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

nib extras cover

Is nib Suncorp Health Insurance Top 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 $162.32 a month before the rebate, $123.17 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

    $1,443 behind

    That costs $200 with no cover. On this policy you’d pay $1,478 in premiums and get $35 back.

    210th of the 219 policies from funds anyone can join that cover this. nib’s DentalPass does best, $1,433 better off over the year.

  • Two dental visits and new glasses

    $1,183 behind

    That costs $700 with no cover. On this policy you’d pay $1,478 in premiums and get $295 back.

    181st of the 189 policies from funds anyone can join that cover this. Latrobe’s Core Essential Extras does best, $1,232 better off over the year.

  • Two dental visits, new glasses and six physio sessions

    $778 behind

    That costs $1,240 with no cover. On this policy you’d pay $1,478 in premiums and get $700 back.

    166th of the 181 policies from funds anyone can join that cover this. HCF’s Flex My Extras does best, $1,147 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$1,0002 months
Major Dental$169 a visit$1,200shared with endodontic (root canal)12 months
Endodontic (Root Canal)$178 a visit$1,200shared with major dental12 months
Orthodontic75% of the fee$80012 months
Optical75% of the fee$3006 months
Non-PBS Medications75% of the fee$4502 months
Physiotherapy75% of the fee$5002 months
Chiropractic75% of the fee$450shared with osteopathy2 months
Podiatry75% of the fee$400shared with orthotics2 months
Psychology75% of the fee$4002 months
Acupuncture75% of the fee$400shared with remedial massage and chinese herbal medicine2 months
Remedial MassageCovered, amount not published as a set figure$400shared with acupuncture and chinese herbal medicine2 months
Hearing Aids75% of the fee$1,20036 months
Glucose Monitor75% of the fee$50012 months
Antenatal/Postnatal100% of the fee$2502 months
Chinese Herbal Medicine75% of the fee$400shared with acupuncture and remedial massage2 months
Dietetics75% of the fee$4502 months
Exercise Physiology75% of the fee$2502 months
Orthoptics75% of the fee$2502 months
Health Management75% of the fee$2006 months
Home Nursing75% of the fee$2002 months
Occupational Therapy75% of the fee$4002 months
Orthotics75% of the fee$400shared with podiatry2 months
Osteopathy75% of the fee$450shared with chiropractic2 months
Speech Therapy75% of the fee$4002 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

Service sub-limitsLikely to reduce benefits

Some services within this category have lower limits than the main annual cap.

Combined service limitsMay apply in some cases

Multiple services share a single annual limit pool.

Dental-specific rulesInformational

Specific rules apply to dental services.

What it costs

StateSingleCoupleFamilySingle parent
NSW$162.32$321.39$400.93$300.29
VIC$156.45$309.77$386.44$289.44
QLD$153.61$304.14$379.41$284.17
WA$159.61$316.03$394.24$295.28
SA$159.79$316.39$394.69$295.61
TAS$158.62$314.06$391.79$293.44
NT$126.43$250.34$312.29$233.90

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 I48/NHXB10 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.