

Put in what you actually use and the calculator sets this policy beside every other one, with the working.

What it pays

ServiceBenefitYearly limitWait
General Dental$35 a visit$6002 months
Major Dental$169 a visit$600shared with endodontic (root canal)12 months
Endodontic (Root Canal)$178 a visit$600shared with major dental12 months
Orthodontic60% of the fee$35012 months
Optical60% of the fee$2506 months
Non-PBS Medications60% of the fee$4002 months
Physiotherapy60% of the fee$3502 months
Podiatry60% of the fee$400shared with orthotics2 months
Hearing Aids60% of the fee$50036 months
Antenatal/Postnatal100% of the fee$2002 months
Dietetics60% of the fee$3002 months
Occupational Therapy60% of the fee$3002 months
Orthotics60% of the fee$400shared with podiatry2 months
Speech Therapy60% of the fee$3502 months

As listed for one adult in NSW. A percentage is of the provider’s fee; a dollar figure is the most paid per visit. Where a benefit differs by item, the commonest one is shown.

Conditions to know

Dental-specific rulesInformational

Specific rules apply to dental services.

PBS conditionsInformational

Non-PBS pharmaceutical benefits may have specific conditions.

What it costs

StateSingleCoupleFamilySingle parent
NSW$103.28$203.46$222.05$170.41
VIC$100.48$197.94$216.03$165.79
QLD$98.49$194.03$211.76$162.51
WA$97.73$192.52$210.11$161.25
SA$100.43$197.86$215.93$165.72
TAS$98.63$194.30$212.05$162.74
NT$89.65$176.60$192.74$147.92

Listed premiums a month, before the rebate. The rebate takes 24.118% off for most households under 65.

What beats it

For two dental visits and new glasses, from funds anyone can join:

  1. 1Latrobe Core Essential Extras+$49 ahead
  2. 2Health Partners Flex Extras: Eyes+$47 ahead
  3. 3HCF Flex My Extras+$45 ahead

Worked from the Australian Government’s Private Health Open Listing, 01-Oct-2026, with the same sums as the calculator: listed premiums after the rebate, benefits capped by each policy’s limits and waiting periods. Product code I24/NBQO10 on privatehealth.gov.au. How the sums work.

This is general information, not personal financial advice. Confirm the premium and benefits with the fund before you buy or switch. Independent of every fund listed · No affiliate fees, no commissions.