05. Australian Health care system

Question 1

Describe Medicare

Answer 1

Australia’s universal health-insurance scheme that subsidises health care

Question 2

3 Medicare objectives

Answer 2

Affordable - to make healthcare affordable for all Australians
Access - to give access to all Australians with priority according to clinical need
High quality - to provide high quality care

Question 3

What does Medicare cover?

Answer 3

Subsidises gp visits, eye tests, x rays and blood tests

Question 4

What doesn’t Medicare cover

Answer 4

Physio, most dental, glasses, cosmetic surgery

Question 5

What is the scheduled fee

Answer 5

cost of service as set by the government

Question 6

bulk billing doctor

Answer 6

only charges the scheduled fee

Question 7

gap payment

Answer 7

difference between the 85% government subsidises and scheduled fee for specialist, patient pays

Question 8

out of pocket expense

Answer 8

additional cost paid by patient, what the doctor charges above the scheduled fee

Question 9

PBS

Answer 9

Pharmaceutical Benefits Scheme. Subsidises medications

Question 10

Medicare levy surcharge

Answer 10

An additional tax charged for high income earners to encourage them to take out PHI

Question 11

Lifetime health cover loading

Answer 11

Those over the age of 30 get charged an extra 2% for every yeat they are aged over 30

Question 12

Government rebate

Answer 12

The government provides a rebate “cash back” to help cover costs of PHI

Question 13

Medicare is funded by

Answer 13

general taxes - paid by everyone
medicare levey surcharge - additional tax paid by high income earners
general revenue - eg rates collected by local/state government

Question 14

Australia’s universal health-insurance scheme and It subsidises health care

Answer 14

Medicare

Question 15

Affordable - to make healthcare affordable for all Australians
Access - to give access to all Australians with priority according to clinical need
High quality - to provide high quality care

Answer 15

Objectives of Medicare

Question 16

This is the recommended cost of a service as set by the government

Answer 16

Scheduled Fee

Question 17

This type of doctor only charges the scheduled fee

Answer 17

Bulk Billing Doctor

Question 18

This is the difference between the 85% that the government subsidises and scheduled fee for a specialist that the patient pays

Answer 18

The gap

Question 19

This is any additional cost paid by the patient - what the doctor charges above the scheduled fee

Answer 19

Out of pocket expenses

Question 20

A scheme that subsidises medications

Answer 20

Pharmaceutical Benefits Scheme

Question 21

This is an additional tax charged for high income earners to encourage them to take out PHI

Answer 21

Medicare Levy surcharge

Question 22

Those over the age of 30 get charged an extra 2% for every year they are aged over 30 - what is this called?

Answer 22

Lifetime cover loading

Question 23

The government provides a rebate “cash back” to help cover costs of PHI - what is this called?

Answer 23

Government rebate

Question 24

What is Australia’s universal health-insurance scheme?

Answer 24

Medicare

Question 25

What is Lifetime cover loading

Answer 25

Those over the age of 30 get charged an extra 2% for every year they are aged over 30 - what is this called?

Question 26

What are ‘out of pocket expenses’

Answer 26

This is any additional cost paid by the patient - what the doctor charges above the scheduled fee

Question 27

What is the pharmaceutical benefits scheme?

Answer 27

A scheme that subsidises some medications

Question 28

What is a bulk billing doctor?

Answer 28

This type of doctor only charges the scheduled fee

Question 29

What is the Government rebate?

Answer 29

The government provides a rebate “cash back” to help cover costs of PHI - what is this called?

Question 30

What is the Medicare levy surcharge?

Answer 30

This is an additional tax charged for high income earners to encourage them to take out PHI