What is the Active Health Bonus and how does it work?
The Active Health Bonus is a reward available to members on any of our combined hospital and extras products (except products combined with Basic Extras). You may use the bonus to pay the out-of-pocket costs for extras treatments (up to the annual limit).
To claim your Active Health Bonus you must complete the Health-e-Profile in our member portal. . You must complete this online health assessment every 12 months to receive your bonus which is limited per policy, per calendar year.
A six-month waiting period to receive the bonus applies from your join date. If you decrease/change your level of cover, you may receive a reduced or no Active Health Bonus.
The following are not claimable under the Active Health Bonus:
Co-payments for Pharmaceutical Benefit Scheme (PBS) prescriptions.
Any difference between the Medicare Benefits Schedule fee and the doctor’s charge for medical expenses.
Any medical expense our Fund Rules or legislation prevents us from paying.
Hospital excesses.
How much bonus will I get?
| If you have | Combined with | Bonus amount (single) | Bonus amount (couple/family) |
|---|---|---|---|
| Basic, Bronze, Silver or Gold Hospital | Healthy Options, Mid-Range, Everyday or Family Extras | $40 | $80 |
| Basic, Bronze, Silver or Gold Hospital | Comprehensive Extras | $75 | $150 |
| Bronze+ Young Choice | $20 | $40 | |
| Silver+ Active Choice* | $20 | $40 | |
| Gold Easy Choice* | $75 | $150 | |
| Gold Ultimate Choice* | $125 | $250 |
How to claim your Active Health Bonus
You can claim the Active Health Bonus by using any of TUH’s approved claiming methods, just tick the checkbox on our online or manual form.
Benefits can only be paid for services which have been paid in full.
Receipts/accounts must have the following information:
Name and address of the person, organisation or clinic who provided the service
Name of the person who received the service
Date of service
Whether the account has been paid in full
Itemised cost of service, including item numbers or description of the product or service
Cash register dockets will not be accepted.
You can also claim via HICAPS by answering “yes” when asked if you wish to claim your bonus. Note that HICAPS, which is an external system, will be unable to show you how much Active Health Bonus you have available.
Terms and conditions
No benefits are payable for services which were provided whilst not participating in the health assessment, including lapsed periods.
The Active Health Bonus is paid per policy, per calendar year. One family member may claim the entire bonus, or it may be spread across several services for different family members on the policy.
We will pay claims in order of when we receive them.
*These products are closed to new members.
