Members remain covered as nib and St Vincent's work through negotiations
St. Vincent's has notified nib of their intention to terminate its current agreement after 3 October 2024. This follows unsuccessful negotiations to increase the current terms and cost to provide services for our members. We strive to ensure hospitals provide quality service at a price that is fair and reasonable for both parties. This allows us to continue to provide health insurance at an affordable and sustainable price for our members.
However, nib has a long-standing relationship with St Vincent’s and we’re committed to continuing negotiations to resolve this issue.
Frequently Asked Questions
St. Vincent's has notified us of their intention to terminate our current Hospital Purchaser-Provider Agreement (HPPA) on 3 October 2024, due to unsuccessful negotiations for contract rate increases. However, nib has a long-standing relationship with St Vincent’s and hopes to resume discussions.
We understand cost of living increases have put pressure on our members, and the cost of medical treatment has increased sharply for some of the services we cover. Negotiations have stalled because any service cost increases from hospital contracting will ultimately be passed through to members through higher premiums.
The Hospital Purchaser-Provider Agreement (HPPA) with St Vincent's health includes the following hospital providers:
St Vincent's Private Sydney (0016150J)
The Mater (0015790H)
St Vincent's Private Northside (0056000B)
St Vincent's Private Toowoomba (0055460F)
St Vincent's Private Fitzroy (0036340T)
St Vincent's Private East Melbourne (0035500A)
St Vincent's Private Brisbane (0055570Y)
St Vincent's Private Werribee (0036980F)
St Vincent's Private Kew (0036470F)
St Vincent's Private Griffith (0017550H).
Members who have pre-booked upcoming hospital admissions continue to be covered as usual for any treatments conducted at St Vincent's Health until at least 3 October 2024.
Members undergoing treatment at St. Vincent's Health on or before 3 October 2024, will be covered until 3 April 2025 for services such as rehabilitation, mental health, oncology and renal services. For ongoing treatment after this date, please talk to your medical provider about other nib Agreement Hospitals.
Members who are currently in hospital receiving treatment will continue to be covered, as per their policy until they are discharged.
If you book a treatment at St. Vincent's Health after 4 October 2024, we will cover you at the standard rate for a hospital that is not within the nib Agreement Hospitals network, which may lead to significant out of pocket costs. You can get financial information from the hospital about any costs you might need to pay out of pocket. We suggest talking to your medical provider about treatment options in other locations within the nib Agreement Hospitals network. nib maintains contracts with over 90% of all private hospitals and medical facilities nationwide.
We continue to have agreements with over 90% of all private hospitals and medical facilities nationwide, working to make sure hospitals deliver quality service at a fair and reasonable price for everyone involved. This allows us to continue providing health cover at a sustainable price for our members.
Private health insurance gives our members the freedom to choose their healthcare provider and often means quicker access to treatment compared to the public hospital system.
If you are a MediGap provider and choose to bill under the MediGap Scheme, it will still be payable. We continue to have agreements with over 90% of all private hospitals and medical facilities nationwide, where you may also have admitting rights.
nib has a long-standing relationship with St Vincent’s and hopes to resume discussions and reach a new agreement. If you have any questions relating to your HPPA, please contact the Honeysuckle Health team.
There are no impacts to our Hospital Purchaser-Provider Agreement's (HPPA) with other hospital providers. If you have any questions relating to your HPPA, please contact the Honeysuckle Health team.
nib partner with 90% of all private hospital and medical facilities nationwide, we recommend working with your preferred doctor or specialist to select an nib Agreement Hospital to undergo treatment.
Yes, all members of an nib underwritten product will be included within any changes to nib’s agreement with St Vincent’s Hospitals.
If you choose to get treatment at a St Vincent's Health hospital and book your admission by 3 October 2024, you'll still be covered - provided that your admission is before 1 April 2025 (for non-pregnancy and birth-related services) or 1 June 2025 (for pregnancy and birth-related services).
We will be contacting members who may be impacted by this change - including current and regular patients, those with pre-booked appointments and members that live nearby to a St Vincent’s Health Australia facility.
nib has agreements with most private hospitals across Australia, so no matter where you live you can find an Agreement Private Hospital near you using our Find a Provider , opens in a new tabtool.
Members who have pre-booked upcoming hospital admissions for pregnancy and birth-related services, on or before 3 October 2024, will continue to be covered under the ongoing agreement per their product coverage. If your admission date is after 3 June 2025, we will cover you at the standard rate for a hospital that is not within the nib Agreement Hospitals network, which may lead to significant out of pocket costs.
You can get financial information from the hospital about any costs you might need to pay out of pocket. We suggest talking to your medical provider about treatment options in other locations, within the nib Agreement Hospitals network. nib maintains contracts with over 90% of all private hospitals and medical facilities nationwide.
We’re here to help
We’re committed to keeping you informed, offering guidance and support as we seek to reach an agreement with St Vincient’s Hospitals.
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