Home — Finance What Does Private Health Insurance Offer That Public Insurance Doesn’t?

What Does Private Health Insurance Offer That Public Insurance Doesn’t?

What Does Private Health Insurance Offer That Public Insurance Doesn’t?

There are some significant differences between public and private health coverage in Australia. Where you are treated, medical providers, and how long it takes to treat non-emergency conditions will differ between public and private coverage. Public health care covers many basic services and costs. However, patients are limited in their options. Personal health coverage allows Australians to choose their hospitals and doctors and will help pay for medical services not covered by the Medicare plan.

Since 1984, Australia has offered citizens and permanent residents Medicare public health coverage. The government-sponsored Medicare plan provides a great range for many basic medical costs. Australia’s public health care is primarily funded through a tax or “Medicare levy” placed on citizens as part of their basic tax payments. There are many advantages to the Australian healthcare system, and it is often touted as one of the best public systems in the world. However, it doesn’t cover all treatments, and patients often have lengthy hospital wait times. As a result, many Australians have turned to private coverage.

While Medicare is available to all residents, about half of Australians invest in private insurance. Private health insurance allows you to select your doctor and seek treatment at a private hospital. Health insurance can also be purchased to supplement Medicare coverage and help with costs such as specialized treatments. Let’s examine some of the differences between private and public health insurance.

Health Insurance

Physician and Hospital Visits

As discussed, Medicare covers treatment for many basic services. Medicare will pay for treatment at all public hospitals, GP visits, and 85 percent of the cost for a specialist visit. It will pay for any personal doctor’s fees and hospital expenses. With insurance through a private insurer, patients can purchase hospital coverage to choose their doctor and hospital. Costs such as hospital accommodation and surgery fees are covered whether you are being treated in a private hospital or as a private patient in a public hospital.

sThe public insurance plan can mean long wait times for some doctors and hospitals. A private program allows patients to avoid long waits at public hospitals and be treated at private institutions by private physicians. Private plan hospPersonalver also pays for most medical services on the Medicare benefits schedule.

Additional Coverage

Citizens relying on public health insurance coverage can access other services, including eye tests, limited dental treatments, and prescription drugs. Private insurers provide general coverage for dental treatment, hearing aids, and glasses. While Medicare offers limited coverage for other services, the public-private plans typically range to certain insurers’ limits.

A private plan covers general and major dental, endodontic, orthodontic, non-PBS pharmaceutical, optical, psychology, physiotherapy, and podiatry care. The next tier, or medium plan, covers dental and endodontic treatment. Additionally, a medium plan will cover any five of the other offerings of a comprehensive plan, including hearing aids. The basic level will cover all other policies.

Ambulance Transportation

In general, Medicare doesn’t cover ambulance services. ASoSomeans cover this fee while others do not. n ambulance transportation is covered locally with a subsidy in a few states and territories. For the most part, however, a private plan is needed to pay for emergency transportation. Private health plans will pay for the cost of an ambulance. However, some policies will not pay if medics are called to a scene but do not transport you.

Your private health coverage can serve as supplemental insurance for your Medicare coverage. If Medicare insurance isn’t enough coverage for you or your family, you’ll need to find personal health benefits. You should evaluate the monthly premium and coverage offered to find the right option.


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