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nib drops bombshell changes to policies

Tuesday 30th of September 2025

nib NZ has surprised advisers with significant changes to some of its policies.

It has announced a 20% co-payment on specialist consultations and diagnostic tests from 24 November 2025. It has also removed multiple policy benefits.

nib will remove the Loyalty Check-Up Benefit, Public Hospital Payment Benefit, Loyalty Active Wellness Benefit, and Cover in Australia Benefit from selected policies. The 20% co-payment will apply to specialist consultations and diagnostic tests not listed in its Diagnostics Schedule.
nib says the changes are being made due to more frequent and complex claims.

Under the co-payment structure, a client undergoing a $2,000 CT scan would pay $400 upfront, with the remaining $1,600 subject to any applicable excess. If the excess is $500, the client's total out-of-pocket cost would be $900, with nib covering $1,100.

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