(before any rebate or insurer discount)
Covers one adult & dependants (2 or more people, only one of whom is an adult)
Available in South Australia
# You may be entitled to an Australian Government rebate on the above premium. Your premium may also include an insurer discount. Check with your insurer for details.
This policy covers children and other dependants up to and including the age of 20, students up to and including the age of 31, as well as persons with a disability who qualify as a child or other dependant or student in these age ranges.
Membership of this insurer is restricted to education union members and their families
We’ve partnered with a network of optical and dental providers Australia-wide to give members greater access to high quality treatment and exclusive discounts, including 'no gap' offers. See https://www.teachershealth.com.au/members/find-a-provider/member-wellbeing-network/.
| Treatment | Waiting period (months) | Benefit limits (per 12 months unless otherwise stated) | Examples of maximum benefits |
|---|---|---|---|
| General dental | 2 | $400 per person up to $800 per policy (Sub-limits apply) | Periodic oral examination - $20.00 Scale & clean - $35.00 Fluoride treatment - $20.00 |
| Optical | 6 | $150 per person up to $300 per policy | Single vision lenses & frames - 100% of charge Multi-focal lenses & frames - 100% of charge |
| Non PBS pharmaceuticals | 2 | $500 per person up to $1,000 per policy (combined limit for non pbs pharmaceuticals, physiotherapy, chiropractic, psychology, acupuncture, remedial massage, chinese medicine, dietetics/dietary advice, exercise physiology, osteopathy & vaccinations) | Per eligible prescription - $25.00 |
| Physiotherapy | 2 | Initial visit - $30.00 Subsequent visit - $30.00 | |
| Chiropractic | 2 | Initial visit - $30.00 Subsequent visit - $30.00 | |
| Psychology | 2 | Initial visit - $45.00 Subsequent visit - $45.00 | |
| Acupuncture | 2 | Initial visit - $22.00 Subsequent visit - $22.00 | |
| Remedial massage | 2 | Initial visit - $22.00 Subsequent visit - $22.00 | |
| Chinese medicine | 2 | Initial visit - $22.00 Subsequent visit - $22.00 | |
| Dietetics/dietary advice | 2 | Initial visit - $22.00 Subsequent visit - $22.00 | |
| Exercise physiology | 2 | Initial visit - $30.00 Subsequent visit - $30.00 | |
| Health management / Healthy lifestyle | 6 | $150 per person up to $300 per policy (Sub-limits apply) | Health management - 100% of charge |
| Osteopathy | 2 | Combined limit - see Non PBS pharmaceuticals | Initial visit - $30.00 Subsequent visit - $30.00 |
| Vaccinations | 2 | Combined limit - see Non PBS pharmaceuticals | Per service - $25.00 |
| Blood glucose monitors | Major dental | Other treatments - check with your insurer |
| Endodontic | Orthodontic | |
| Hearing aids | Podiatry |
In South Australia this policy provides:
Emergency: with a waiting period of 1 day, limited to $6,000 per person per year and $12,000 per policy.
Call-out fees: will be paid for each attendance, including emergency treatment without transport to hospital.
https://www.teachershealth.com.au/health-insurance/our-products/emergency-ambulance/
The information contained in this Private Health Information Statement was provided by the insurer and is intended as general information. It may not take into account your particular circumstances. For information please contact the insurer.
For information on what is covered under each category, see https://www.privatehealth.gov.au/categories
Restricted categories partially cover your hospital costs as a private patient in a public hospital. You may incur significant expenses in a private room or private hospital.
These categories are not covered by this policy.