new unit 4 Flashcards

1
Q

Medicare

A

Australia’s universal health insurance scheme.

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2
Q

public sector includes

A

Public hospitals, medicare, pbs, ndis

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3
Q

Private sector includes

A

Private hospitals, PHI, Medical practitioners in private practice

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4
Q

public sector definition

A

Part of a country’s economy controlled by the government

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5
Q

Private sector definition

A

Part of an economy/country not under the direct control of government

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6
Q

out-of-hospital expenses examples

A

costs of services such as doctors, specialists, tests and x-rays that medicare pays

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7
Q

in-hospital expenses definition

A

Costs for treatment and accommodation in a public hospital that medicare pays

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8
Q

medicare pays for public patient in a public hospital

A
  1. Treatment by doctors and specialists
  2. Accommodation in a public hospital
  3. After-care expenses
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9
Q

What does medicare pay for a private patient in a private hospital

A

75% of the scheduled fee for treatment by doctors and specialists

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10
Q

example of goods and services not covered by medicare

A

Ambulance services, hearing aids and cosmetic surgery

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11
Q

Medicare safety net

A

ensures people who require frequent services are covered by medicare. This makes medicare cheaper for remainder of year.

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12
Q

What does medicare safety net include ?

A

Doctor’s visits and tests + receive additional support

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13
Q

who’s eligible for the medicare safety net?

A

Once family contributes certain amount ($647.90) from own pocket to medicare services, further financial support provided by government.

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14
Q

Bulk-billing

A

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.

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15
Q

Out of pocket expenses

A

costs that patients must pay themselves

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16
Q

private health insurance

A

an insurance policy that helps pay for
services not covered by Medicare

17
Q

Medicare levy

A

2 % tax for all Australian tax payers to fund Medicare

18
Q

Medicare levy surcharge

A

An additional 1–1.5% tax on
high income earners who do not
have private health insurance

19
Q

Scheduled fee

A

the amount that Medicare contributes towards certain consultations and
treatments. The government decides what each item is worth and that’s what Medicare pays.

20
Q
A