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Overview of the Australian Healthcare System

Feb 9, 2025

Australian Healthcare System Overview

General Practitioner (GP)

  • First point of contact for medical issues.
  • Handles general medicine.
  • Provides referrals to specialists if necessary (e.g., gastroenterologist for severe tummy ache).

Medicare

  • Definition: Public health insurance scheme in Australia.
  • Covers:
    • Public hospital fees for emergencies.
    • Out of hospital care (partial cost if no bulk billing).
    • Some subsidized medications.
  • Doesn't Cover:
    • Dental care, private hospital stays, or ambulance services.
  • Bulk Billing: Full coverage of medical costs by Medicare.
  • Medicare Rebate: Partial refund for medical services not fully covered.
    • Example: GP visit cost of $98; Medicare rebate $39, out-of-pocket $58.

Eligibility for Medicare

  • Permanent residents or humanitarian visa holders can access Medicare.
  • Citizens of certain countries with reciprocal healthcare agreements (e.g., UK, Italy, Netherlands).
  • Temporary visa holders generally need private health insurance.

Private Health Insurance

  • Supplementary to Medicare.
  • Cost: Varies based on cover type; typically around $100 AUD/month.
  • Benefits:
    • Covers some/all medical costs.
    • Covers both public and private hospital stays.
    • Extras like dental care and ambulance services.
  • Pre-existing Conditions:
    • 12-month waiting period for coverage.

Difference Between Public and Private Hospitals

  • Public Hospitals:
    • Covered by Medicare, generally free.
    • Long waiting times.
  • Private Hospitals:
    • Quicker service but costly.
    • Owned by private companies.

Emergency Procedures in Australia

  • Call triple zero (000) for serious emergencies.
  • Emergency room visit for serious but non-life-threatening issues.

Community Health Centers

  • Provide medical services for low-income individuals.
  • Fees based on client’s ability to pay.

Additional Information

  • Videos available on other services like hairdressers, dentists, psychologists, etc.