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-   -   Help understand medicare (https://britishexpats.com/forum/australia-54/help-understand-medicare-880853/)

Rosie24 Jul 23rd 2016 12:32 am

Help understand medicare
 
Can someone help buy telling me how much it will cost for prescriptions as we are both diabetic and are going out on a parents visa but are unsure about the financial costs of prescriptions and doctor appointments due to health issues and do not think that I will be working

Jilliebee Jul 23rd 2016 2:09 am

Re: Help understand medicare
 
There isn't a set amount for prescriptions. It depends on the medication and whether you buy a specific brand! Some medications can be extremely expensive so it is definitely worth finding out what yours would cost before coming here.
For GP appointments if you can find a good GP that bulk bills then it shouldn't cost anything for the appointment. otherwise you may pay around $70-$80 for an appointment and claim around half back from Medicare.

quoll Jul 23rd 2016 5:58 am

Re: Help understand medicare
 
You might find that an Australian GP will change your medication - if yours is expensive or not on the Pharmaceutical Benefits Scheme especially. If it is on the PBS then you will be up for a max of around $38 per item per fill (usually a month) -so it could be cheaper - up to an annual threshold of just under $1500 when a safety net provision kicks in and you only pay around $6 per item per fill.

The usual situation is that you pay around half of whatever a GP charges you - Medicare pays the other half so each GP visit will see you out of pocket around $35-40. Finding a bulk billing doctor in some places can be difficult and there are benefits to going to a doctor who doesn't bulk bill - you can usually be assured of continuity of care which, often, is not the case in the BB practices. If you have a chronic condition then that continued care is often a bonus!

spouse of scouse Jul 23rd 2016 6:12 am

Re: Help understand medicare
 

Originally Posted by Rosie24 (Post 12010076)
Can someone help buy telling me how much it will cost for prescriptions as we are both diabetic and are going out on a parents visa but are unsure about the financial costs of prescriptions and doctor appointments due to health issues and do not think that I will be working

If you qualify for a low income Health Care Card, you get cheaper prescriptions, usually around $6 each.

Rosie24 Jul 23rd 2016 10:04 am

Re: Help understand medicare
 
Thanks for all your helpful information I will take on board what you have all advised

Rosie24 Jul 23rd 2016 10:07 am

Re: Help understand medicare
 
Not sure if I will qualify for health care card with a parents visa as we are both 63 and are coming out to be with our grandchildren so will be doing a power of babysitting

spouse of scouse Jul 23rd 2016 10:15 am

Re: Help understand medicare
 

Originally Posted by Rosie24 (Post 12010378)
Not sure if I will qualify for health care card with a parents visa as we are both 63 and are coming out to be with our grandchildren so will be doing a power of babysitting

Hi Rosie - I'm not up on parents visas so I don't know if that would preclude you from applying for a HCC - I'm sure someone will be along to answer that.

I bet the kids are looking forward to you coming and babysitting! Just remember that you're entitled to have a life too though :starsmile:

Rosie24 Jul 23rd 2016 10:43 am

Re: Help understand medicare
 

Originally Posted by quoll (Post 12010255)
You might find that an Australian GP will change your medication - if yours is expensive or not on the Pharmaceutical Benefits Scheme especially. If it is on the PBS then you will be up for a max of around $38 per item per fill (usually a month) -so it could be cheaper - up to an annual threshold of just under $1500 when a safety net provision kicks in and you only pay around $6 per item per fill.

The usual situation is that you pay around half of whatever a GP charges you - Medicare pays the other half so each GP visit will see you out of pocket around $35-40. Finding a bulk billing doctor in some places can be difficult and there are benefits to going to a doctor who doesn't bulk bill - you can usually be assured of continuity of care which, often, is not the case in the BB practices. If you have a chronic condition then that continued care is often a bonus!

Does this mean it $1500 per person and do you know if their is any help with medicine which is compulsory like thyroxine and diabetes meds

Rosie24 Jul 23rd 2016 10:45 am

Re: Help understand medicare
 

Originally Posted by spouse of scouse (Post 12010386)
Hi Rosie - I'm not up on parents visas so I don't know if that would preclude you from applying for a HCC - I'm sure someone will be along to answer that.

I bet the kids are looking forward to you coming and babysitting! Just remember that you're entitled to have a life too though :starsmile:

Still very unsure what we would qualify for

Dreamy Jul 23rd 2016 12:11 pm

Re: Help understand medicare
 

Originally Posted by Rosie24 (Post 12010378)
Not sure if I will qualify for health care card with a parents visa as we are both 63 and are coming out to be with our grandchildren so will be doing a power of babysitting

Rosie, I'm not up on what visa entitles you to what either, do you qualify for full medicare?

If you do, many GPs (even if they're not generally a bulk billing practice) will put patients with chronic conditions onto a care management plan, so their visits will be bulk billed. Blood tests are (generally) (currently) bulk billed too.

Prescriptions though will vary. Here's the PBS site which will show you the maximum you'll be charged for various meds (I did a search there for thyroxine, you can check your other meds)

PBS site

quoll Jul 23rd 2016 6:18 pm

Re: Help understand medicare
 

Originally Posted by Rosie24 (Post 12010396)
Does this mean it $1500 per person and do you know if their is any help with medicine which is compulsory like thyroxine and diabetes meds

Per family https://www.humanservices.gov.au/customer/services/medicare/pharmaceutical-benefits-scheme-pbs-safety-net#a3
No, there is no help, you're up for anything up to the threshold then it's at reduced rate.

Assume you won't be entitled to anything then anything you do get is a bonus. There is a 2 year residence required for a Seniors Health Care card and the low income health care card and then they are means tested so there is no guarantee you will get one.

Rosie24 Jul 23rd 2016 7:51 pm

Re: Help understand medicare
 

Originally Posted by quoll (Post 12010536)
Per family https://www.humanservices.gov.au/cus...-safety-net#a3
No, there is no help, you're up for anything up to the threshold then it's at reduced rate.

Assume you won't be entitled to anything then anything you do get is a bonus. There is a 2 year residence required for a Seniors Health Care card and the low income health care card and then they are means tested so there is no guarantee you will get one.

My husband is on diabetic meds and has a list of about 6items and I have 3 or 4 and if they ar approx $40 that soon adds up I think it's just a whole new change for us and I think at our age I think it can all be a bit frightening

Rosie24 Jul 23rd 2016 7:56 pm

Re: Help understand medicare
 

Originally Posted by Rosie24 (Post 12010615)
My husband is on diabetic meds and has a list of about 6items and I have 3 or 4 and if they ar approx $40 that soon adds up I think it's just a whole new change for us and I think at our age I think it can all be a bit frightening

Is that $1500 approx every year and does it be tax deductible

quoll Jul 24th 2016 12:51 am

Re: Help understand medicare
 

Originally Posted by Rosie24 (Post 12010618)
Is that $1500 approx every year and does it be tax deductible

Yes, 1500 a year comes out of your pocket. Medical expenses certainly used to be tax deductible but a quick look at the ATO site says they are no longer a deduction

The net medical expenses tax offset is being phased out.

From 2015–16 until 2018–19, claims for this offset are restricted to net eligible expenses for disability aids, attendant care or aged care.


Remember that costs in Australia are higher, it's not like UK and if you are planning on living on a frozen UK pension, it will get harder as time goes on because you won't be entitled to any Aus benefits for a good many years.

Amazulu Jul 24th 2016 1:23 am

Re: Help understand medicare
 

Originally Posted by quoll (Post 12010778)
Remember that costs in Australia are higher, it's not like UK and if you are planning on living on a frozen UK pension, it will get harder as time goes on because you won't be entitled to any Aus benefits for a good many years.

Not necessarily true

Everyone's COL is different and mine, overall, is roughly the same


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