Australian Health Care System Flashcards
wk 6
When was Medibank
1975
What makes you eligible for medicare?
Australian citizen
NZ citizen
permanent resident (or applied)
temporary and covered by ministerial order
citizen of Norfolk, Cocos, Christmas or Lord Howe Island
How do Australian’s indirectly pay for health care?
taxes and Medicae levy / medicar levy surcharge
How do Australians pay for health care directly?
Co-payment for health care services
Co-payment for PBS
Over-the-counter and non-subsiseds care
What is the medicare levy and how much is it?
Medicare Levy - Paid by all people with a taxable income
2% of taxable income
What is the Medicare Levy Surcharge?
If your income is above a threshold and you (and dependants) don’t have appropriate level of health insurance must pay a surcharge.
Additional 1-1.5%
What is the purpose of Medicare Levy Surcharge
Encourage people to take out appropriate PRIVATE health insurance
Use private system to reduce demand on public Medicare system
What is a schedule fee?
Fee for a given service set by the Government
What is a recommended fee?
Guide for doctors with suggested fees set by the AMA
What is bulk billing?
Doctor accepts the Medicare benefit as the full payment
What are out of pocket costs
he difference between Medicare benefit and what clinician charges you.
What can medicare pay for
Full schedule fee for GP services
85% of schedule fee for out-of-hospital services
75% schedule fee for in-hospital services
What is PBS and when was it established?
Started in June 1948
Commonwealth subsides medicines on Schedule so Australians have access to medication at an affordable price.
What is the PBS Copayment and why does it exist?
Patient contribution to control volume and expenditure
When was a concessional category for PBS copayments established?
1983
