Medicare
PBS
NDIS
Private Health Insurance
100

What is Medicare? 

Australia's universal health insurance scheme that provides free or subsidised healthcare. 

100

What does PBS stand for? 

Pharmaceutical Benefits Scheme

100

What does NDIS stand for? 

National Disability Insurance Scheme. 

100

What is private health insurance?

Insurance people pay for that covers additional health services not fully funded by Medicare. 

200

Who can access Medicare

  • All Australians and permanent residents

  • People from countries with reciprocal agreements (e.g., New Zealand, UK, Ireland, etc.)

200

What is the main purpose of PBS? 

To make essential medicines affordable by subsidising their cost.

200

Who is eligible for the NDIS? 

People who are: 

Aged between 0-65

Have a permanent and significant disability impacting their everyday life. 

Australian Citizen 

200

List the 2 main types of Private Health Insurance

  • Hospital cover – Covers treatment in private hospitals.

  • Extras cover – Pays for services like dental, physiotherapy, and chiropractic care (not covered by Medicare).

300

What is bulk-billing? 

Bulk billing: No out-of-pocket cost if a doctor charges only the schedule fee eg. $41.40 for a standard GP visit

300

What does it mean when a medicine is "subsidised" under the PBS? 

The government pays part of the cost so the patient pays less. 

300

Give one support or service the NDIS might fund. 

Mobility equipment 

Personal care

Speech therapy 

Home modifications 

300

What is the Medicare Levy Surcharge? 

An extra tax (1-1.5%) on high income earners who don't have private health insurance

400

Name one service Medicare does cover and one Medicare does not

Some sample examples: 

Does cover: GP visits, public hospital treatment 

Does NOT cover: dental, physio, psychology


400
Explain how the PBS improved EQUITY in the healthcare system. 

It allows all Australians to access essential medicines regardless of income. 

400

How does the NDIS promote social and community participation for people with disabilities? 

By funding supports such as community programs, job training and transport to allow NDIS participants to take part in education, work and social activities. 

400

Explain two advantages of having private health insurance

Choice of doctor / hospital 

Shorter waiting times 

Covers some extras like dental/physio

500

How is Medicare funded? 

Through general taxes, the Medicare Levy (2% of taxable income) and the Medicare Levy Surcharge. 

500

Evaluate how the PBS improves physical health and wellbeing. 

affordable medicines treat illness and improve health

500
Compare how the NDIS supports people with permanent disabilities differently from how Medicare supports them. 

NDIS provides long-term, disability specific supports

Medicare provides universal access to medical services for all Australians. 

500

Discuss one advantage and one disadvantage of private health insurance for individuals with LOW income 

Advantage: faster access to treatment 

Disadvantage: additional costs might be unaffordable

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