SAC 3 - 2.6 Flashcards
(25 cards)
Public sector
- Public Hospitals
- Medicare
- NDIS
- PBS
Private sector
- private health insurance
- private hospitals
- medical practitioners in private practice
Medicare
Medicare is Australia’s universal health insurance scheme.
It is administered by the Federal Government and gives all Australians, permanent residents, and people from countries with reciprocal agreements access to healthcare that is subsidised by the government.
Services covered by medicare
- GP consultations
- x-rays
- Eye tests performed by optometrists
- Pathology, like blood and urine tests
- emergency public hospital treatment
- partial cover to some specialist treatments
- Some dental services for children aged 2-17
medicare safety net
Provides extra financial assistance for those that incur significant out of pocket costs for Medicare services.
Once an individual or family’s contributions reach a specified threshold additional financial support is provided by Medicare making Medicare services cheaper for the remainder of the year.
how is medicare funded
- medicare levy
- medicare levy surcharge
- general taxation
medicare levy
an additional 2% tax placed on the taxable income of most taxpayers
medicare levy surcharge
his is only paid by people who choose not to take out Private health insurance and earn over a particular threshold.
general taxation
the Medicare levy and the Medicare levy surcharge do not cover the full costs of operating the system.
Pharmaceutical Benefits Scheme
– is an Australian Government program that subsidises the cost of essential prescription medications.
NDIS
national disability insurance scheme
NDIS definiton
A national insurance scheme that provides services and support for people with permanent, significant disabilities and their families and carers.
how you can be eligible for NDIS 1.
must be under 65 years of age
how you can be eligible for NDIS 2.
Australian citizen or hold a permanent visa or a protected special category visa AND live in Australia where the NDIS is available.
have an impairment or condition that is likely to be permanent
Impairment substantially reduces your ability to participate effectively in activities unless you have assistance from other people or assistive technology
NDIS individual plans aim to:
- Access mainstream services and supports
- Access community services and supports
- Maintain informal support arrangements
- Receive reasonable and necessary funded supports
Private health insurance definiton
Private health insurance is a type of insurance under which members pay a premium (or fee) in return for payment towards health related costs not covered by Medicare.
private health insurance incentives
Private Health Insurance Rebate –
Medicare levy Surcharge-
Aged base discount
Lifetime Health Cover –
Private Health Insurance Rebate
The private health insurance rebate is a government subsidy that helps reduce the cost of private health insurance premiums for eligible Australians, based on their age and income.
lifetime health cover
People who take out private health insurance after the age of 31 pay an extra 2% on their premiums every year. If an individual has PHI for 10 continuous years loading is removed.
Medicare levy Surcharge
The Medicare Levy Surcharge is an extra tax (1% to 1.5%) paid by higher-income Australians who don’t have private health insurance, aimed at encouraging people to take out private health insurance and reduce pressure on the public system.
. Aged base discount
For people 18-29 a discount of up to 10% on hospital cover.
advantages of medicare
- available to all aus citizens
- choice of doctor for out of hospital services
disadvantages of medicare
- no choice of doctor for in hospital treatments
- waiting lists for many treatments
advanatges of private health insurance
- enables access to priv hospital care
- shorter waiting lists for medical procedures like elective surgery
- choice of doctor in priv or public hospital
