Medicare
Private Health Insurance
PBS and NDIS
Models
Funding, Sustainability, Access and Equity
100
Fill in the blank: Medicare is Australia's (BLANK) health insurance scheme.
Universal
100
The fee paid to cover the cost of Private Health Insurance is also known as the what?
Premium
100
Which level of government is responsible for the Pharmaceutical Benefits Scheme?
Federal
100

What is the other name for 'New Public Health'

The social model of health

100

Identify the four roles of Aus healthcare system

Sustainability, Access, Funding and Equity

200
The amount that Medicare contributes towards certain consultations and treatments, is known as what?
Schedule Fee
200
Identify the three Private Health Insurance incentives
Private Health Insurance rebate/ Lifetime health cover/ Medicare Levy Surcharge
200

The patient co - payment for PBS subsidised medications is $31.60, what individuals only need to make a $7.70 contribution?

Those with a concession card

200

Explain what is meant by 'old public health'?

Government actions that focused on changing the physical environment to prevent the spread of disease such as better work conditions

200

INDIVIDUALS are one way funding for our health care system is provided. identify the two levels of government and the major type of insurance fund, which also provide significant funding.

State/ Federal/Private Health Insurance.

300
Identify 4 services covered by Medicare
GP consultations/ Specialist Consultations/ X - rays/ eye tests/ pathology (blood/urine)/ treatment and accommodation in public hospitals/ some dental services for children under the Dental Benefits Scheme/ 75% of the schedule fee for treatment in a Private Hospital
300
Identify 3 disadvantages of Private health insurance
premiums are costly/ Sometimes have a "gap" payment, meaning that even though you have paid a premium, you still need to cover part of the cost/ Qualifying periods or waiting periods apply for certain things (eg: pregnancy etc)/ policies can be complex and may create confusion for the average person
300

Identify the two residency requirements to qualify for the NDIS

1)Be an Aus citizen (or hold a permanent visa or protected special category visa)

2) Live in AUs where the NDIS is available

300
Identify 4 old public health policies and practices

- Quarantine laws

- Mass vaccination programs

- Better quality food and nutrition standards

- Improved water and sanitation

- Sewerage and waste disposal

- Better working conditions


300

4 major interventions have been put into place to increase ACCESS to healthcare for people of all SES backgrounds. Identify three of these interventions

1) Free treatment in public hospitals and subsidised consultations through Medicare

2) Subsidised meds through the PBS

3) Subsidised Private Health Insurance through the Private health insurance rebate.

4) Support provided through the NDIS

400
Identify 4 services not covered by Medicare
Cosmetic/ unnecessary or elective surgery/ most costs associated with private hospital care/ o accommodation in private hospitals/ most dental examinations and treatments/ home nursing care and treatment/ ambulance services/ most allied health services/ alternative medicine (Chiro, acupuncture, remedial massage, aromatherapy, naturopathy)/ glasses/ contact lenses/ hearing aids/ prosthesis (artificial limbs)/ pharmaceuticals/ medical costs for which someone else is responsible
400

What % range of the income is taken in order to be charged the Medicare Levy Surcharge?


 1-1.5%

400

Identify 3 out of the 4 disability requirements to qualify for the NDIS

1) You have a condition or impairment that is likely to be permanent

2) your impairment substantially reduces your ability to participate in activities unless you have assistance (from others/ from technology/ or still cant without assistance from either of these)

3) Your impairment affects your capacity for social and economic participation

4) you are likely to require support under NDIS for a lifetime

400

Identify the three strategies for health promotion and provide an example of each. 

- Advocate: social media campaigns, lobbying governments

- Mediate: legislations, changes to funding

- Enable: access to education and resources


400

An equitable health system must recognise and respond to those with special needs. An example of an intervention designed to promote equity within the health care system is the PBS Safety Net. Identify 2 other interventions which promote equity.

Intro of NDIS/ Medicare Safety Net/ Royal flying doctor service/ mental health treatment plans/ public eye and ear hospital service

500

Identify the three ways Medicare is funded and explain in detail, one of these ways.

1) THE MEDICARE LEVY  ( an additional 2% tax placed on taxable income of most taxpayers)  2) THE MEDICARE LEVY SURCHARGE (An extra tax for those earning a certain amount of money, that do not have private health insurance - $90,000 for singles and $180,000 for families. The surcharge ranges from an extra 1% - 1.5%) 3) GENERAL TAXATION (As the levy and levy surcharge do not cover the full operating costs of Medicare, general taxation is also used)

500

Identify 5 advantages of Private Health Insurance

enables access to private hospital care/ choice of doctor in public or private hospital/ shorter waiting periods for some surgery/ some extras may be covered depending on level of cover (dentistry, physio etc)/ helps to keep the cost of running medicare low/ high income earners avoid paying the medicare levy surcharge/ government rebate for eligible policy holders/ lifetime healthcover incentive/ reduces burden on Australia's Health care system

500

The first step once accepted into the NDIS is to create an individualised plan. Through this individualised plan, the NDIS assists participants to do 4 main things. Identify these 4 things.

1) Access mainstream services and supports

2) Access community services and supports

3) Maintain informal support arrangements

4) Receive reasonable and necessary funded supports

500

Identify the 5 action areas of the Ottawa Charter and provide an example of each

- Build healthy public policy: smoking bans, no hat no play policy etc

- Create supportive environments: bike paths, exercise equipment in parks, reduced price for fresh produce

- Strengthen community action: road safety around schools 

- Develop personal skills: teaching people about how to improve their diet

- Reorient health services: doctors advising people to exercise and eat healthier before serious consequences occur

500

Identify 5 of the 10 things provided through FUNDING, which promote health Status.

Health care infrastructure/ highly trained health professionals/ subsidised health services/ personnel/ essential medicines/ medical supplies/ support and assistive technology/ increased access to private health services/ public health programs (quit etc)/ advances in knowledge and technology through research