Essential Extras

Essential Extras is an affordable level of cover for everyday services including preventative and general dental, optical, physiotherapy and massage therapies that Medicare generally doesn't pay for.

Essential Extras can be combined with one of our three Hospital cover options.

We've included a list of the most commonly claimed items. Call us on 1300 727 538 to check if you're covered for an item number that is not listed below. 

Dental

Service Benefit (up to $)

General Dental - 2 month waiting period

Periodic oral examination (012) - limit of 2 services, per person/year

$40

Yearly Limits:
$500 per person

Bitewing x-ray (022)

$30

Removal of calculus (114) - limit of 2 services, per person/year

$70

Topical application of remineralising agent (121) - limit of 2 services per year

$25

Removal of tooth (311)

$90

Filling: 1 surface metallic (511)

$63

Filling: 3 surface metallic (513)

$109

Filling: 1 surface adhesive restoration (531)

$80

Filling: 3 surface adhesive restoration (533)

$115

Major Dental -12 month waiting period

Removal of wisdom teeth requiring removal of bone (323)

$170

Yearly Limits:
$300 per person

Removal of wisdom teeth requiring removal of bone and tooth division (324)

$240

Crown - veneered (615)

$300

Dentures - upper and lower (719)

$300

Optical

Service Benefit (up to $)

6 month waiting period

Frames

$100

Yearly Limits:
$165 per person

Single vision lens - pair

$95

Bifocal lens - pair

$95

Multifocal lens - pair

$95

Contact lenses - rigid or soft

$165

Contact lenses - disposable

$165

Complementary Therapies

Service Benefit (up to $)

2 month waiting period

Acupuncture

$32

Yearly Limits:
$400 per person

Remedial Massage

$32

Alexander Technique

$32

Aromatherapy

$32

Bowen Therapy

$32

Chinese Herbal Medicine Consultations

$32

Feldenkrais Method

$32

Homeopathy

$32

Kinesiology

$32

Myotherapy

$32

Naturopathy

$32

Reflexology

$32

Shiatsu

$32

Western Herbal Medicine Consultations

$32

Body & Mind Therapies

Service Benefit (up to $)

2 month waiting period

Chiropractic & Osteopathy - 1-4 visits

$40

Yearly Limits:
$250 per person

Chiropractic & Osteopathy - 5+ visits

$32

Chiropractic & Osteopathy - group therapy

$20

Physiotherapy - 1-4 visits

$40

Yearly Limits:
$300 per person

Physiotherapy - 5+ visits

$32

Physiotherapy - group therapy

$20

Exercise Physiology - 1-4 visits

N/A

Exercise Physiology - 5+ visits

N/A

Exercise Physiology - group therapy

N/A

Speech therapy - 1-4 visits

N/A

Speech therapy - 5+ visits

N/A

Podiatry - 1-4 visits

$40

Yearly Limits:
$200 per person

Podiatry - 5+ visits

$32

Dietitian - 1-4 visits

N/A

Dietitian - 5+ visits

N/A

Psychology consultation

N/A

Psychology assessment

N/A

Healthy Lifestyle

Service Benefit (up to $)

6 month waiting period

Weight management

75%

Yearly Limits:
$150 per person

For more information on programs and how to claim, click here.

Gym membership

75%

Pilates

75%

Yoga

75%

Disease management subscriptions / memberships

75%

Health screening services / prevention screening

75%

National Healthy Eating Activity and Lifestyle (HEAL) program

75%

Medical Health

Service Benefit (up to $)

2 month waiting period

Pharmaceuticals (non PBS requiring prescription by law)^

$60

Yearly Limits:
$300 per person

Medical Appliances

Service Benefit (up to $)

12 month waiting period

CPAP machine (purchase)

N/A

Artificial Aids

Service Benefit (up to $)

2 month waiting period

Blood pressure monitor (purchase)

N/A

Blood glucose monitor

N/A

Compression garments~

N/A

Wigs - chemotherapy / alopecia

N/A

Hearing Aids

Service Benefit (up to $)

12 month waiting period

Hearing aids

N/A

Emergency Ambulance Transport

Service Benefit (up to $)

1 day waiting period

Emergency ambulance transport (using State Government ambulance service)

100%

$6,000 per person

Recognised Providers

Benefits are only paid where the provider of the service or product is recognised by Teachers Health Fund at the time the service is received or the product is purchased. To check if your provider is recognised by Teachers Health Fund please call Teachers Health Fund on 1300 727 538.

^Teachers Heath Fund pays a benefit towards non-PBS prescriptions only medication supplied to treat a medical condition. You pay a co-payment equal to the current non-concessional PBS co-payment amount. Benefit is not payable for contraceptive prescribed in the absence of a medical condition. Evidence of this is required once per 12 months. No benefit for erectile dysfunction medication.



Frequently Asked Questions