Mid Extras

Mid Extras

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Key Extras at a lower cost

Mid 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).

Mid Extras

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Services
Benefit
Yearly Limits
Periodic oral examination (012) - limit of 2 services, per person/year
$40
Benefits
Yearly Limit
Yearly Limit

$500 per person.

Intraoral radiograph - per exposure (022)
$30
Benefits
Yearly Limit
Yearly Limit

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

$500 per person

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

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

$500 per person

Topical application of remineralising agent (121) - limit of 2 services per year
$27
Benefits
Yearly Limit
Yearly Limit

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

$500 per person

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

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

$500 per person

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

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

$500 per person

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

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

$500 per person

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

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

$500 per person

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

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

$500 per person

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

$300 per person.

Surgical removal of a tooth requiring bone removal (324)
$240
Benefits
Yearly Limit
Yearly Limit

Combined limit Orthodontia

$300 per person

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

Combined limit Orthodontia

$300 per person

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

Combined limit Orthodontia

$300 per person

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

Combined limit Orthodontia

$300 per person

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

Combined limit Orthodontia

$300 per person

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

Combined limit Orthodontia

$300 per person

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

$200 per person.

Single vision lens - pair
$100
Benefits
Yearly Limit
Yearly Limit

Combined limit with Frames

$200 per person

Bifocal lens - pair
$100
Benefits
Yearly Limit
Yearly Limit

Combined limit with Frames

$200 per person

Multifocal lens - pair
$100
Benefits
Yearly Limit
Yearly Limit

Combined limit with Frames

$200 per person

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

Combined limit with Frames

$200 per person

Contact lenses - disposable
$165
Benefits
Yearly Limit
Yearly Limit

Combined limit with Frames

$200 per person

Services
Benefit
Yearly Limits
Chiropractic & Osteopathy - per visit
$40
Benefits
Yearly Limit
Yearly Limit

$250 per person (sub-limits apply).

Physiotherapy - per visit
$40
Benefits
Yearly Limits
Yearly Limits

$300 per person (sub-limits apply).

$20
Benefits
Yearly Limits
Yearly Limits

Combined limit with Physiotherapy - per visit

$300 per person (sub-limits apply).

Exercise physiology – per visit
$40
Benefits
Yearly Limits
Yearly Limits

Combined limit with Physiotherapy

$20
Benefits
Yearly Limits
Yearly Limits

Combined limit with Physiotherapy

Podiatry - per visit
$40
Benefits
Yearly Limit
Yearly Limit

$300 per person

Psychology assessment
$100
Benefits
Yearly Limits
Yearly Limits

$350 per person. Sub-limits apply.

Psychology - initial consultation
$72
Benefits
Yearly Limits
Yearly Limits

Combined limit with Psychology assessment

$350 per person. Sub-limits apply.

Psychology - subsequent consultation
$72
Benefits
Yearly Limits
Yearly Limits

Combined limit with Psychology assessment

$350 per person. Sub-limits apply.

$50
Benefits
Yearly Limits
Yearly Limits

Combined limit with Psychology assessment

$350 per person. Sub-limits apply.

$45
Benefits
Yearly Limits
Yearly Limits

Combined limit with Psychology assessment

$350 per person. Sub-limits apply.

Natural Therapies (Remedial Massage, Acupuncture, Chinese herbal medicine consultations, Myotherapy)
$36
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. See more info on programs and claiming.

(Sub-limit of $30 for flu vaccine. See more info on how to claim.)

100%
Benefits
Yearly Limit
Yearly Limit

Combined limit with Weight management

$150 per person. See more info on programs and claiming.

100%
Benefits
Yearly Limit
Yearly Limit

Combined limit with Weight management

$150 per person. See more info on programs and claiming.

100%
Benefits
Yearly Limit
Yearly Limit

Combined limit with Weight management

$150 per person. See more info on programs and claiming.

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

Combined limit with Weight management

$150 per person. See more info on programs and claiming.

Flu vaccine
100%
Benefits
Yearly Limit
Yearly Limit

Combined limit with Weight management.

Sub-limit of $30 for flu vaccine. See more info on how to claim.

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.

 

DIY dentistry

Please be aware you can claim for face-to-face dental consultations only. You can’t claim for home (DIY) dentistry – this includes teeth whitening kits, orthodontic aligners and occlusal splints. If unsure, contact us to find out whether a benefit is payable – we’re here to help.