transport health

Transport Health combined hospital and extras cover

Mix and match, or choose Transport Health's youth-focussed packaged cover for your Hospital and Extras combined policy.

Originally just for the transportation industry when established in 1888, Transport Health has been providing health cover for all Australians for five years. Their combined Hospitals and Extras Cover is great for young singles and couples making their first foray into the world of health insurance.

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Top 3 features
  1. Good for making a simple, easy-to-understand choice.
  2. Good for young people looking for their first health insurance policy.
  3. Good for mix and matching hospital and extras to meet your needs.

What Transport Health Combined Hospital and Extras Cover are available?

Transport Health offers mix and match combines policies, so you have the flexibility you need to pair the extras you like with the hospital cover you need.

Their provides one pre-packaged Hospital and Extras policy is Young Singles/Couples Combined Hospital Cover, for relatively young and healthy people without children. It offers mid-level hospital cover and includes Transport Health basic extras cover with useful added benefits.

Extras you'll be covered for include;

  • Dental
  • Optical
  • Physiotherapy
  • Chiropractic
  • Osteopathy
  • Remedial massage
  • Travel vaccinations

Hospital cover includes the following treatment;

  • Emergency ambulance
  • Accidents
  • Tonsils, appendix and hernia
  • Dental surgery
  • Cancer-related surgery
  • Joint reconstructions
  • Back, neck and spine
  • Implantation of a hearing device
  • Eyes
  • Male reproductive system
  • Heart and vascular system
  • Plastic and reconstructive services

Other benefits of Transport Health Hospital and Extras Cover

  • Loyalty Reward. Transport Health offers a Loyalty Reward to thank customers for their continued support. If you have held membership of Young Couples cover for 24 consecutive months, you can upgrade to a Top Cover plan for pregnancy and birth-related services, without having to worry about sitting through any further waiting periods.
  • Access Gap Cover. The mid-level hospital cover offered by the premade Young Singles and Couples policies includes Access Gap cover, which can be a useful way of minimising out-of-pocket hospital expenses with participating providers. Where there is a gap, you will know how much it is ahead of time.
  • Claim for dental veneers and travel vaccinations. Both of which may be very useful for a younger person or a couple without children. While travel vaccination cover is relatively easy to find with a range of providers, policies that cover dental veneers are much rarer.
  • 30% off QBE travel insurance policies. If you're child-free, have few or no specific health needs and want to travel, Transport Health combined cover may be worth adding to your health insurance shortlist.

How do the costs work?

For your hospital cover, either excess or a co-payment will apply for when you visit hospital.

Excess is only paid for your first visit to hospital in a year, and you can reduce your excess by paying a higher premium.

A co-payment is applicable to each hospital visit, and some of Transport Health's policies include a co-payment instead of excess. The daily co-payment figure must be paid for the duration of your stay in hospital.

For services that aren't entirely covered by Medicare and your private health provider, you may have to pay the gap. Transport Health have access to a large network of doctors and hospitals through their Gap Cover Scheme, who have agreed to their No Gap Scheme to bill Transport Health directly, with no cost to you.

Waiting periods and limitations

By choosing a Young Singles or Young Couples combined Transport Health policy, you get the benefits of a modified extras policy that includes dental veneers and travel vaccinations. One of the main limitations is that it only comes with mid-level hospital cover. If value is your main priority, a basic hospital policy might be preferable.

The extras cover has an annual limit, and it only reimburses 70% of costs instead of a set amount. This means that when you use the full limit of your extras cover each year, you can claim $600 but you will still have paid $180 out of pocket.

Within the first six months of membership, or following expiration of the waiting period, you can only claim 50% of the annual benefit limits. After six months, you can claim the rest of the amount for the year. This restriction and the waiting periods are waived when you transfer to Transport Health from another health fund where you held equivalent cover and completed the applicable waiting periods.

Transport Health waiting periods are as follows:

  • None. Accidents and ambulance
  • 2 months. All services not otherwise specified
  • 6 months. Optical
  • 12 months. Major dental and all pre-existing conditions that require hospital treatment except psychiatric, rehabilitation and palliative care which only have a two-month waiting period

How to make a claim

When going to a Transport Health agreement hospital, the hospital will typically contact Transport Health directly to settle up, and you won't need to make a claim. However, you will need to pay the applicable $250 excess directly to the hospital following discharge.

Practitioners in hospitals may bill separately. When they choose to participate in the Access Gap scheme, the bill will be sent directly to Transport Health. When they do not, you can send a two-way claims form through Medicare.

To claim extras, you can generally just swipe your membership card where service providers have HICAPS facilities. For those that don't, you can send in a claims form instead, via email to enquiries@transporthealth.com.au or in the post. You can also download the Transport Health Insurance App.

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