new unit 4 Flashcards
Medicare
Australia’s universal health insurance scheme.
public sector includes
Public hospitals, medicare, pbs, ndis
Private sector includes
Private hospitals, PHI, Medical practitioners in private practice
public sector definition
Part of a country’s economy controlled by the government
Private sector definition
Part of an economy/country not under the direct control of government
out-of-hospital expenses examples
costs of services such as doctors, specialists, tests and x-rays that medicare pays
in-hospital expenses definition
Costs for treatment and accommodation in a public hospital that medicare pays
medicare pays for public patient in a public hospital
- Treatment by doctors and specialists
- Accommodation in a public hospital
- After-care expenses
What does medicare pay for a private patient in a private hospital
75% of the scheduled fee for treatment by doctors and specialists
example of goods and services not covered by medicare
Ambulance services, hearing aids and cosmetic surgery
Medicare safety net
ensures people who require frequent services are covered by medicare. This makes medicare cheaper for remainder of year.
What does medicare safety net include ?
Doctor’s visits and tests + receive additional support
who’s eligible for the medicare safety net?
Once family contributes certain amount ($647.90) from own pocket to medicare services, further financial support provided by government.
Bulk-billing
when the doctor
or specialist charges only the
Schedule fee. The payment is
claimed directly from Medicare
so there are no out-of-pocket
expenses for the patient.
Out of pocket expenses
costs that patients must pay themselves