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:
Log in to my nib
Select 'Request a pre-approval'
Fill in the form
Attach the documents we need
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.