Booklet 8

Question 1

Public sector

Answer 1

Part of a country’s economy
controlled by the government

Question 2

Australia’s health system is made up of two main components

Answer 2

public and private health care.

Question 3

Private sector

Answer 3

Part of an economy/country not under the direct controlled by the government

Question 4

Public Sector examples

Answer 4

Public hospitals, Medicare, PBS, NDIS

Question 5

Private Sector examples

Answer 5

Private Health Insurance, Medical practitioners in private practice, Private hospitals

Question 6

What is Medicare

Answer 6

Australia’s universal health
insurance scheme

Question 7

What does Medicare provide?

Answer 7

It provides free or subsidised
medical treatment to all Australian
citizens

Question 8

Goods and services covered by medicare (At least 3)

Answer 8

• 75% of schedule fee at a private hospital
• Doctor/specialist fee
• x-rays
  -Blood + eye tests

Question 9

Goods and service not covered by medicare (at least 3)

Answer 9

*Cosmetic surgery

• Glasses, hearing aids, prosthetics
• Accommodation in private hospital
• Most dental exam
• Ambulance services
• Alternative medicine

Question 10

How is medicare funded?

Answer 10

1. Medicare Levy
2. Medicare Levy surcharge
3. General taxation

Question 11

How are health professionals funded through medicare?

Answer 11

Patient-co payment, scheduled fee, bulk billing

Question 12

Medicare safety net

Answer 12

provides extra financial assistance for those that incur significant out-of-pocket costs for Medicare services. Once an individual or family has contributed a certain amount out of their own pocket to Medicare services in a calendar year ($560.40 in 2024),
further financial support is provided
by the government, making Medicare
services cheaper for the remainder of
that year.

Question 13

Patient co-payment

Answer 13

The payment made by the consumer for health products or services in addition to the amount paid by the government.

Question 14

Scheduled fee

Answer 14

The amount that Medicare contributes towards certain consultations and treatments. The government decides what each item is worth and that’s what Medicare pays. Doctors and private
hospitals may choose to charge more than the schedule fee.

Question 15

Bulk-billing

Answer 15

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.

Question 16

+ to Medicare

Answer 16

• Choice of doctors for out-of-hospital services
• Available to all Australian citizens
• Covers test and examinations, doctors’ and specialist fees (scheduled fee only), and some produces such as x-rays and eye tests