Chapter 6 Flashcards

1
Q

Describe Medicare

A

Provides universal health insurance scheme available to all Aus residents, regardless of income, location and culture.

It aims to ensure all Aus are able to access basic healthcare that is subsidised by the Gov.

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2
Q

What is covered by Medicare?

A
  • Gp consultation fee
  • Eye tests
  • Xrays
  • Pathology tests
  • Treatment/accomodation as a public patient in public hospital
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3
Q

What isn’t covered by Medicare?

A
  • Dental exams and treatments
  • Accomodation in private hospital hospital (75% covered)
  • Alternative therapies (Chiro and Physio)
  • Health aids (hearing aids and glasses)
  • Ambulance services
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4
Q

Describe Medicare safety net

A

Provides extra financial assistance for those that incur significant out of pocket expenses for medicare services

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5
Q

Describe the Medicare Levy

A

Most tax payers in Aus pays an additional 2% of their taxable income towards the costs of Medicare.

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6
Q

Describe the Medicare Levy surcharge

A

High income earners without private health insurance pay an additional 1-1.5% on top of the medicare levy.

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7
Q

How does medicare promote sustainability in relation to Healthcare?

A

Not every health service and treatment is subsidised under medicare, as they only cover those treatments deemed to be medically necessary. This helps keep the costs of the scheme under control and sustainable for the future.

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8
Q

How does Medicare promote access in relation to healthcare?

A

ensures all Aus citizens regardless of sociocultural or environmental factors are able to access essential healthcare at an affordable price removing the key barrier of income.

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9
Q

How does medicare promote equality in relation to healthcare?

A

The medicare safety net and concession rates are examples of how the gov is trying to ensure the financial costs are as ‘fair’ as possible, particularly for those people who have a high reliance on medical services

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10
Q

Describe the PBS?

A

Allows medicare card holders access to over 4000 common prescription medicines at a significantly reduced rate.

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11
Q

How does PBS promote sustainability in relation to healthcare?

A

Not every medication is listed on the PBS, only those that are seen to have a benefit to a wide range of the community are subsidised as it is not financially sustainable to have every medication subsidised.

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12
Q

How does the PBS promote promote access in relation to healthcare?

A

similar to medicare the PBS ensures all Aus, regardless of income, culture or location are able to access essential medication at a subsidised rate, removing the key barrier of income.

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13
Q

How does the PBS promote equity in relation to healthcare?

A

The PBS safety net and concession are examples of hoe the gov is trying to ensure the financial costs are a s’fair’ as possible

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14
Q

Describe the NDIS

A

Provides support to people living with a disability and their families and carers.

Must be under 65 and meet the disability requirements.

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15
Q

How does the NDIS promote sustainability in relation to healthcare?

A

Is a unified national scheme to find long term high quality care and support for all Aus who experience significant disability.

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16
Q

How does the NDIS promote access in relation to to healthcare?

A

Assists in providing access to mainstream services such as housing, health and education.

Assists in providing access to community services, such as sports clubs and libraries.

17
Q

how does the NDIS promote equity in relation to healthcare?

A

NDIS is not income tested and therefore it provides fair access to all people who are eligible.

Ensures those people in the community with a disability and their carers who need support are able to access the support they need.

18
Q

Describe Private Health Insurance

A

Is a type of insurance under which members pay a premium or fee in return for payment towards health related costs not covered by medicare.

PHI is an important component of the Aus health system as it assists in taking the pressure off Medicare and the public health.

19
Q

what are the options for PHI?

A
  • Priv hospital cover
  • General treatment cover (physic, dental)
  • Combined cover
20
Q

Describe the Lifetime health cover

A

An additional 2% on the cost of the premium for each year after the age of 30 and individual takes out PHI. (Max.70%)

21
Q

Describe the PHI Rebate

A

A rebate or refund on part of the cost of the insurance premium paid by the Federal gov. Income tested the more you earn the lower off the rebate.

22
Q

What are the advantages of PHI?

A
  • Allows patients to choose their doctor in hospital
  • Allows choice of hospital
  • Can reduce waiting times for non emergency treatment
  • may allow access to private rooms in hospital
  • may provide financial cover for a wider range of services than medicare.
  • incentives
23
Q

What are the disadvantages of PHI?

A
  • Premiums can be costly
  • there still may be out of pocket costs
  • waiting periods may apply for some services
  • qualifying periods apply for certain conditions
24
Q

how does PHI promote sustainability in relation to healthcare?

A

PHI assists in ensuring the sustainability of the public healthcare system as it places less strain on the public system through encouraging more Aus to invest in PHI through the use of incentives.

25
Q

How does PHI promote access in relation to healthcare?

A

Phi enables people to have a greater access to healthcare services that aren’t covered by medicare

waiting times are reduced also

26
Q

How does PHI promote Equity in relation to healthcare?

A

Through the use of incentives the PHI promotes equity

Under the PHI rebate, lower income earners will be entitled to a greater rebate on the cost of their premiums.