Medicare 101

What does Medicare NOT cover?

• Ambulance

• Eye Test

• Hospital Treatment

• Choice of Doctor

Why didn't I pay anything out of pocket when I saw my GP?

Select all that applies

• The doctor hasn't charged above the MBS

• The doctor has Bulk Billed

• Medicare will always pay 100% of the doctors charges

• Trick question, Medicare will only pay 85% towards the GP

What does MBS Stand for?

• Medical Benefits Scheme

• Medicare Benefit Schedule

• Medical Benefit Service

• Medicare Benefits and Services

What is the MBS?

• The amount doctors charge a patient

• The recomended price a health fund pays out towards

• The recomended price that doctors should charge

• The average price for a particular surgery

What does a MIN do?

• Identifies the lowest form of cover for a patient

• Identifies the particular service/treatment being done

• Identifies the average time taken for a particular surgery

• Seperates hospital and extras claims made by the member

When does the 2% Medicare Levy no longer apply?

Select all that apply.

• When you hold a Hospital policy

• When you earn over a certain taxable income

• At tax time

• You will always pay the Medicare Levy

What does Medicare cover towards Specialist Consultations?

• 25% of the MBS

• 75% of the MBS

• 85% of the MBS

• 100% of the MBS

Who can purchase PHI?

• A Reciprocal Medicare cardholder

• An Interim Medicare cardholder

• A Green Medicare cardholder

If I have two scripts that when added together the total amount is $28.20, are they on the PBS?

• Yes

• No

What is Informed Financial Consent?

• The Health Fund disclosing all costs for a member to use PHI

• The agent outlining the costs involved with taking up PHI

• The doctor disclosing all out of pocket expeses prior to surgery

• The member advising the costs involved when being admitted into hospital