SCHEDULE OF BENEFITS - nib

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| MediGap 2010 18 Item No Benefit Item No Benefit Item No Benefit Item No Benefit 33115 $1,820.25 33803 $1,444.65 34503 $529.60 35320 $1,094.90 33116 $1,791.65 33806 $1,040.05 34506 $269.50 35321 $1,039.40 33118 $2,022.55 33810 $758.70 34509 $1,251.90 35324 $389.70 33119 $1,990.85 33811 $2,258.80 34512 $1,377.20 35327 $522.35 33121 $2,224.80 33812 $1,194.10 34515 $982.25 35330 $658.65 33124 $1,550.60 33815 $1,097.85 34518 $1,646.60 35331 $757.15 33127 $2,032.05 33818 $1,280.85 34521 $1,011.60 35360 $1,058.40 33130 $1,772.00 33821 $1,463.80 34524 $529.60 35361 $907.80 33133 $1,328.90 33824 $1,396.30 34527 $706.40 35362 $757.15 33136 $3,351.15 33827 $1,637.10 34528 $348.80 35363 $606.55 33139 $2,032.05 33830 $1,877.85 34530 $261.55 35400 $844.55 33142 $1,897.35 33833 $1,704.80 34533 $1,588.85 35402 $844.55 33145 $3,264.65 33836 $2,032.05 34538 $348.80 35404 $443.00 33148 $4,054.35 33839 $2,378.65 34539 $261.55 35406 $1,039.40 33151 $3,852.05 33842 $1,174.90 34800 $1,040.05 35408 $779.65 33154 $2,850.60 33845 $818.60 34803 $2,292.20 35410 $1,157.20 33157 $3,178.00 33848 $818.60 34806 $1,242.30 35412 $3,602.70 33160 $3,178.00 34100 $905.40 34809 $1,242.30 35500 $115.50 33163 $2,696.75 34103 $529.60 34812 $1,502.35 35502 $113.80 33166 $2,696.75 34106 $373.55 34815 $1,242.30 35503 $76.00 33169 $2,099.45 34109 $433.30 34818 $1,367.50 35506 $76.25 33172 $1,637.10 34112 $1,097.85 34821 $1,858.80 35507 $247.80 33175 $1,508.80 34115 $1,242.30 34824 $635.60 35508 $365.00 33178 $1,918.65 34118 $1,772.00 34827 $770.50 35509 $127.10 33181 $2,345.80 34121 $1,415.60 34830 $905.40 35512 $254.85 33500 $1,454.10 34124 $1,550.60 34833 $1,174.90 35513 $314.95 33506 $1,627.60 34127 $2,032.05 35000 $905.40 35516 $165.30 33509 $1,820.25 34130 $635.60 35003 $1,174.90 35517 $207.45 33512 $2,022.55 34133 $712.80 35006 $1,473.45 35518 $295.20 33515 $2,224.80 34136 $1,145.85 35009 $1,145.85 35520 $82.80 33518 $1,627.60 34139 $1,145.85 35012 $905.40 35523 $82.80 33521 $1,762.30 34142 $1,415.60 35100 $472.00 35526 $165.30 33524 $2,080.15 34145 $1,030.45 35103 $300.40 35527 $207.45 33527 $2,417.05 34148 $1,839.35 35200 $219.60 35530 $383.30 33530 $2,080.15 34151 $2,513.50 35202 $1,046.45 35533 $497.00 33533 $2,417.05 34154 $2,995.15 35300 $658.65 35536 $495.00 33536 $1,723.90 34157 $1,521.70 35303 $844.55 35539 $387.75 33539 $1,242.30 34160 $2,850.60 35306 $779.45 35542 $454.05 33542 $1,772.00 34163 $3,659.50 35307 $1,432.90 35545 $260.80 33545 $350.45 34166 $3,659.50 35309 $974.35 35548 $1,184.90 33548 $712.80 34169 $2,032.05 35312 $1,104.25 35551 $971.60 33551 $350.45 34172 $1,656.40 35315 $1,104.25 35554 $61.75 33554 $348.80 34175 $1,521.70 35317 $454.65 35557 $304.65 33800 $1,512.00 34500 $394.90 35319 $815.15 35560 $971.60 33115 to 35560
Item No Benefit Item No Benefit Item No Benefit Item No Benefit 35561 $1,959.80 35644 $289.30 36500 $1,220.60 36615 $978.80 35562 $1,609.05 35645 $452.70 36502 $902.80 36618 $857.75 35564 $742.80 35646 $289.30 36503 $1,836.40 36621 $613.15 35565 $971.60 35647 $289.30 36506 $1,220.60 36624 $736.70 35566 $564.35 35648 $452.70 36509 $1,033.55 36627 $912.65 35568 $887.35 35649 $761.45 36516 $1,220.60 36630 $450.85 35569 $228.50 35653 $958.45 36519 $1,704.30 36633 $978.80 35570 $786.80 35657 $958.45 36522 $1,462.55 36636 $527.85 35571 $786.80 35658 $591.05 36525 $2,078.35 36639 $1,099.65 35572 $175.85 35661 $1,237.80 36526 $1,704.30 36642 $549.75 35573 $1,180.40 35664 $2,063.05 36527 $2,103.40 36645 $1,407.55 35577 $958.15 35667 $1,753.45 36528 $1,704.30 36648 $1,253.55 35578 $958.15 35670 $1,443.80 36529 $2,103.40 36649 $353.25 35595 $1,640.85 35673 $1,076.50 36531 $1,528.35 36650 $197.55 35596 $971.60 35674 $295.20 36532 $2,193.65 36652 $857.75 35597 $2,092.95 35676 $603.75 36533 $2,592.80 36654 $1,099.65 35599 $958.15 35677 $761.45 36537 $912.65 36656 $1,407.55 35602 $958.15 35678 $918.05 36540 $1,462.55 36658 $749.70 35605 $519.90 35680 $826.90 36543 $1,704.30 36660 $337.20 35608 $90.85 35683 $499.05 36546 $912.65 36662 $805.55 35611 $90.85 35684 $669.30 36549 $1,099.65 36663 $872.50 35612 $718.80 35687 $462.00 36552 $978.80 36664 $783.55 35613 $575.05 35688 $564.35 36558 $857.75 36665 $165.50 35614 $90.70 35691 $225.45 36561 $227.75 36666 $440.80 35615 $76.25 35694 $905.95 36564 $1,220.60 36667 $206.35 35616 $638.70 35697 $1,344.20 36567 $1,341.55 36668 $206.35 35617 $246.70 35700 $1,037.15 36570 $1,704.30 36800 $36.40 35618 $309.70 35703 $95.90 36573 $1,220.60 36803 $615.60 35620 $75.75 35706 $95.90 36576 $1,528.35 36806 $857.75 35622 $855.80 35709 $61.75 36579 $978.80 36809 $1,099.65 35623 $1,163.85 35710 $658.20 36585 $978.80 36811 $426.90 35626 $117.60 35712 $514.50 36588 $1,220.60 36812 $220.05 35627 $152.20 35713 $643.35 36591 $1,462.55 36815 $313.95 35630 $260.00 35716 $617.05 36594 $1,220.60 36818 $365.15 35633 $309.70 35717 $774.70 36597 $1,220.60 36821 $426.60 35634 $974.10 35720 $958.15 36600 $1,462.55 36824 $281.40 35635 $425.40 35723 $686.30 36603 $1,704.30 36825 $767.30 35636 $615.15 35726 $686.30 36604 $353.25 36827 $303.40 35637 $577.70 35729 $309.40 36605 $911.70 36830 $268.30 35638 $1,010.80 35750 $1,114.60 36606 $3,056.95 36833 $365.15 35639 $191.65 35753 $1,232.50 36607 $911.70 36836 $303.40 35640 $260.00 35754 $1,551.25 36608 $353.25 36840 $426.60 35641 $1,765.40 35756 $1,114.60 36609 $978.80 36842 $429.30 35643 $309.70 35759 $800.25 36612 $857.75 36845 $912.65 35561 to 36845 | MediGap 2010 19
Page 1 and 2: SCHEDULE OF BENEFITS RULES AND GENE
Page 3 and 4: RULES FOR PARTICIPATION IN nib’s
Page 5 and 6: Making Claims for MediGap Benefits
Page 7 and 8: for any of the reasons set out abov
Page 9 and 10: Item No Benefit Item No Benefit Ite
Page 17: Item No Benefit Item No Benefit Ite
Page 33: 1300 853 530 nib.com.au nib health

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