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How do I get my treatment costs pre-⁠approved?

You won't need a pre-approval for Everyday healthcare, like GP visits, dental treatment, new glasses or prescriptions. Simply check your policy in my nib to see if you're covered.

It’s a good idea to get a pre-approval for Outpatient and Hospital consultations and treatments, like seeing a specialist, diagnostic investigations, surgery, cancer treatment or non-PHARMAC drugs. That way, you will know what you're covered for and how much you can claim. Some healthcare providers will want to see a copy of your pre-approval letter before your treatment.

Getting a pre-approval

Requesting a pre-approval is easy. You can do it through my nib, or some First Choice network healthcare providers can do it for you.

To request a pre-approval yourself: 

  1. Log in to my nib 

  2. Select 'Request a pre-approval' 

  3. Fill in the form  

  4. Attach the documents we need 

  5. Click 'Submit' 

You'll need to send us copies or photos of these documents: 

  • A referral letter and/or medical report from your GP or other healthcare provider 

  • A Specialist letter, if you have one 

  • Your ACC decision letter and ARTP-Assessment report, if those apply 

  • A quote or other supporting document that shows your total estimated cost 

I need an urgent pre-approval

If you're having treatment in the next 24 hours, give us a call on 0800 123 642 from Monday - Friday, 8:30am to 5pm.