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Medicare
Private Health Insurance
PBS
NDIS
SAFE
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

PBS provides free medication. True or False

FALSE
100

What does NDIS stand for?

National Disability Insurance Scheme

100

Explain how Medicare is accessible. 

- Telehealth makes Medicare more accessible for those living outside of major cities 

- Available to all Australians regardless of income, culture, location etc.

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 $39.50, what individuals only need to make a $6.40 contribution?
Those with a concession card
200
Which level/s of government is the NDIS funded by?
Federal and State
200

Explain how PBS is equitable. 

The PBS safety net gives further assistance to those who use medication on the PBS list regularly. 

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

Which level of government is responsible for the Pharmaceutical Benefits Scheme?

Federal

300

Identify the residency requirement to qualify for the NDIS

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


300

Explain how Medicare is sustainable. 

-Not every service/treatment is covered by Medicare.  Only "medically necessary" treatments.

-The Medicare levy increased from 1.5% to 2% in 2014 to assist in providing necessary funds for treatments. 



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 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 $180,000 families and A) 1-1.5%
400

What is put in place to protect people from large overall expenses from PBS listed medications? AND how many brands of prescription medications are covered by the PBS?

PBS Safety Net. Approx 5,000

400
Outline 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

Explain how the NDIS is sustainable and funded. 

S-NDIS is sustainable as everyone receives an individualised plan which ensures necessary funds are spent.

F- it is funded by the state and federal government.

500

Identify the three ways Medicare is funded and explain each in some detail. 

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
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

Explain how private health insurance is SAFE. Make a point for each element of SAFE. 

S-Places less strain on the public system when there is less people accessing the public health system

A-Enables people to have greater access to health care services that are not covered by Medicare (private hospitals and 'extras' e.g. physio)

F- funded by individuals by paying a premium. Funds hospital and extra services such as physio, private hospital stays, dental, chiro etc. 

E-PHI Rebate