Useful Information
Can I join?
What Government Incentives And Surcharges Affect My Insurance?
Private Health Insurance Rebate
Lifetime Health Cover (LHC)
Suspension of Membership
Going Overseas
New Migrants to Australia
Medicare Levy Surcharge
About Waiting Periods
Claiming Benefits - Important Conditions
Claiming Rules
Ambulance Cover
Cancellation Of Membership/Cooling Off Period
Private Patients’ Hospital Charter
About Waiting Periods
A waiting period is an initial period of membership during which no benefit is payable for certain procedures and services.
Waiting periods can also apply to additional benefits when you change (Upgrade) your health Insurance cover.
Waiting periods will usually apply if you are a new member, you are rejoining Transport Health after not having Health cover for some time, or you are changing to a higher level of cover from your previous level of cover either with Transport Health or another Fund. If you are transferring to a higher level of cover, you will still be entitled to benefits at your previous level of cover if these services were included under your old cover and you had already served all waiting periods that applied to this cover.
Waiting periods can also apply to additional benefits when you change (Upgrade) your health Insurance cover.
Waiting periods will usually apply if you are a new member, you are rejoining Transport Health after not having Health cover for some time, or you are changing to a higher level of cover from your previous level of cover either with Transport Health or another Fund. If you are transferring to a higher level of cover, you will still be entitled to benefits at your previous level of cover if these services were included under your old cover and you had already served all waiting periods that applied to this cover.
Waiting Periods
When joining the fund or if upgrading your level of cover, waiting periods must be served before benefits are payable.
Services | Waiting Periods |
| Emergency ambulance transportation | No waiting periods |
| Accidents requiring either hospital or ancillary treatment (excluding services detailed below) | |
| All services, except as specified below | 2 months |
| Optical | 6 months |
| Elective Procedures | 12 months |
| Appliances | |
| Orthodontic treatment | |
| Orthotics | |
| Major dental, ie: bridges, crowns, dentures & implants | |
| Pre-existing ailments (see definition) | |
| Pregnancy related conditions (except IVF/GIFT Stands for in gamete intrafallopian transfer, which is when a mixture of sperm and eggs are placed directly into the fallopian tuves using laparoscopy more... | |
| All services that refer to Benefit Limitation Periods for the insured level of cover | |
| Reproductive treatment, such as IVF/GIFT Stands for in gamete intrafallopian transfer, which is when a mixture of sperm and eggs are placed directly into the fallopian tuves using laparoscopy more... | 24 months |
| Hearing Aids | |
| Laser eye surgery | 36 months |
| Replacement of dentures |




