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    Reasons to switch

    Switching to Teachers Health Fund

    Switching to Teachers Health Fund couldn’t be easier. You can notify your current fund yourself or we can do it for you. Simply complete the Clearance CertificateA Clearance Certificate is a certificate issued by a fund when a member terminates a policy or wishes to transfer to another fund.
    It is a record of your private health insurance cover including details about:
    -Type of cover
    -Level of cover
    -Join and cancellation dates
    -Waiting periods served
    -Certified Age of Entry (CAE)
    -A history of recent claims
     details when you join and we will take care of the transfer. This gives us permission to contact your previous fund to obtain your cover details.

    Waiting periods

    If you are transferring to an equivalent level of cover with equivalent benefits, you will not have to re-serve your waiting periods with Teachers Health Fund. If your previous level of cover was lower than your Teachers Health Fund cover, waiting periods will apply to any services that were not covered by your previous fund.

    If you have cancelled your health insurance policy with another health fund, you will need to join Teachers Health Fund within 60 days to make sure you receive continuity of cover.


    Mutual/for member fund versus for-profit fund

    Teachers Health Fund is a not-for-profit organisation. This means that we are a mutual organisation owned by our members and exist for our members. We generate a surplus in the interest of sustainability and service delivery. Our profits are invested back into the organisation through benefits and improved services to our members, rather than distributed to shareholders in the form of dividends.

    • For every dollar Teachers Health Fund receives from member contributions, 89.1 cents are returned back to members through benefits. This is one of the highest return rates in the industry.
    • Our management overhead expenses are at 6.8% of contribution income, well below the industry average of 9.1%. Teachers Health Fund keeps these overhead expenses down so we can continue to return more back to our members. As a mutual organisation we rarely run television or print campaigns like some of the larger health funds. When you do see us around it will be locally where we can support individual communities.
    • Member feedback is encouraged and valued and is used when making decisions.

    A for-profit organisation’s primary goal is to make money with an aim to distribute profits to its owners or shareholders in the form of dividends.

    Benefits of joining a restricted health fund

    Restricted health funds provide cover to members of a specific industry or group. Teachers Health Fund is a restricted fund and exists specifically to provide health cover to the education community and their families. There are thirteen restricted health funds in Australia and Teachers Health Fund is the largest.

    The benefits of a restricted health fund are:

    • Product design: additional benefits and services can be tailored to suit the industry.
    • Not everyone can be a member, which means the fund is agile and can focus more closely on each and every member.
    • Marketing expenditure is low compared to some of the open funds. Restricted health funds’ markets are very specific and marketing is targeted accordingly to help support local communities. You won’t see us spending large sums of our members’ contribution dollars on sponsoring wealthy sporting teams, advertising at mainstream events or advertising on public transport.


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    Your Rebate

    All Australian residents, who are entitled to Medicare, are able to claim an income tested rebate on their private health insurance; would you like to apply your rebate?

    For individuals earning between $88,001 - $102,000 (or $176,001 - $204,000 for families*).
    *For families with children, the thresholds are increased by $1,500 for each child after the first.

    How rebate tiers workX

    Most Australians with private health insurance currently receive a rebate from the Australian Government to help cover the cost of their premiums. The private health insurance rebate is income tested. The table below details the different rebate amounts and Medicare Levy Surcharge levels.

    The rebate applies to hospital, general treatment and ambulance policies. It does not apply to overseas visitors cover. The rebate levels applicable for 1 July 2013 to 30 June 2014 are:

    < Age 6530%20%10%0%
    Age 65-6935%25%15%0%
    Age 70+40%30%20%0%

    Single parents and couples (including de facto couples) are subject to family tiers. For families with children, the thresholds are increased by $1,500 for each child after the first.