Teachers Health

Been with the fund a very long time
Have felt that the extra cost for extras cover did not cover the return for dental fees (had all 4 wisdom teeth extracted in one surgery as one was badly impacted). Teachers health only partially covered the surgery
Dropped coverage to mid tier hospital, had a sports injury which needed an emergency joint replacement surgery, free through the public system (and surgery done sooner) wanted to have the surgery done at a private hospital but hospital wanted to charge $11k for private for something 100% covered by medicare in the public system.inquired if top teir cover would have made a difference, still would have only received a partial rebate.makes one question the use of PHI outside of a medicare levy surcharge reduction

18 years our family have be with them. Cancelling asap. Customer service is no longer existent as you can’t even get anyone to answer anymore. You can tell there is massive issues internally at this point and best to go somewhere where you can actually speak to someone. The whole call and get a call back thing the next day isn’t sustainable. Frustrating as I have been trying to update my payments and they won’t even answer for me to pay them their money and then cancel our insurance until we pay. They need to look after their customers before they have none left.

This looks like the beginning of the end for Teachers Health. It is slowly but surely turning from what used to be a great health fund into a hopeless fund with the spirit and attitude of a greedy insurance company. Let's not mention their call service, it is inexistent. You are either on hold forever or they give you the option of a calling back on the next day at a convenient time for you. They of course never do. There are two things they are good at though. The first one is to sweep the problem under the carpet. The other, is to thoroughly check that you have paid your membership and even when you are up to date with your membership cover, they give themselves the right to anticipate that you soon may become financial, especially when the end of the month is approaching. Don't rely on this fund to pay for your medical services on the last day of the month! They, just, won't do it. I am on their top cover $2700/year with plenty of benefits left. Yesterday I had a dental bill of $1140 and Teachers Health Fund declined every single items. Apparently I have over $4000m worth of dental benefit on my account. What is Teachers Health good for? It does not matter how a great fund they claim to be, just don't take their words for it. And if you have any doubts about what I just claimed, look at their response below!

I spent 30 minutes on the phone listening to the usual drivel while being told that " your time is important to us, we are currently experiencing an unusually high call volume" after which I was unceremoniously disconnected. Come on, get real! We pay over $5000 a year for this poor customer service and I have decided to find a better health fund. Whatever happened to customer service?

Impossible to contact- never return call backs and only offer to return calls the next business day. App always crashes and online claims difficult to submit- also extremely expensive for family cover.

How sad it is to see Teachers Health slide down to the level of many other companies these days with service levels. I have no problems with the level of coverage but have spent 3 hours on the phone waiting and left 2 callback message over 4 days with no response. I was one of the best but now.

Three times on hold for well over an hour each time. Apparently unable to upload scans of receipts. Three times separate emails sent with different file types to best enable upload/access and request for a response of receipt (none received). Claim still pending for 2 weeks.

I am absolutely frustrated and let down by Teachers Health appalling customer service. I tried twice yesterday to phone them.i did not want a call back as previously did not receive one when requested. I spent a total of 3.5 hrs on hold.they are way understaffed, (blaming Covid in September is an easy cop out) and would prefer everyone use the internet. Finally got through today. I am seriously considering moving to Westfund with an office in my town where I will easily be able to speak to a customer service representative. Have been with Teachers Health for well over 20 years. Can’t believe the lack of importance placed on telephone availability.

Regularly spend an hour (or more) on hold trying to talk to a team member. This isn't a temporary issue either; it's been like this for years.

The Health Centres also desperately need a revamp to improve Covid safety.eg HEPA filters in consulting spaces and waiting rooms.

Disappointed.

Frustrating experience, why won't they hire more staff? They updated their app and it doesn't work for claims ever. Crashes every time I upload a doc. I raised the issue and they have done nothing to fix it over a year later.email response time is 4 days standard. Unacceptable! Near impossible to speak to service, i give up after 30mins. Call back system, they ring you once and then too bad if you miss the call, your back to square one.
What's the point of having insurance when they they put profit before the customer. Theres no way to make a claim without jumping through hoops after hoop and then road blocks. Imagine you have a question; it will take half a day waiting on the phone if it doesn't hang up/time out.
Seriously considering exploring other options.

Customer service is woeful. I had a straightforward request to suspend my cover while overseas. I'm sure for other providers it would be an easy option to select online, but no it's 2022 and you still have to email Teachers Health a written application form to suspend your cover. It's been a month and it still hasn't been resolved, while I'm still being charged every fortnight. They take days to respond to emails. Look elsewhere for health insurance unless you enjoy dealing with this circus.

Very poor claims service. While the customer care representative is helpful and polite.there is much lacking at the Claims Department.
Am a Top Cover Member for over 25years I am seeing a decline in their services despite the increase in premiums. The out of pocket claims have also increased.

Everytime I have called, I have waited for at least 40 minutes and still have never gotten through to anyone. I have also requested a call back service at a specific time and had them call me back at a time I didn't request. Good luck ever trying to get a hold of anyone

Don't return calls, impossible to talk to anyone and decline claims by mistake and make you claim all over again while being very ill. Not helpful just increases stress, shameful!

I’ve been going to Teachers Dental for years. Nancy has helped me through gum issues as well as TMJ disorder. She’s been so professional and attentive all this time - always following up and offering solutions. She’s also a really nice person - caring and thorough. I’m really happy with with my dentist:)

I am incredibly disappointed that THF does not reward customer loyalty. I have been with THF for 13 years after coming off my parents policy at the age of 22. I recently had a baby and wanted to upgrade my policy from a singles cover to a family cover (adding my partner, who was with a different health fund, and our newborn). Whilst investigating my cover options, I noted THF had a promotion for 6 weeks free cover and no waiting period for some extras. Given my partner and baby were new to the fund, I asked about receiving this offer but was rejected as I was already with the fund. Given my long term loyalty to the fund, bringing 2 new customers to THF and spending an additional $190 per month on premiums, I felt especially ripped off they could not reward me with this saving. I would like to see THF reward customers who have continued to pay their premiums over many years despite the fact that THF (as with most health funds) have steadily increased the cost of insurance. Given I am taking a financial hit whilst being on maternity leave, this has been a particularly hard pill to swallow from THF!

Had emergency dental, there was a cool-off period of 12 months. My emergency dental case occured at 11 months 14 days. Weren't willing to cover it. Didn't escalate and weren't helpful. Gone onto another provider.

Most disappointing phone service! Received the typical "we are busy" recorded message. I was given no option to stay on the line but compelled to leave a message. I'm still waiting, well into my second hour, for the promised call back! Management needs to consider more staffing or ensuring calls are returned in the order messages are left.

Imagine having all the fat fees we've been paying for a non-existent service all the months through lockdown and not having the brains to get an online booking system up and running in that time to deal with the inevitable surge in calls and bookings when you have to re-open.

My eye checkup with Mika was insightful, professional, and friendly would recommend.

Selecting glasses with another person was confusing a bit too fast paced. Felt left in the dark as I didnt know my options and i couldnt ask for further clarification because I got an unwelcoming vibe.

Edit: No follow up reply from teachers health. Very poor email service from the email listed below in. Due to this I changed the rating from "4 stars" to 3.