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Medicare
Private Health Insurance
PBS
NDIS
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 name of the independent organisation responsible for the implementation of the NDIS?
The National Disability Insurance Agency
100
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.
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.

An extra point if you can name the 4th incentive.  

Private Health Insurance rebate
Lifetime health cover
 Medicare Levy Surcharge

4th: Age-Based Discount: insurers have the option of offering young people 18-29 yrs a discount of up to 10% for hospital cover 

200

The patient co - payment for PBS subsidised medications is approx $41.30, who only need to make a $6.60 contribution? 

Those with a concession card

200
Which level/s of government is the NDIS funded by?
Federal and State
200

Promoting Disease Prevention and Ensuring an efficient Health system and workforce are two of the key considerations of a sustainable health system.

What are the other two key considerations?

Funding and regulation/Research and monitoring 
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

The PBS has been evolving since 1948. Currently, how many brands of prescription medicine are covered by the PBS? 

5000 brands 

300

To be eligible for the NDIS, what does a person need to meet? 

1) Be an Aust citizen

2)Meet the age requirement (under 65) 

3) Disability requirement- impairment or condition that is likely to be permanent, reduces your ability to participate in activities, and/or affects social and economic participation. 

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

Identify the approx. amount of money a single and a family would need to be earning in order to be charged the Medicare Levy Surcharge.
ALSO, what % range of the income is taken?

A) 1-1.5%

B) 1.5-2%

c) 1-2%

$90,000 singles and $180,000 families and
A) 1-1.5%.

This encourages high income earners to take out PHI 

400

What is put in place to protect people from large overall expenses from PBS-listed medications, and explain what occurs? 

PBS Safety Net.

Once an individual or family have spent a certain amount within a calendar year on PBS-listed medication, the patient only pays the concessional co-payment rate of $6.60 instead of the normal $41.30 amount

400

What is meant by 'assistive technology' and what are some examples? 

Assistive technology (AT) refers to devices or systems that provide practical solutions to everyday activities for people with disabilities. 

These technologies support individuals in enhancing their independence and participation in various aspects of life, such as communication, mobility, self-care, and learning.

  1. Mobility Aids: Wheelchairs, walkers, and scooters
  2. Communication Devices:  speech-generating devices and communication boards which assist those with speech or language impairments.
  3. Hearing and Vision Aids: Hearing aids,

 

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 3 other interventions which promote equity.
Intro of NDIS/ Medicare Safety Net/ Public Dental health Services (Royal Dental hospital of Melbourne) providing to vulnerable groups/ continuity between health care providers/ mental health treatment plans
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 in 2020-21) 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
Available medications are reviewed how many times a year? And by who are they reviewed?
3 times a year, by the Pharmaceutical Benefits Advisory Committee.
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 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