VisaExpertsThe Australian Health Care System - PowerPoint PPT Presentation

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VisaExpertsThe Australian Health Care System

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Australia’s health system is best in the world, providing safe and reasonable health care for all Australians. Medicare is available to Australian Citizens, Permanent Residents in Australia – PowerPoint PPT presentation

Number of Views:47
Updated: 20 December 2019
Slides: 21
Provided by: VisaExperts
Category: Travel & Places

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Title: VisaExpertsThe Australian Health Care System


1
The Australian Health Care System
2
Best Australian Health System
  • Australias health system is best in the world,
    providing safe and reasonable health care for all
    Australians. It is jointly run by all levels of
    Australian government federal, state and
    territory, and local.
  • It provides excellence, safe and inexpensive
    health care for you and your family. Its a key
    reason why they enjoy one of the longest life
    expectancies in the world.

3
Australia Health Care Providers
  • There are many providers of health care in
    Australia, including
  • primary care services delivered by general
    practitioners (GPs)
  • medical specialists
  • allied health workers
  • nurses
  • Medicare and the public hospital system provide
    free or low-cost access for all Australians to
    most of these health care services.

4
Foundation of Health System
  • Medicare the foundation of Australias health
    system
  • Medicare has been Australias universal health
    care scheme since 1984. It helps Australians with
    the cost of their health care. Australians make
    more than 150 million visits to a GP every year.
  • Medicare- public health insurance system- helps
    pay for these visits. Its 3 major parts are
  • medical services
  • public hospitals
  • medicines

5
Medicare for Australian Citizens
  • Medicare is available to Australian Citizens,
    Permanent Residents in Australia
  • It also covers some or all of the costs of other
    health services.
  • They can also include physiotherapy, community
    nurses and basic dental services for children

6
Free Health Care Services
  • If you have a Medicare card, you can access a
    range of health care services for free or at a
    lower cost, including
  • medical services by doctors, specialists and
    other health professionals
  • hospital treatment
  • prescription medicine
  • The other important part of Medicare is the
    Pharmaceutical Benefits Scheme (PBS). The PBS
    makes some prescription medicines cheaper as
    Australians get medicines at a subsidized rates.

7
Pharmaceutical Benefits Scheme
  • The Pharmaceutical Benefits Scheme
  • The PBS helps make medicines cheaper.
  • Without the PBS, medicines would be more
    expensive.
  • You only pay some of the cost of most PBS
    medicines if you are enrolled in Medicare. The
    Australian Government pays the rest.

8
How Medicare Works
  • When you enroll in Medicare, they pay some or all
    of the costs of your necessary health care.
  • Keep in mind, Medicare doesnt pay for all
    medical services.
  • If your doctor bulk bills, Medicare pays the cost
    directly to the doctor. This means you wont have
    to pay anything. (Not all health professionals do
    bulk bill).
  • They also help to make some medicines more
    affordable for you through the Pharmaceutical
    Benefits Scheme.

9
Australia Medicare Duties
  • Medicare Levy
  • The Australian government pays for Medicare
    through the Medicare levy. Working Australians
    pay the Medicare duty as part of their income
    tax.
  • Medicare is partially funded by an income tax
    surcharge - all Australian taxpayers earning over
    a certain threshold pay a Medicare levy
    (currently 2 per cent of their taxable income or
    2.5 per cent for those on high incomes who dont
    have private health insurance.
  • The Medicare duty is collected from you in the
    same way as income tax. Generally, the pay as you
    go amount your employer withholds from your
    salary or wages includes an amount to cover the
    Medicare charge.

10
Medicare Enrollment under PR
  • Documents to enroll in Medicare if you're a
    Permanent Resident
  • You can enroll in Medicare if you have a
    Australia Permanent Resident Visa. Youll need to
    give both
  • A current passport or Immi card
  • Proof of permanent residency from the Department
    of Home Affairs.
  • They need these for each person you want to
    enroll.
  • Documents must be original or certified copies. A
    certified cop is a document an authorized witness
    has signed as a correct copy.
  • Youll need to complete a Medicare enrolment form
    and submit it with your documents at a service
    centre.
  • Medicare cards are allotted to people registered
    in Medicare.

11
Usage of Medicare Card
  • When to use the Medicare Card
  • You use your Medicare card when
  • making a Medicare claim for a paid or unpaid
    doctor's account
  • visiting a doctor who bulk bills
  • receiving treatment as a public patient in a
    public hospital
  • filling a Pharmaceutical Benefits Scheme (PBS)
    prescription at a pharmacy

12
Medicare Reimbursement
  • Medicare usually Pays
  • the full schedule fee for general practitioner
    services
  • 85 of the schedule fee for a specialist
  • 75 of the schedule fee for in-hospital services
  • For an example of how this works in practice, a
    GP might charge 50 for a standard consultation.
    The Medicare rebate for this is 36.30, leaving a
    gap of 13.70 for you to pay.

13
General Practitioners Fees
14
Medicare Coverage Umbrella
  • Medicare Coverage and Places Where We Can Use It
  • We help to cover the costs for part or all of the
    following services
  • seeing a GP (General Practitioner) or specialist
  • tests and scans, like x-rays
  • most surgery and procedures performed by doctors
  • eye tests by optometrists
  • Its best to bring your valid Medicare card or
    number with you when you visit a GP or specialist.

15
Out of Reach of Medical Medicare
  • Medicare Doesnt Cover
  • They dont pay for things like
  • ambulance services
  • most dental services
  • glasses, contact lenses and hearing aids
  • Cosmetic surgery.

16
How to use Medicare
  • Seeing a doctor
  • When youre enrolled in Medicare, it can help pay
    some or all of the costs of seeing a doctor. If
    your doctor chooses to bulk bill, it cover the
    costs and you wont need to pay at all.
  • If your doctor doesnt bulk bill, youll need to
    pay either
  • the full cost
  • the difference between what they charge and what
    we cover.

17
Medicare Eligibility
  • When You Live Overseas Again After You Enroll
  • If you live overseas again for more than 12
    months, youll no longer be in Medicare. Youll
    need to enroll again when you back Move to
    Australia.

Check your Eligibility for Australian PR
18
Avail Medicare Benefits
  • Claim Medicare Benefits at Your Doctors Office
  • The quickest and easiest way to claim is at your
    doctors office straight after you pay.
  • To do this you need to both
  • be enrolled in Medicare
  • Show your Medicare card

19
Medicare Claim Settlement
  • When you pay at the doctors office, ask if they
    can make an electronic claim for you. If they
    can, theyll do it on the spot.
  • They will pay your Medicare benefit into either
  • the account for the EFTPOS card you used to pay
  • The bank account youve registered with us.

20
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