Transport Health Fund Guide
Transport Health began in 1888 as a way to serve the needs of Melbourne Tramway employees. Since then, Transport Health has grown substantially to service all transport workers and their families.
In 2014, Transport Health lifted the transport industry restriction and opened the door to all Australians who were in search of health insurance. This change caused the fund to grow by over 50%.
Transport Health allows Australians flexibility in their coverage. You can select hospital and extras policies separately, or combine them into something that fits your specific lifestyle.
There is also a 30-day “cooling off” period with Transport Health. If you haven’t filed a claim, you can cancel or change your policy within the first 30 days of purchasing.
- Transport Health started as an exclusive provider to the transportation industry but opened its doors to all Australians in 2014.
- You can purchase health, extras, and packaged policies from Transport Health.
- Transport Health offers a few different ways to file a claim. You can receive reimbursement through cheque or direct deposit into your bank account.
Transport Health has two extras policies: Healthy Choice and Top Extras.
Healthy Choice provides several essential extras benefits like dental, optical, physio, chiro, and more.
Top Extras gives you the whole range of extras benefits with more money back and higher annual limits. You can get up to 60% or even 100% back on some services with Top Extras.
Mix and match the hospital and extras packages on offer to come up with one that suits you best. GMHBA makes suggestions based on your family type: single, couple, family, or single parent.
There are two packages from Transport Health: Young Singles Combined Cover and Young Couples Combined cover.
Both of these packages include mid-range hospital coverage and basic extras coverage for healthy, young singles or couples. A $500 excess applies per hospital stay, up to $500 per person per calendar year and, for the couples policy, $1000 per membership per calendar year.
Some of the benefits include:
- Emergency ambulance
- Tonsils, appendix & hernia
- Wisdom teeth
- Most cancer related surgery
- Shoulder and knee reconstructions
- 70% back on extras
- Dental check-ups
- Major dental
- Remedial massage
- Chiro & osteo
- Travel vaccinations
Hospital Related Charges Covered
Transport Health: 92.5% (NT data not available
Industry average: 91.06%
Medicare Services with No Gaps
Transport Health: 85.86% (NT data not available)
Industry average: 86.6%
Medicare Services No or Known Gap
Transport Health: 95.82% (NT data not available)
Industry average: 94.88%
General Treatment Covered
Transport Health: 49.37%
Industry average: 53.52%
Transport Health Summary Report Card
Transport Health PHIO Complaints
Transport Health offers a few different ways to make a claim, as you can see from the infographic below.
Those who have already paid out of their pocket can receive reimbursement after completing the claim. You can choose to receive a cheque in the mail, or you can receive a deposit in your bank account.
View the Member Services page of the Transport Health website to set up your banking details for faster reimbursement.
Most providers allow you to complete
on-the-spot claims through HICAPS. The
provider will scan your card and bill
Transport Health for your services.
|Transport Health Insurance App
Download the Transport Health app for
Android and iPhone to complete a photo
with a completed claim form.
Download and complete the claim form,
then send it to:
Transport health will reimburse you through
Transport Health doesn’t offer a long list of member benefits outside of their line of health insurance products. Members with extras cover can access a range of Health First benefits like early hospital release, baby assist for new mothers, and health education services.
Members can access their account online through their member portal.
Members of Transport Health can also use the mobile claiming app on iTunes and Google Play to make claiming a bit easier. Take a look at the section above for more information on how to make a claim through Transport Health.