healthslips.com.au Policy Information

TUH, part of the Teachers Health Group

Comprehensive Extras

Restricted Insurer

$174.56 / 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 (2 or more people, only one of whom is an adult).

Children (0 - 17), non-classified* dependant (18 - 20) and students (21 - 31), as well as persons with a disability who qualify as a child, non-classified* dependant and student in these age ranges. *Non-classified dependant: A child of the primary member or their partner who is between the ages of 18 and 20 and does not themselves have a partner.

Restricted insurer: Membership of this insurer is restricted to current or former union members and their families.

Policy ID: QTU/AN/SDPK1D

Source: Private Health Information Statement (PHIS)

Extras Cover

No-gap or agreed discounts at preferred optical, dental, podiatry and physiotherapy providers. See https://tuh.com.au/information/using-your-extras/find-provider.

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

  • Initial visit: $42
  • Subsequent visit: $37
Ante-natal/Post-natal classes 2

$270 per person up to $540 per policy

combined limit for ante-natal/post-natal classes, health management / healthy lifestyle & other services

sub-limits apply

  • Initial visit: 80% of charge
  • Subsequent visit: 80% of charge
Audiology 2

$200 per person

  • Initial visit: $75
  • Subsequent visit: $75
Blood glucose monitors* 12

$620 per person

sub-limits apply

  • Per monitor: 85% of charge
Chinese medicine 2

$400 per person

combined limit for acupuncture & chinese medicine

  • Initial visit: $42
  • Subsequent visit: $37
Chiropractic 2

$400 per person

  • Initial visit: $44
  • Subsequent visit: $35
Dietetics/dietary advice 2

$400 per person

  • Initial visit: $60
  • Subsequent visit: $42
Endodontic* 12

$3,400 per person

combined limit for endodontic, major dental & other services

sub-limits apply

  • Filling of one root canal: $178
Exercise physiology 2

$700 per person

combined limit for exercise physiology, physiotherapy & other services

sub-limits apply

  • Initial visit: $26
  • Subsequent visit: $26
Eye therapy (orthoptics) 2

$200 per person

  • Initial visit: $42
  • Subsequent visit: $42
General dental 2

No annual limit

  • Fluoride treatment: $31.5
  • Scale & clean: $72.45
  • Surgical tooth extraction: $140
  • Periodic oral examination: $39.9
Health management / Healthy lifestyle* 2

$270 per person up to $540 per policy

combined limit for ante-natal/post-natal classes, health management / healthy lifestyle & other services

sub-limits apply

  • Health management: 80% of charge
Hearing aids 12

$2000 overall $1000 limit per ear, $800 sub-limit for repairs. Limits apply over 3-year period from date supply.

  • Hearing aid: $1000
Home nursing 2

$600 per person

  • Initial visit: $80
  • Subsequent visit: $80
Major dental* 12

$3,400 per person

combined limit for endodontic, major dental & other services

sub-limits apply

  • Full crown veneered: $750
Non PBS pharmaceuticals 2

$550 per person

  • Per eligible prescription: $60
Occupational therapy 2

$400 per person

  • Initial visit: $57
  • Subsequent visit: $42
Optical* 6

$260 per person

  • Multi-focal lenses & frames: 100% of charge
  • Single vision lenses & frames: 100% of charge
Orthodontic* 12

$1,000 per person

$2,800 lifetime limit

  • Braces for upper & lower teeth, including removal plus fitting of retainer: $1000
Orthotics (podiatric orthoses)* 12

$300 per person

sub-limits apply

  • Orthotics supply & fit: 85% of charge
Osteopathy 2

$400 per person

  • Initial visit: $44
  • Subsequent visit: $39
Physiotherapy* 2

$700 per person

combined limit for exercise physiology, physiotherapy & other services

sub-limits apply

  • Initial visit: $62
  • Subsequent visit: $52
Podiatry 2

$400 per person

  • Initial visit: $42
  • Subsequent visit: $38
Psychology 2

$400 per person

  • Initial visit: $90
  • Subsequent visit: $85
Remedial massage 2

$400 per person up to $800 per policy

  • Initial visit: $43
  • Subsequent visit: $43
Speech therapy 2

$400 per person

  • Initial visit: $70
  • Subsequent visit: $44

Acupuncture

Waiting period:  2 months

Benefit limits per 12 months unless otherwise stated

{$400 per person}

{combined limit for acupuncture & chinese medicine}

Examples of maximum benefits

{Initial visit: $42}

{Subsequent visit: $37}

Ante-natal/Post-natal classes

Waiting period:  2 months

Benefit limits per 12 months unless otherwise stated

{$270 per person up to $540 per policy}

{combined limit for ante-natal/post-natal classes, health management / healthy lifestyle & other services}

{sub-limits apply}

Examples of maximum benefits

{Initial visit: 80% of charge}

{Subsequent visit: 80% of charge}

Audiology

Waiting period:  2 months

Benefit limits per 12 months unless otherwise stated

{$200 per person}

Examples of maximum benefits

{Initial visit: $75}

{Subsequent visit: $75}

Blood glucose monitors*

Waiting period:  12 months

Benefit limits per 12 months unless otherwise stated

{$620 per person}

{sub-limits apply}

Examples of maximum benefits

{Per monitor: 85% of charge}

Chinese medicine

Waiting period:  2 months

Benefit limits per 12 months unless otherwise stated

{$400 per person}

{combined limit for acupuncture & chinese medicine}

Examples of maximum benefits

{Initial visit: $42}

{Subsequent visit: $37}

Chiropractic

Waiting period:  2 months

Benefit limits per 12 months unless otherwise stated

{$400 per person}

Examples of maximum benefits

{Initial visit: $44}

{Subsequent visit: $35}

Dietetics/dietary advice

Waiting period:  2 months

Benefit limits per 12 months unless otherwise stated

{$400 per person}

Examples of maximum benefits

{Initial visit: $60}

{Subsequent visit: $42}

Endodontic*

Waiting period:  12 months

Benefit limits per 12 months unless otherwise stated

{$3,400 per person}

{combined limit for endodontic, major dental & other services}

{sub-limits apply}

Examples of maximum benefits

{Filling of one root canal: $178}

Exercise physiology

Waiting period:  2 months

Benefit limits per 12 months unless otherwise stated

{$700 per person}

{combined limit for exercise physiology, physiotherapy & other services}

{sub-limits apply}

Examples of maximum benefits

{Initial visit: $26}

{Subsequent visit: $26}

Eye therapy (orthoptics)

Waiting period:  2 months

Benefit limits per 12 months unless otherwise stated

{$200 per person}

Examples of maximum benefits

{Initial visit: $42}

{Subsequent visit: $42}

General dental

Waiting period:  2 months

Benefit limits per 12 months unless otherwise stated

{No annual limit}

Examples of maximum benefits

{Fluoride treatment: $31.5}

{Scale & clean: $72.45}

{Surgical tooth extraction: $140}

{Periodic oral examination: $39.9}

Health management / Healthy lifestyle*

Waiting period:  2 months

Benefit limits per 12 months unless otherwise stated

{$270 per person up to $540 per policy}

{combined limit for ante-natal/post-natal classes, health management / healthy lifestyle & other services}

{sub-limits apply}

Examples of maximum benefits

{Health management: 80% of charge}

Hearing aids

Waiting period:  12 months

Benefit limits per 12 months unless otherwise stated

{$2000 overall $1000 limit per ear, $800 sub-limit for repairs. Limits apply over 3-year period from date supply.}

Examples of maximum benefits

{Hearing aid: $1000}

Home nursing

Waiting period:  2 months

Benefit limits per 12 months unless otherwise stated

{$600 per person}

Examples of maximum benefits

{Initial visit: $80}

{Subsequent visit: $80}

Major dental*

Waiting period:  12 months

Benefit limits per 12 months unless otherwise stated

{$3,400 per person}

{combined limit for endodontic, major dental & other services}

{sub-limits apply}

Examples of maximum benefits

{Full crown veneered: $750}

Non PBS pharmaceuticals

Waiting period:  2 months

Benefit limits per 12 months unless otherwise stated

{$550 per person}

Examples of maximum benefits

{Per eligible prescription: $60}

Occupational therapy

Waiting period:  2 months

Benefit limits per 12 months unless otherwise stated

{$400 per person}

Examples of maximum benefits

{Initial visit: $57}

{Subsequent visit: $42}

Optical*

Waiting period:  6 months

Benefit limits per 12 months unless otherwise stated

{$260 per person}

Examples of maximum benefits

{Multi-focal lenses & frames: 100% of charge}

{Single vision lenses & frames: 100% of charge}

Orthodontic*

Waiting period:  12 months

Benefit limits per 12 months unless otherwise stated

{$1,000 per person}

{$2,800 lifetime limit}

Examples of maximum benefits

{Braces for upper & lower teeth, including removal plus fitting of retainer: $1000}

Orthotics (podiatric orthoses)*

Waiting period:  12 months

Benefit limits per 12 months unless otherwise stated

{$300 per person}

{sub-limits apply}

Examples of maximum benefits

{Orthotics supply & fit: 85% of charge}

Osteopathy

Waiting period:  2 months

Benefit limits per 12 months unless otherwise stated

{$400 per person}

Examples of maximum benefits

{Initial visit: $44}

{Subsequent visit: $39}

Physiotherapy*

Waiting period:  2 months

Benefit limits per 12 months unless otherwise stated

{$700 per person}

{combined limit for exercise physiology, physiotherapy & other services}

{sub-limits apply}

Examples of maximum benefits

{Initial visit: $62}

{Subsequent visit: $52}

Podiatry

Waiting period:  2 months

Benefit limits per 12 months unless otherwise stated

{$400 per person}

Examples of maximum benefits

{Initial visit: $42}

{Subsequent visit: $38}

Psychology

Waiting period:  2 months

Benefit limits per 12 months unless otherwise stated

{$400 per person}

Examples of maximum benefits

{Initial visit: $90}

{Subsequent visit: $85}

Remedial massage

Waiting period:  2 months

Benefit limits per 12 months unless otherwise stated

{$400 per person up to $800 per policy}

Examples of maximum benefits

{Initial visit: $43}

{Subsequent visit: $43}

Speech therapy

Waiting period:  2 months

Benefit limits per 12 months unless otherwise stated

{$400 per person}

Examples of maximum benefits

{Initial visit: $70}

{Subsequent visit: $44}

Other services: Anti snore device $500 sub-limit included in Major Dental overall limit. Hydrotherapy $25 per consult included in Physiotherapy limit. Group Physiotherapy $20 per consult up to $250 sub-limit. Ante/post natal Physiotherapy $17 per consult up to $140 limit. Chiropractic x-ray (one per year) $63 included in Chiropractic limit. Group Psychology $35 per consult, Psychometric assessments $116, Counselling $43 per initial consult, $41 per subsequent consult, included in $400 Psychology limit. Osteopathic x-ray (one per year) $63 included in Osteopathy limit. Myotherapy $43 per consult included in Remedial Massage limit. Podiatric Surgery 85% and Biogait Analysis $37 (one per year) up to $400 Podiatry limit. Orthotic Repairs 85% up to $100 sub-limit. Group Speech Therapy $17 per consult and Paediatric Assessment (one per year) $90 up to $400 Speech Therapy limit. Group Occupational Therapy $22.50 per consult and Paediatric Assessment (one per year) $71 up to $400 Occupational Therapy limit. *Health Management overall limit includes $110 sub-limit Health Screenings, and $140 sub-limits on Health Management Programs and Healthy Lifestyle Programs. Health Devices/Appliances overall $620 limit, 85% up to relevant sub-limit includes compression garments up to $300 sub-limit. Non-surgically implanted prostheses e.g. breast prostheses and wigs 85% up to $1,500 limit. Lactation nursing $50 daily included in $600 Home Nursing limit. Travel and Accommodation $50 per night and up to $100 travel up to $100 limit (conditions apply). Active Health Bonus $75/person $150/membership (conditions apply).

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

Vaccinations

Other features of this general treatment cover: Annual limits for most services increase with years of membership. Online and mobile access, claims via smart phone app. Extended dependant option only available with selected hospital products.

For further information about this policy see: https://tuh.com.au/extras/comprehensive-extras

Ambulance cover

In SA this policy provides:

Emergency: Unlimited with a waiting period of 1 day.

Non-emergency: Unlimited transport with a waiting period of 1 day, or 1 day for pre-existing conditions.

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

Other features of this ambulance cover: Members who have COMBINED HOSPITAL AND EXTRAS COVER are entitled to emergency ambulance services benefits. No annual limit will apply to emergency road ambulance services. State-owned air ambulance transportation services are covered up to $6,000 per person per annum. From 1 Jan 2022, members who have eligible stand-alone extras cover may claim the cost of a third-party ambulance subscription fee from the Health Program benefit category (sub-limits apply).

For further information about this policy see: https://tuh.com.au/information/glossary/ambulance

Insurer Details

TUH, part of the Teachers Health Group

Comprehensive Extras

Restricted Insurer

$174.56 / month

(Before Rebate, Discount & Loading)

Available in SA

TUH, part of the Teachers Health Group

https://tuh.com.au/

enquiries@tuh.com.au

1300 360 701

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/QTU/AN/SDPK1D

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