healthslips.com.au Policy Information

Teachers Health

Mid Extras

Restricted Insurer

$113.74 / month

(Before Rebate, Discount & Loading)

Available in SA

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: One adult & dependants, including non-student dependants (2 or more people, only one of whom is an adult).

Children (0 - 17), non-classified* dependant (18 - 20), students (21 - 31) and non-students (21 to 31), as well as persons with a disability who qualify as a child, non-classified* dependant, student and non-student in these age ranges. *Non-classified dependant: A non-classified dependant is a dependent child over the age of 17 and under the age of 21.

Restricted insurer: Membership of this insurer is restricted to education union members and their families

Policy ID: NTF/I2/SANB1Y

Source: Private Health Information Statement (PHIS)

Extras Cover

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/.

This policy includes General treatment (Extras) cover for
Treatment & waiting period (months)
Benefit limits per 12 months unless otherwise stated
Examples of maximum benefits
Acupuncture 2

$400 per person

combined limit for acupuncture, chinese medicine, remedial massage & other services

  • Initial visit: $38
  • Subsequent visit: $38
Chinese medicine 2

$400 per person

combined limit for acupuncture, chinese medicine, remedial massage & other services

  • Initial visit: $38
  • Subsequent visit: $38
Chiropractic* 2

$250 per person

combined limit for chiropractic & osteopathy

sub-limits apply

  • Initial visit: $40
  • Subsequent visit: $40
Endodontic 12

$300 per person

combined limit for endodontic, major dental & orthodontic

  • Filling of one root canal: $160
Exercise physiology 2

$300 per person

combined limit for exercise physiology & physiotherapy

sub-limits apply

  • Initial visit: $40
  • Subsequent visit: $40
General dental 2

$500 per person

sub-limits apply

  • Fluoride treatment: $27
  • Scale & clean: $70
  • Periodic oral examination: $40
Health management / Healthy lifestyle 6

$200 per person

sub-limits apply

  • Health management: $200
Major dental 12

$300 per person

combined limit for endodontic, major dental & orthodontic

  • Surgical tooth extraction: $135
  • Full crown veneered: $300
Non PBS pharmaceuticals 2

$300 per person

combined limit for non pbs pharmaceuticals & vaccinations

  • Per eligible prescription: $60
Optical 6

$200 per person

  • Multi-focal lenses & frames: $200
  • Single vision lenses & frames: $200
Orthodontic 12

$300 per person

$2,500 lifetime limit

combined limit for endodontic, major dental & orthodontic

  • Braces for upper & lower teeth, including removal plus fitting of retainer: $300
Osteopathy* 2

$250 per person

combined limit for chiropractic & osteopathy

sub-limits apply

  • Initial visit: $40
  • Subsequent visit: $40
Physiotherapy* 2

$300 per person

combined limit for exercise physiology & physiotherapy

sub-limits apply

  • Initial visit: $40
  • Subsequent visit: $40
Podiatry* 2

$300 per person

  • Initial visit: $40
  • Subsequent visit: $40
Psychology 2

$350 per person

  • Initial visit: $72
  • Subsequent visit: $72
Remedial massage 2

$400 per person

combined limit for acupuncture, chinese medicine, remedial massage & other services

  • Initial visit: $38
  • Subsequent visit: $38
Vaccinations 2

$300 per person

combined limit for non pbs pharmaceuticals & vaccinations

  • Per service: $60

Acupuncture

Waiting period:  2 months

Benefit limits per 12 months unless otherwise stated

{$400 per person}

{combined limit for acupuncture, chinese medicine, remedial massage & other services}

Examples of maximum benefits

{Initial visit: $38}

{Subsequent visit: $38}

Chinese medicine

Waiting period:  2 months

Benefit limits per 12 months unless otherwise stated

{$400 per person}

{combined limit for acupuncture, chinese medicine, remedial massage & other services}

Examples of maximum benefits

{Initial visit: $38}

{Subsequent visit: $38}

Chiropractic*

Waiting period:  2 months

Benefit limits per 12 months unless otherwise stated

{$250 per person}

{combined limit for chiropractic & osteopathy}

{sub-limits apply}

Examples of maximum benefits

{Initial visit: $40}

{Subsequent visit: $40}

Endodontic

Waiting period:  12 months

Benefit limits per 12 months unless otherwise stated

{$300 per person}

{combined limit for endodontic, major dental & orthodontic}

Examples of maximum benefits

{Filling of one root canal: $160}

Exercise physiology

Waiting period:  2 months

Benefit limits per 12 months unless otherwise stated

{$300 per person}

{combined limit for exercise physiology & physiotherapy}

{sub-limits apply}

Examples of maximum benefits

{Initial visit: $40}

{Subsequent visit: $40}

General dental

Waiting period:  2 months

Benefit limits per 12 months unless otherwise stated

{$500 per person}

{sub-limits apply}

Examples of maximum benefits

{Fluoride treatment: $27}

{Scale & clean: $70}

{Periodic oral examination: $40}

Health management / Healthy lifestyle

Waiting period:  6 months

Benefit limits per 12 months unless otherwise stated

{$200 per person}

{sub-limits apply}

Examples of maximum benefits

{Health management: $200}

Major dental

Waiting period:  12 months

Benefit limits per 12 months unless otherwise stated

{$300 per person}

{combined limit for endodontic, major dental & orthodontic}

Examples of maximum benefits

{Surgical tooth extraction: $135}

{Full crown veneered: $300}

Non PBS pharmaceuticals

Waiting period:  2 months

Benefit limits per 12 months unless otherwise stated

{$300 per person}

{combined limit for non pbs pharmaceuticals & vaccinations}

Examples of maximum benefits

{Per eligible prescription: $60}

Optical

Waiting period:  6 months

Benefit limits per 12 months unless otherwise stated

{$200 per person}

Examples of maximum benefits

{Multi-focal lenses & frames: $200}

{Single vision lenses & frames: $200}

Orthodontic

Waiting period:  12 months

Benefit limits per 12 months unless otherwise stated

{$300 per person}

{$2,500 lifetime limit}

{combined limit for endodontic, major dental & orthodontic}

Examples of maximum benefits

{Braces for upper & lower teeth, including removal plus fitting of retainer: $300}

Osteopathy*

Waiting period:  2 months

Benefit limits per 12 months unless otherwise stated

{$250 per person}

{combined limit for chiropractic & osteopathy}

{sub-limits apply}

Examples of maximum benefits

{Initial visit: $40}

{Subsequent visit: $40}

Physiotherapy*

Waiting period:  2 months

Benefit limits per 12 months unless otherwise stated

{$300 per person}

{combined limit for exercise physiology & physiotherapy}

{sub-limits apply}

Examples of maximum benefits

{Initial visit: $40}

{Subsequent visit: $40}

Podiatry*

Waiting period:  2 months

Benefit limits per 12 months unless otherwise stated

{$300 per person}

Examples of maximum benefits

{Initial visit: $40}

{Subsequent visit: $40}

Psychology

Waiting period:  2 months

Benefit limits per 12 months unless otherwise stated

{$350 per person}

Examples of maximum benefits

{Initial visit: $72}

{Subsequent visit: $72}

Remedial massage

Waiting period:  2 months

Benefit limits per 12 months unless otherwise stated

{$400 per person}

{combined limit for acupuncture, chinese medicine, remedial massage & other services}

Examples of maximum benefits

{Initial visit: $38}

{Subsequent visit: $38}

Vaccinations

Waiting period:  2 months

Benefit limits per 12 months unless otherwise stated

{$300 per person}

{combined limit for non pbs pharmaceuticals & vaccinations}

Examples of maximum benefits

{Per service: $60}

This policy does not include General treatment (Extras) cover for

Ante-natal/Post-natal classes
Audiology
Blood glucose monitors
Dietetics/dietary advice
Eye therapy (orthoptics)
Hearing aids
Home nursing
Occupational therapy
Orthotics (podiatric orthoses)
Speech therapy

Ambulance cover

In SA this policy provides:

Emergency: With a waiting period of 1 day, limited to $6,000 per person per year.

Call-out fees: Will be paid for each attendance, including emergency treatment without transport to hospital.

For further information about this policy see: https://www.teachershealth.com.au/health-insurance/our-products/emergency-ambulance/

Insurer Details

Teachers Health

Mid Extras

Restricted Insurer

$113.74 / month

(Before Rebate, Discount & Loading)

Available in SA

Disclaimer: This document is not a Private Health Information Statement (PHIS), and it is not intended to replace that document. The details contained in the healthslips.com.au Policy Information was provided by the insurer to the Australian Government. It is intended as general information. It may not take into account your circumstances. For further information contact the insurer. Information used is Licensed from the Commonwealth of Australia under a Creative Commons 3.0 licence.Private Health Information Statement is available from the Private Health Insurance Ombudsman website at https://privatehealth.gov.au/dynamic/Premium/PHIS/NTF/I2/SANB1Y

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