VCE Stuff > VCE Health and Human Development
Medicare?
jess3254:
Firstly, please be polite to other members who are merely trying to assist you.
What aspects of medicare are you having difficulty understanding?
lacoste:
--- Quote from: jessie0 on June 01, 2009, 07:53:50 pm ---Firstly, please be polite to other members who are merely trying to assist you.
--- End quote ---
+1
lol. at the quotations.
Toothpaste:
Thread looks empty, so I'll invade with uni lecture notes.
Department of Health & Ageing is a department within the Commonwealth/Federal government of Australia
Here is their website: http://www.health.gov.au/
Role: promote Better health and active ageing for all Australians through strengthening evidence-based policy advising, improving program management, research, regulation and partnerships with other government agencies, consumers and stakeholders on issues related to health and ageing.
Medicare Australia
• Department of the Commonwealth/Federal government of Australia and is located within Department of Health & Ageing
http://www.medicareaustralia.gov.au/ <----------------------------------------------------- lol, nah just kidding. But do look at it since it actually has everything.
• They administer stuff like:
•Medicare
•Pharmaceutical Benefits Scheme (PBS)
•Australian Childhood immunisation program (ACIR)
•Australian government 30% private health insurance rebate
•Australian organ donor registry
Medicare
• Provides access (for eligible public) to:
•free treatment as a public patient in a public hospital
•free or subsidised treatment by medical practitioners including general practitioners, specialists, participating optometrists or dentist (for specific services only)
• Responsible for detecting and preventing abuse to the Medicare system
• How does it work (free/subsidised treatment)?
• Bulk billing: the doctor bills Medicare directly, accepting the Medicare benefits as full payment for a service
• Accounts: the doctor charges patient a fee, and patient pay the account and then claim the benefit
OR claim unpaid account from Medicare and receive a cheque made out in the doctor’s name which is given to doctor along with any outstanding balance
• Medicare usually pays:
• the full Schedule fee for GP services
• 85 per cent of the Schedule fee for other out-of-hospital services
• 75 per cent of the Schedule fee for in-hospital services
• Safety net exist for patient co-payment. If total annual (calendar year) reaches a certain amount,
all subsequent expenses will be free or attract higher re-imbursement
(http://www.medicareaustralia.gov.au/public/services/msn/files/1856-24-how-does-the-medicare-safety-net-work.pdf)
Private health care system in Australia
• Can be accessed by anyone who is able to pay
• Types of private health care available ranges from individual consult with doctors, pathology tests (eg. Gribbles or Mayne) to hospitalisation (eg. Epworth Hospital-Richmond or Cabrini Hospital)
• Generally ‘run’ by large organisations (eg. Epworth Healthcare, Ramsay Health Care, Healthscope)
• Can subscribe to private health insurance to reduce payment from individual patients
• Private health insurances:
• HBA
• Medibank private
• NIB Health Funds
• Different levels of cover available at different premiums
• Attracts 30% rebate from Australian government for some individuals
Comparing them:
• Private:
• Can choose your own doctor
• Can select your own hospitals & type of bed (shared/singleroom)
• Generally minimal waiting time but can be long sometimes
• Public:
• Cannot choose your doctor
• Cannot select your own hospital or type of bed
• Can have a long waiting time for a procedure (except in an emergency)
>>>>>>>>>>>>>>>> I have much more but I'll cut it down since I don't even know what's relevant to this subject (didn't do it). <<<<<<<<<<<<<<<<<
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