Select Extras

Includes services like examinations, consultations and x-rays.

^ A combined sub-limit of $400 per person, per Membership Year applies for diagnostic, preventative, restorative, simple extractions and general services dental items covered under Select Extras (up to $800 per policy per Membership Year).

An overall limit for all services covered by Select Extras applies, up to $2,200 per person ($4,400 per policy) per Membership year.

Restorative dental treatments including composite and amalgam fillings.

^ A combined sub-limit of $400 per person, per Membership Year applies for diagnostic, preventive, restorative, simple extraction and general services dental items covered under Select Extras (up to $800 per policy per Membership Year).

An overall limit for all services covered by Select Extras applies, up to $2,200 per person ($4,400 per policy) per Membership year.

Occlusal splints etc.

^ A combined sub-limit of $400 per person, per Membership Year applies for diagnostic, preventive, restorative, simple extraction and general services dental items covered under Select Extras (up to $800 per policy per Membership Year).

An overall limit for all services covered by Select Extras applies, up to $2,200 per person ($4,400 per policy) per Membership year.

Includes cleaning and scaling and fluoride treatments.

^ A combined sub-limit of $400 per person, per Membership Year applies for diagnostic, preventive, restorative, simple extraction and general services dental items covered under Select Extras (up to $800 per policy per Membership Year).

An overall limit for all services covered by Select Extras applies, up to $2,200 per person ($4,400 per policy) per Membership year.

Endodontic services such as root canals and root fillings.

* A combined sub-limit of $600 per person, per Membership Year applies for extractions, crowns and bridges and endodontic (root canal) dental items covered under Select Extras (up to $1,200 per policy per Membership Year).

An overall limit for all services covered by Select Extras applies, up to $2,200 per person ($4,400 per policy) per Membership year.

Teeth removal services. Simple extractions include those completed in a standard dental appointment.

Periodontics, such as specialised gum treatments.

* A combined sub-limit of $600 per person, per Membership Year applies for extractions, crowns and bridges and endodontic (root canal) dental items covered under Select Extras (up to $1,200 per policy per Membership Year).

An overall limit for all services covered by Select Extras applies, up to $2,200 per person ($4,400 per policy) per Membership year.

Surgical extractions include wisdom teeth extraction, removal of impacted teeth. Benefits paid on dental item numbers only unless hospital cover is held and all waits have been served for any in-patient services.

A combined sub-limit of $600 per person, per Membership Year applies for extractions, crowns and bridges and endodontic (root canal) dental items covered under Select Extras (up to $1,200 per policy per Membership Year).

An overall limit for all services covered by Select Extras applies, up to $2,200 per person ($4,400 per policy) per Membership year.

Glasses including frames, single vision lenses and progressive lenses, contact lenses, prescription sunglasses etc.

^Per person, up to $490 per policy per Membership year.

Through our Premier Provider Network, you can take advantage of discounts at preferred providers across Australia.

An overall limit for all services covered by Select Extras applies, up to $2,200 per person ($4,400 per policy) per Membership year.

* A $500 combined sub-limit per person, per Membership Year applies to chiropractic and remedial massage, up to $1,000 per policy. An overall limit for all services covered by Select Extras applies, up to $2,200 per person ($4,400 per policy) per Membership Year.

Full physiotherapy sub-limit of $500 per person, up to $1,000 per policy applies. 

An overall limit for all services covered by Select Extras applies, up to $2,200 per person ($4,400 per policy) per Membership year.

A $400 sub-limit per person, per Membership year applies to podiatry under Select Extras (up to $800 per policy).

An overall limit for all services covered by Select Extras applies, up to $2,200 per person ($4,400 per policy) per Membership year.

Remedial massage and myotherapy#

*A $500 combined sub-limit per person, per Membership Year applies to chiropractic and remedial massage, up to $1,000 per policy. An overall limit for all services covered by Select Extras applies, up to $2,200 per person ($4,400 per policy) per Membership Year.

# Benefits are payable for services rendered by Australian Regional Health Group Limited approved providers registered with Territory Health Fund.

As well as helping you to get well, we want to help you stay well. Our Healthy Living benefit helps you living a healthy lifestyle through:

• Participation in a choice of approved weight management programs^^
• Quit smoking programs
• Approved health management programs* including gym memberships, personal training programs, Aquatic exercise/rehabilitation* including pool entry and exercise classes (excludes swim classes/lessons)
• Have your skin checked for skin cancers through a mole mapping service^
• Consultation fees for diabetes education
• Consultation fees for metabolic dietitians and nutritionists when providing assistance with weight management
• Bowel screening tests and bone density tests
• Prostate-Specific Antigen  test (one per year) – we cover a second yearly text not covered by Medicare
• Supermarket tours conducted by a dietitian or other allied health professional qualified to provide nutrition advice.

*To comply with private health insurance legislation, you must have been referred by your health care professional to participate in a health management program to address or improve a specific medical condition. A Health Management Program Benefit Approval Form must accompany a claim for these benefits.

^^Before enrolling in a weight management program please contact the Fund to clarify the eligibility to benefits.

^ No benefit is payable where Medicare have paid a benefit towards this service.

A sub-limit of $125 per person, per Membership Yyear, up to $250 per policy, per Membership Yyear applies under Select Extras cover.

An overall limit for all services covered by Select Extras applies, up to $2,200 per person ($4,400 per policy) per Membership year.

The Pharmaceutical Benefits Scheme (PBS) is a national pharmaceutical scheme funded by the Federal Government where patients contribute to the cost of prescribed drugs.

Territory Health doesn't cover pharmaceutical prescriptions covered by the PBS or for contraceptives and items normally available without prescriptions. Prescriptions not covered by the PBS, excluding contraceptives and items normally available without prescription and drugs not approved for sale in Australia. A co-payment applies to each prescription item equal to the current PBS.

We’ll pay benefits as outlined in the Extras table up to the claim limit for this category, with consideration to the maximum individual script benefit limit. The benefit amount per script is calculated by deducting the PBS general patient contribution amount from the purchase price (up to script benefit limit). This is conditional on the pharmaceutical prescription being listed in the MIMs Schedule as S4 or S8 and being dispensed in quantities in accordance with this schedule. We also pay for compound pharmacy scripts, as long as one of the ingredients meet this criteria.

A doctor's letter may be required for some pharmacy items.

The PBS contribution amount is reviewed annually by the Government and changes every year on 1 January. As at 1 January 2024, the PBS contribution is set at $31.60.

A sub-limit of $400 applies per person, per Membership year for phamaceuticals under Select Extras (up to $800 per policy).

An overall limit for all services covered by Select Extras applies, up to $2,200 per person ($4,400 per policy) per Membership year.