Chapter 6H Flashcards
what is Medicare?
Medicare is Australia’s universal health insurance scheme.It provides all Australian citizens ,permanent residents and people from countries that have reciprocal agreements access to health care at no out of pocket cost.
what is private health insurance
Private health insurance is a type of insurance where members pay a small amount of fee monthly to cover the costs of health related services not covered by Medicare.
what is NDIS?
The NDIS is a recently developed disability insurance scheme that provides support to Australians with a permanent disability that has significant impacts on their ability to live their everyday life.
The NDIS is available to Australian citizens and permanent residents under the age of 65 years.
What is PBS?
Pharmaceutical benefit scheme (PBS) Subsidiarizes the cost of many medications listed on the PBS list( about 4000 medications are on the list) and is available to all Australians.
How is Medicare funded?
general taxation
Medicare levy
Medicare levy surcharge
what services are covered by Medicare?
Doctors(G.P’s)
Specialist consultations at public hospitals
Public hospitals(including surgery and follow up procedures)
X-rays and pathology tests (e.g. blood tests)
Eye tests
what services are not covered by Medicare
Treatment in private hospitals
Dental and allied health services (e.g. physiotherapy, chiropractors, acupuncturist.)
Elective treatment (e.g. cosmetic surgery)
Home nursing and treatment
Ambulances
Health aids(e.g. glasses , hearing aids, prosthetics)
what is Medicare safety net?
Once an individual or family has contributed a certain amount out of their own pocket to Medicare services in a calendar year($700 for individuals, $1000 for families), further financial support is provided by the government, making Medicare services cheaper for the remainder of the year.
list 2 advantages and of Medicare?
advantages
Medicare is available to all Australians citizens at no direct cost.
Medicare safety net provides extra financial contributions to families in need.
give 2 differences between Medicare and PBS
Medicare is Australia’s universal health scheme that allows all Australians access to a wide
range of health such as G.P consultations and X-rays as a public patient in a public hospital whereas the
PBS is more specific - giving Australians access to essential medicines only.
give 2 differences between Medicare and PHS
- For hospital services, people cannot choose their own doctor under Medicare but can with private health insurance.
- For elective surgery, waiting lists are generally shorter under private health insurance than under Medicare.
Identify the type of government Medicare is funded by?
Federal government
what incentives are provide to people for taking private health insurance?
• Medicare levy surcharge provides high income earners with an inducement to take out private health insurance . • Medicare levy surcharge provides high income earners with an inducement to take out private health insurance
One similarity between Medicare and pbs?
Similarity: Both are ran by the federal government and the federal government subsidises the cost of
each.
list 2 disadvantages and of Medicare?
No choice of doctor in hospital
long waiting list for many people.
