Teachers Health Fund (NTF)

Teachers Health Fund is a not-for-profit health fund exclusively for current and former education union members and their families. Administrative and support staff union members and their families are also eligible to join.
This information is provided by the fund

Teachers Health Fund provide further information regarding Gap cover doctors, Agreement hospitals and Preferred providers .

Agreement Hospitals

This fund has agreements with some private hospitals or day surgeries to provide services at low or no out-of-pocket costs. You can view Agreement Hospitals for this fund in your region and further details are available from the fund.

Business Structure

This insurer is a mutual organisation that operates on a not-for-profit basis.

Teachers Health Fund operates in all states and territories.

Membership restrictions

Teachers Health Fund membership is available to current and former members of education unions, including student, part-time and full-time members. Eligible unions include: NSW Teachers Federation, Australian Education Union and affiliated unions, Independent Education Union of Australia and affiliated unions, State School Teachers Union of Western Australia, Institute of Senior Education Administrations NSW, National Tertiary Education Union, support staff who are or were employed by the NSW Department of Education and Training, the Office of the NSW Board of Studies or the Institute of Teachers or in the TAFE commission who are or were members of their appropriate unions (where one exists). In addition, Teachers Health Fund eligibility rules allow for the above’s partner, children, siblings, parents and grandchildren to join the fund. Please contact us if you are in any doubt as to your eligibility or that of a family member.

Performance

The Private Health Insurance Ombudsman prepares an annual report on the service delivery and performance of Australian health funds. The following is a selection of statistics about this health fund - the full report and an explanation of these figures is available from the Ombudsman's website. Please note information is not provided for some funds in some states, as there are insufficient numbers reported to APRA for states in which the fund does not have a large membership.

Performance Fund Industry
Benefits as a % of contributions 90.2% 87.1%
Management expenses (% cont) 7% 8.5%
Management expenses (average policy) $266 $276
Surplus 2.8% 4.4%
Member retention (%) 93.5% 84.8%
Coverage ACT NSW VIC QLD SA WA TAS NT
Hospital Related Charges Covered 83.3% 91.7% 93.6% 93.3% 94.9% 91.3% 94.1% 90.1%
Industry Result 82.4% 89.9% 93.0% 90.7% 95.1% 93.7% 93.8% 88.4%
Medical Services with No Gaps 78.5% 91.7% 95.0% 91.8% 94.0% 87.6% 92.4% 86.2%
Industry Result 77.6% 89.6% 89.5% 86.9% 90.8% 83.4% 89.3% 77.5%
Medical Services with No or Known Gaps 91.1% 95.2% 98.5% 95.8% 99.3% 93.6% 98.0% 94.4%
Industry Result 84.8% 91.7% 94.0% 90.2% 95.9% 94.2% 94.1% 87.9%
General Treatment (extras) Covered 43.9% 50.3% 51.7% 50.5% 49.6% 50.2% 50.1% 47%
Industry Result 47.5% 51.2% 52.5% 54.4% 56.1% 56.1% 53.5% 56.3%
Private Hospital Agreements 6 97 76 51 26 20 5 2
Industry Maximum 6 97 78 53 29 21 6 2
Day Hospital Agreements 7 86 73 42 24 24 3 1
Industry Maximum 9 91 73 47 25 24 7 1
Share of PHIO complaints Compared to fund's market share
Benefit Complaints 1.6% 2%
Service Complaints 0.7%
All Complaints 1.2%
Investigations 0.5%
Address
Level 4, 260 Elizabeth Street
Sydney
NSW  2000


Phone: 1300 728 188
Email: info@teachershealth.com.au
Website: http://www.teachershealth.com.au
Branches: https://www.teachershealth.com.au/members/our-health-centres/

To view a list of Teachers Health Fund products, please complete the following:

Policies

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