Last Updated:
Saturday, 26. July 2008

Private Medical Insurance in Australia

 

 
Please feel free to pass this page link onto others, the URL is: http://www.britzinoz.com/info/medical_private.htm  

Main Index
Related pages on this website:
General Medical
Dental

 

 


Emergency Medical

  • Queensland  call 13 HEALTH (13 43 25 84) a similar system to the UK's NHS Direct.

In an emergency, and if you can't get to a Doctor, then go to the local Hospitals Accident & Emergency department.

 

Reciprocal Health Care

The Australian Government has signed Reciprocal Health Care Agreements with various countries INCLUDING the United Kingdom.

Reciprocal Health Care agreements normally cover treatment that is medically necessary.  More information can be found at: www.medicareaustralia.gov.au/..../uk.jsp and a PDF document detailing the Exact law on this is http://www.health.nsw.gov.au/policies/PD/2005/pdf/PD2005_398.pdf

This quotes the following regarding Maternity Services:

  • Maternity Services for Short Stay Visitor (ie: under 9 months)

    Routine antenatal care is covered
    Confinements are not covered unless
    Emergencies or complications arise (eg: premature births)
    Special cases (eg: where a patient�s visit to Australia is primarily for her, or her partner�s work, and the patient has no choice other than to have the baby in Australia)

  • Maternity Services for Long Stay Visitor (ie: over 9 months)

    Confinements and antenatal care are covered, including routine ultrasound Tests such as chromosome sampling where medically indicated (eg: where the mother is in an at risk age group or there is a family history of deformities)

Private Medical Insurance

Private Medical Insurance does not generally cover standard Doctors fees, as they are mainly covered by Medicare.  It does however cover part of the costs of Specialists, who's fees can be well over $100 per consultation, as well as Hospital Cover etc.

Lifetime Health cover loading

New migrants receive a grace period to purchase hospital insurance without incurring a Lifetime Health cover loading,  "A loading of 2 per cent on top of a member's premium will apply for each year a member's lifetime health cover age is above 30 when they first take out hospital cover."

Migrants who become eligible for Medicare on or after 23 April 2004 do not pay a Lifetime Health Cover loading if they purchase hospital cover by the later of:

  •  the 1 July following their 31st birthday, or
  •  the first anniversary of the date they became eligible for Medicare.

If you were born on or before 1 July 1934, you are not affected by Lifetime Health Cover. This means that you can purchase hospital insurance at any time and you will always pay the base rate premium.

Example:

Monique migrates to Australia and becomes eligible for Medicare on 1 March 2005. She first purchases hospital insurance on 15 June 2006, when she is aged 35. Monique will pay a loading, because she did not purchase hospital cover before 1 March 2006, which is the first anniversary of the day she became eligible for Medicare. Monique's loading will be calculated according to her Lifetime Health Cover age.

Loading Examples based on age when taking out the policy:

Age 32 = 2% loading (approx)

Age 35 = 10% loading (approx)

Age 40 = 20% loading (approx)

Age 55 = 50% loading (approx)

http://www.privatehealth.gov.au/information/surcharges/lifetime.htm

 

Tax Offset for medical expenses over a specified limit

There is a medical expenses tax offset that may be available if you have out of pocket medical expenses over a specified limit in an income year.  The 2004-2005 year threshold is $1,500, and any medical costs exceeding this can be claimed against, and a Tax Offset of 20% of the excess is claimable.  This is claimed on your end of year tax return through the ATO.

 

LINKS

Government Health Departments

 

Private Health Organisations

  • iSelect.com to compare private Health Insurance policies from participating health funds

  • MBF Private Health Care
  • HBA A BUPA member
  • HCF Private Health Care
  • NIB Private Health Care
  • Manchester Unity Private Health Care
  • Medibank Australia's largest private health insurer

 

Online Medication Links (to get ideas of prescription costs etc)

 

 


 


Home - About Us - Contact Us - Disclaimer - Privacy - Advertisers