Australia's universal health insurance scheme, which provides all Australian residents (and some overseas visitors ) access to necessaryhealthcare at a subsidized cost of for no cost at all
schedule fee
the amount of money the government decides Medicare will pay for various consultations and treatments instead of the patient
what does Medicare cover
public patient in a public hospital
schedule fee for a gps appointment
tests and exams required to diagnose illness
eye test performed by optometrist
selected dental procedure (kids from 2-17 can be covered by child dental benefit schedule
bulk billing
when a serviceprovider does not charge a patient more than the schedule fee ($37.05)
Medicare safety net
provides extra financial support to individuals and families who experience high medical costs by further reducing the costs of Medicare services once they have reached a designated threshold
how Medicare is funded
the Medicare levy
the Medicare levy surcharge
general income taxation
medicare levy surcharge
people who dont have private health insurance and earn over a certain amount will be taxed an extra 1-1,5 %
how Medicare promotes sustainability
only covers healthcare deemed medically necessary keeping cost down to continue to cover services
people are more likely to get treatment preventing development of more serious health conditions
how Medicare promotes access
removes financial barriers
available to all permanent residents
triage system ( people who need more care will get seen first)
how Medicare promotes equity
Medicare safety net assisting family's with significant financial costs
low income earners are exempt for levy surcharge
private health insurance
an optional type of health insurance which people can have in addition to Medicare, in which members pay a premium in return for payment towards services that are not covered by Medicare
private health insurance advantages
choose doctor
reduce waiting times for non emergency treatments
can choose the hospital they would like to be treated at
more likely to have a private room
reduce pressure on public system
cover a wider range of services
private health insurance demonstrates sustainability
reduce strain on public system meaning people can get treated sooner
PHI incentives
private health insurance demonstrates access
greater acces to services
lower wait times for elective surgeries
private health insurance demonstrates equity
low income earner have a greater rebate on premium costs
levy surcharge only for high income earners
pharmaceutical benefit scheme
a program run by the government that subsides various essential prescription medicines for Australians and the others
PBS safety net prices
general patients $41.30 until reached $1497.29then costs $6.60
concession card holders $6.60 until $316.80 then is free
PBS sustainability
only meds with greatest benefit to public on the list
prices adjusted each year to align with inflation
reduce hospital stays because conditions can be treated on prevented though medication
PBS access
reduce cost to remove financial barrier
available to all Australians
PBS funding
through government (taxes) and patient co payments
PBS equity
PBS safety net allows patients with high medication costs can access medications for cheaper
national disability insurance scheme
an insurance scheme that provide support and services to people with a disability, their families, and their carers
NDIS requirements
permanent condition
decreased ability to complete tasks
cant participate socially or economically
if you are the career you are under 65 and are live in Australia legally
NDIS steps
create an individual plan
use the plan
review plan ever 12 months
NDIS sustainability
alllowed 3 years to build up funding
assist in individuals gaining employment (more tax collected)