Essential Extras

Essential Extras

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Key Extras at a lower cost

Essential Extras covers things Teachers Health members use the most, like dental, optical and physio, plus a range of other services, including psychology and podiatry. Check out the benefits and limits to see what’s right for you.

Healthy lifestyle programs, like weight management, gym membership and health screening are also included (subject to eligibility).

Essential Extras

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More Information

Click on the service to learn more
Services
Benefit
Yearly Limits
Periodic oral examination (012) - limit of 2 services, per person/year
$40
Benefits
Yearly Limit
Yearly Limit

$500 per person.

Bitewing x-ray (022)
$30
Benefits
Yearly Limit
Yearly Limit

$500 per person.

Removal of calculus (114) - limit of 2 services, per person/year
$70
Benefits
Yearly Limit
Yearly Limit

$500 per person.

Topical application of remineralising agent (121) - limit of 2 services per year
$25
Benefits
Yearly Limit
Yearly Limit

$500 per person.

Removal of tooth (311)
$90
Benefits
Yearly Limit
Yearly Limit

$500 per person.

Filling: 1 surface metallic (511)
$63
Benefits
Yearly Limit
Yearly Limit

$500 per person.

Filling: 3 surface metallic (513)
$109
Benefits
Yearly Limit
Yearly Limit

$500 per person.

Filling: 1 surface adhesive restoration (531)
$80
Benefits
Yearly Limit
Yearly Limit

$500 per person.

Filling: 3 surface adhesive restoration (533)
$115
Benefits
Yearly Limit
Yearly Limit

$500 per person.

Services
Benefit
Yearly Limits
Orthodontia - Lifetime limit of $2,500 per person
$300
Benefits
Yearly Limit
Yearly Limit

$300 per person.

Removal of wisdom teeth requiring removal of bone (323)
$170
Benefits
Yearly Limit
Yearly Limit

$300 per person.

Removal of wisdom teeth requiring removal of bone and tooth division (324)
$240
Benefits
Yearly Limit
Yearly Limit

$300 per person.

Inlays/Onlays - tooth coloured 1 surface (551)
$273
Benefits
Yearly Limit
Yearly Limit

$300 per person.

Inlay/Onlays - tooth coloured 2 surfaces (552)
$300
Benefits
Yearly Limit
Yearly Limit

$300 per person.

Crown - veneered (615)
$300
Benefits
Yearly Limit
Yearly Limit

$300 per person.

Bridge pontic - direct (642)
$300
Benefits
Yearly Limit
Yearly Limit

$300 per person.

Dentures - upper and lower (719)
$300
Benefits
Yearly Limit
Yearly Limit

$300 per person.

Services
Benefit
Yearly Limits
Frames
$100
Benefits
Yearly Limit
Yearly Limit

$200 per person.

Single vision lens - pair
$95
Benefits
Yearly Limit
Yearly Limit

$200 per person.

Bifocal lens - pair
$95
Benefits
Yearly Limit
Yearly Limit

$200 per person.

Multifocal lens - pair
$95
Benefits
Yearly Limit
Yearly Limit

$200 per person.

Contact lenses - rigid or soft
$165
Benefits
Yearly Limit
Yearly Limit

$200 per person.

Contact lenses - disposable
$165
Benefits
Yearly Limit
Yearly Limit

$200 per person.

Services
Benefit
Yearly Limits
Chiropractic & Osteopathy - 1-4 visits
$40
Benefits
Yearly Limit
Yearly Limit

$250 per person (sub-limits apply).

Chiropractic & Osteopathy - 5+ visits
$32
Benefits
Yearly Limit
Yearly Limit

$250 per person (sub-limits apply).

Physiotherapy - 1-4 visits
$40
Benefits
Yearly Limits
Yearly Limits

$300 per person (sub-limits apply).

Physiotherapy - 5+ visits
$32
Benefits
Yearly Limits
Yearly Limits

$300 per person (sub-limits apply).

$20
Benefits
Yearly Limits
Yearly Limits

$300 per person (sub-limits apply).

Exercise physiology – Visits 1-4
$40
Benefits
Yearly Limits
Yearly Limits

Combined limit - see Physiotherapy

Exercise physiology – Visits 5+
$32
Benefits
Yearly Limits
Yearly Limits

Combined limit - see Physiotherapy

$20
Benefits
Yearly Limits
Yearly Limits

Combined limit - see Physiotherapy

Podiatry - 1-4 visits
$40
Benefits
Yearly Limit
Yearly Limit

$300 per person

Podiatry - 5+ visits
$32
Benefits
Yearly Limit
Yearly Limit

$300 per person

Psychology consultation
$72
Benefits
Yearly Limit
Yearly Limit

$250 per person. Sub-limits apply.

Psychology assessment
$100
Benefits
Yearly Limit
Yearly Limit

$250 per person. Sub-limits apply.

Natural Therapies (Remedial Massage, Acupuncture, Chinese herbal medicine consultations, Myotherapy)
$32
Benefits
Yearly Limits
Yearly Limits

$400 per person

Benefits are for face-to-face consultation only. No benefits for remedies, medicines or food preparation

Services
Benefit
Yearly Limits
100%
Benefits
Yearly Limit
Yearly Limit

$150 per person. For more information on programs and how to claim, click here.

100%
Benefits
Yearly Limit
Yearly Limit

$150 per person. For more information on programs and how to claim, click here.

100%
Benefits
Yearly Limit
Yearly Limit

$150 per person. For more information on programs and how to claim, click here.

100%
Benefits
Yearly Limit
Yearly Limit

$150 per person. For more information on programs and how to claim, click here.

National Healthy Eating Activity and Lifestyle (HEAL) program
100%
Benefits
Yearly Limit
Yearly Limit

$150 per person. For more information on programs and how to claim, click here.

Services
Benefit
Yearly Limits
$60
Benefits
Yearly Limit
Yearly Limit

$300 per person. Sub-limits apply.

$280 sub-limit for erectile dysfunction products. No sub-limit for vaccines.

Services
Benefit
Yearly Limits
Emergency ambulance transport (using State Government ambulance service)
100%
Benefits
Yearly Limit
Yearly Limit

$6000 per person.

Important info

Benefits and limits

For each service that’s included on your cover you’ll see a maximum benefit amount (dollars and/or a percentage) that you can get back.

There’s also an annual limit, which is the maximum you can claim in a calendar year. For some extras there are also sub-limits, the maximum you can claim per year for a specific sub-category of that service (like group physio on your physio limit).

Benefits and limits vary on each level of cover so take the time to think about which Extras you’re likely to use, and how often.

Waiting periods

To keep health insurance fair for everyone, you may need to wait for a while before you can claim. This can happen if you:

  • are new to private health insurance
  • upgrade your cover to include things that weren’t covered before
  • upgrade your cover when you join from another health fund.

If you’re switching to Teachers Health from another fund, join us within 60 days to avoid re-serving any applicable waiting periods.

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