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PHI 101

Total questions: 15

Worksheet time: 9mins

Name
Class
Date
1.

Which of the following are clinical categories?

a)

Cancer

b)

Skin

c)

Blood

d)

IVF

2.

You can take up PHI when you hold...

a)

A Blue Medicare Card

b)

A Green Medicare Card

c)

A Yellow Medicare Card

3.

Are the 12 months wait on Pre-Existing Conditions ever waived on Hospital admissions?

a)

No, never

b)

Yes, if the doctor says it's urgent

c)

Yes, if there is a joining offer

d)

Yes, depends on your doctor

4.

Which statements below about the Medicare Levy Surcharge (MLS) are correct?

a)

If I earn over $105k as a Single and don't hold Health Insurance, I pay between 1-1.5% of my taxable income, known as the Medicare Levy Surcharge

b)

Every day you hold onto a Hospital Insurance Policy is another day where MLS is not applied if you earn over the Taxable Income Thresholds

c)

As a single income, you earn $98,000 you need Hospital cover to avoid MLS

d)

You can claim PHI as a tax deduction to lower your taxable income and then avoid the MLS

5.

How does the hospital excess impact a policyholder’s claim?

a)

The excess is the total amount the insurance company will pay toward the hospital bill.

b)

The excess is the amount the policyholder must pay upfront before their insurance starts covering hospital costs.

c)

The excess is a fee charged by the hospital to insure higher-quality care.

d)

The excess is a penalty charged if the policyholder switches insurers.

6.

Harry is 29 and has a taxable income of $115,000.

What Australian Government Rebate would they be entitled to?

a)

Tier 0

b)

Tier 1

c)

Tier 2

d)

Tier 3

7.

Hermione is turning 31 on the 19th of September.

How can she avoid Lifetime Health Cover Loading?

a)

Take out Hospital cover before turning 31

b)

Take out Hospital cover before the 1st of July following her turning 31

c)

Take out Ambulance cover before the 1st of July following her turning 31

d)

Take out Extras cover before turning 31

8.

Ron just turned 34 on the 1st of March.

After not holding any cover previously, he has just joined Hermione 's Hospital Cover where she has always held hospital cover since birth.

What LHC would apply?

a)

10%

b)

8%

c)

4%

d)

Trick Question, 0%

9.

Luna took out a Hospital policy with a Youth Discount at the age of 26.

She held the policy until 43.

What will her discount now be?

a)

She doesn't have one anymore

b)

10%

c)

8%

d)

4%

e)

2%

10.

Doby has been accidentally stabbed and wonders if he would be able to be admitted into Hospital as a Private Patient in a Private Agreement Hospital?

a)

No, accidents are not a Clinical Category

b)

Yes, generally as long as he sought Medical Attention within the first 48 hours of incurring the accident

c)

Yes, however, he needs to prove how it was an accident

11.

Voldemort doesn't like his nose and wants a nose job.

What would you advise he who shall not be named?

a)

It has to be deemed Medically Necessary

b)

It will only be covered if it is because of an accident

c)

Cosmetic Surgery is not covered if you just want to enhance your appearance

12.

Severus is with NIB. Earlier in the year, he claimed $550 towards dental fillings. His new limit allows him to claim up to $1,000 for all dental with a sub-limit of $250 for preventative dental.

How much will Severus be able to claim now towards a crown?

a)

$1000

b)

$450

c)

$250

d)

$550

13.

Albus needs new half-moon spectacles.

His policy allows him to claim 60% at any provider. He also has a limit of $250.

If Albus's glasses cost him $400, how much can Albus claim?

a)

$250

b)

$150

c)

$240

14.

Hagrid wants to know if he is exempt from LHC. He was born on the 1st of July 1934

a)

Yes, he doesn't have to pay any LHC

b)

No, he is subject to LHC

15.

Remus, born on March 12, 1974, first purchased private hospital cover on July 5, 2023. How much LHC loading will he pay?

a)

34%

b)

38%

c)

30%

d)

40%