chapter 4

Cards (28)

  • components of effective health systems (SAFE)
    • sustainability
    • access
    • funding
    • equity
  • Medicare
    Australia's universal health insurance scheme, which provides all Australian residents (and some overseas visitors ) access to necessary healthcare 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 service provider 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
    1. create an individual plan
    2. use the plan
    3. review plan ever 12 months
  • NDIS sustainability
    • alllowed 3 years to build up funding
    • assist in individuals gaining employment (more tax collected)
    • decrease reliance on heathcare systems
  • NDIS access
    • allows participants to enjoy an ordinary life
  • NDIS equity
    • provides care based on specific needs
    • not based on income