healthslips.com.au Policy Information

TUH, part of the Teachers Health Group

Mid Range Extras

Restricted Insurer

$65.17 / month

(Before Rebate, Discount & Loading)

Available in WA

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: Only one person.

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

Policy ID: QTU/MR/WDUK10

Source: Private Health Information Statement (PHIS)

Extras Cover

No-gap or agreed discounts at preferred optical, dental, and podiatry 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 policy

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

sub-limits apply

  • Initial visit: $36
  • Subsequent visit: $31
Ante-natal/Post-natal classes* 2

$200 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
Chinese medicine 2

$400 per policy

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

  • Initial visit: $36
  • Subsequent visit: $31
Chiropractic 2

$300 per policy

  • Initial visit: $34
  • Subsequent visit: $28
Dietetics/dietary advice 2

$350 per policy

combined limit for dietetics/dietary advice, occupational therapy, podiatry, psychology, speech therapy & other services

sub-limits apply

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

$1,000 per policy

combined limit for endodontic, major dental, orthodontic & other services

sub-limits apply

  • Filling of one root canal: $141
Exercise physiology 2

$600 per policy

combined limit for exercise physiology, physiotherapy & other services

sub-limits apply

  • Initial visit: $25
  • Subsequent visit: $25
General dental 2

$600 per policy

sub-limits apply

  • Fluoride treatment: $24.15
  • Scale & clean: $60.9
  • Surgical tooth extraction: $109
  • Periodic oral examination: $31.5
Health management / Healthy lifestyle* 0

$200 per policy

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

sub-limits apply

  • Health management: 80% of charge
Major dental* 12

$1,000 per policy

combined limit for endodontic, major dental, orthodontic & other services

sub-limits apply

  • Full crown veneered: $580
Non PBS pharmaceuticals 2

$400 per policy

  • Per eligible prescription: $60
Occupational therapy 2

$350 per policy

combined limit for dietetics/dietary advice, occupational therapy, podiatry, psychology, speech therapy & other services

sub-limits apply

  • Initial visit: $37
  • Subsequent visit: $29
Optical* 6

$230 per policy

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

$1,000 per policy

combined limit for endodontic, major dental, orthodontic & other services

sub-limits apply

  • Braces for upper & lower teeth, including removal plus fitting of retainer: $550
Osteopathy 2

$400 per policy

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

sub-limits apply

  • Initial visit: $33
  • Subsequent visit: $28
Physiotherapy* 2

$600 per policy

combined limit for exercise physiology, physiotherapy & other services

sub-limits apply

  • Initial visit: $42
  • Subsequent visit: $37
Podiatry* 2

$350 per policy

combined limit for dietetics/dietary advice, occupational therapy, podiatry, psychology, speech therapy & other services

sub-limits apply

  • Initial visit: $37
  • Subsequent visit: $31
Psychology 2

$350 per policy

combined limit for dietetics/dietary advice, occupational therapy, podiatry, psychology, speech therapy & other services

sub-limits apply

  • Initial visit: $75
  • Subsequent visit: $60
Remedial massage* 2

$400 per policy

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

sub-limits apply

  • Initial visit: $35
  • Subsequent visit: $35
Speech therapy 0

$350 per policy

combined limit for dietetics/dietary advice, occupational therapy, podiatry, psychology, speech therapy & other services

sub-limits apply

  • Initial visit: $55
  • Subsequent visit: $30

Acupuncture

Waiting period:  2 months

Benefit limits per 12 months unless otherwise stated

{$400 per policy}

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

{sub-limits apply}

Examples of maximum benefits

{Initial visit: $36}

{Subsequent visit: $31}

Ante-natal/Post-natal classes*

Waiting period:  2 months

Benefit limits per 12 months unless otherwise stated

{$200 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}

Chinese medicine

Waiting period:  2 months

Benefit limits per 12 months unless otherwise stated

{$400 per policy}

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

Examples of maximum benefits

{Initial visit: $36}

{Subsequent visit: $31}

Chiropractic

Waiting period:  2 months

Benefit limits per 12 months unless otherwise stated

{$300 per policy}

Examples of maximum benefits

{Initial visit: $34}

{Subsequent visit: $28}

Dietetics/dietary advice

Waiting period:  2 months

Benefit limits per 12 months unless otherwise stated

{$350 per policy}

{combined limit for dietetics/dietary advice, occupational therapy, podiatry, psychology, speech therapy & other services}

{sub-limits apply}

Examples of maximum benefits

{Initial visit: $60}

{Subsequent visit: $42}

Endodontic

Waiting period:  12 months

Benefit limits per 12 months unless otherwise stated

{$1,000 per policy}

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

{sub-limits apply}

Examples of maximum benefits

{Filling of one root canal: $141}

Exercise physiology

Waiting period:  2 months

Benefit limits per 12 months unless otherwise stated

{$600 per policy}

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

{sub-limits apply}

Examples of maximum benefits

{Initial visit: $25}

{Subsequent visit: $25}

General dental

Waiting period:  2 months

Benefit limits per 12 months unless otherwise stated

{$600 per policy}

{sub-limits apply}

Examples of maximum benefits

{Fluoride treatment: $24.15}

{Scale & clean: $60.9}

{Surgical tooth extraction: $109}

{Periodic oral examination: $31.5}

Health management / Healthy lifestyle*

Waiting period:  0 month

Benefit limits per 12 months unless otherwise stated

{$200 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}

Major dental*

Waiting period:  12 months

Benefit limits per 12 months unless otherwise stated

{$1,000 per policy}

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

{sub-limits apply}

Examples of maximum benefits

{Full crown veneered: $580}

Non PBS pharmaceuticals

Waiting period:  2 months

Benefit limits per 12 months unless otherwise stated

{$400 per policy}

Examples of maximum benefits

{Per eligible prescription: $60}

Occupational therapy

Waiting period:  2 months

Benefit limits per 12 months unless otherwise stated

{$350 per policy}

{combined limit for dietetics/dietary advice, occupational therapy, podiatry, psychology, speech therapy & other services}

{sub-limits apply}

Examples of maximum benefits

{Initial visit: $37}

{Subsequent visit: $29}

Optical*

Waiting period:  6 months

Benefit limits per 12 months unless otherwise stated

{$230 per policy}

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 policy}

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

{sub-limits apply}

Examples of maximum benefits

{Braces for upper & lower teeth, including removal plus fitting of retainer: $550}

Osteopathy

Waiting period:  2 months

Benefit limits per 12 months unless otherwise stated

{$400 per policy}

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

{sub-limits apply}

Examples of maximum benefits

{Initial visit: $33}

{Subsequent visit: $28}

Physiotherapy*

Waiting period:  2 months

Benefit limits per 12 months unless otherwise stated

{$600 per policy}

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

{sub-limits apply}

Examples of maximum benefits

{Initial visit: $42}

{Subsequent visit: $37}

Podiatry*

Waiting period:  2 months

Benefit limits per 12 months unless otherwise stated

{$350 per policy}

{combined limit for dietetics/dietary advice, occupational therapy, podiatry, psychology, speech therapy & other services}

{sub-limits apply}

Examples of maximum benefits

{Initial visit: $37}

{Subsequent visit: $31}

Psychology

Waiting period:  2 months

Benefit limits per 12 months unless otherwise stated

{$350 per policy}

{combined limit for dietetics/dietary advice, occupational therapy, podiatry, psychology, speech therapy & other services}

{sub-limits apply}

Examples of maximum benefits

{Initial visit: $75}

{Subsequent visit: $60}

Remedial massage*

Waiting period:  2 months

Benefit limits per 12 months unless otherwise stated

{$400 per policy}

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

{sub-limits apply}

Examples of maximum benefits

{Initial visit: $35}

{Subsequent visit: $35}

Speech therapy

Waiting period:  0 month

Benefit limits per 12 months unless otherwise stated

{$350 per policy}

{combined limit for dietetics/dietary advice, occupational therapy, podiatry, psychology, speech therapy & other services}

{sub-limits apply}

Examples of maximum benefits

{Initial visit: $55}

{Subsequent visit: $30}

Other services: Anti-snore device $300 sub-limit included in Major Dental overall limit. Group Physiotherapy $17 per consult up to $150 sub-limit. Ante/post-natal Physiotherapy $17 per consult up to $110 sub-limit. Chiropractic x-ray (one per year) $50 included in Chiropractic limit. Group Psychology $30 per consult and Counselling $38 per initial consult, $30 per subsequent consult included in $250 Psychology sub-limit. Osteopathic x-ray (one per year) $50 included in Osteopathy sub-limit. Myotherapy $35 per consult included in Remedial Massage sub-limit. Biogait Analysis (one per year) $31 included in the $250 Podiatry sub-limit. Group Speech Therapy $12 per consult up to $150 Speech Therapy sub-limit. Group Occupational Therapy $17.50 per consult up to $150 Occupational Therapy sub-limit. *Health Management overall limit includes Health Screenings 80% of charge up to $90 sub-limit , Wellbeing Programs 80% up to $110 sub-limit, Weight Loss and Fitness Programs 80% up to $120 sub-limit and Ante/post Natal Classes 80% up to $160 sub-limit. Active Health Bonus $40/person $80/membership (conditions apply).

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

Audiology
Blood glucose monitors
Eye therapy (orthoptics)
Hearing aids
Home nursing
Orthotics (podiatric orthoses)
Vaccinations

Other features of this general treatment cover: Online and mobile access, claims via smart phone app. Some major dental sub-limits increase with years of membership. Extended dependant option only available with selected hospital products, contact us for further details.

For further information about this policy see: http://tuh.com.au/extras/mid-range-extras

Ambulance cover

In WA 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 regional 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

Mid Range Extras

Restricted Insurer

$65.17 / month

(Before Rebate, Discount & Loading)

Available in WA

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/MR/WDUK10

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