Is seeing a doctor free & what about blood/urine tests and x-ray (Medicare)?

Category: Health & Doctors
Bilal Abdeen (Admin)
Asked 4 years ago

1. You cannot visit a specialist or go to hospital directly. You need to visit a GP (General Practitioner - طبيب عام).  

GP's are available everywhere. They are supposed to take care of ALL of your medical needs, except teeth. You and all your family members should (but not a must) go to the same GP all the time. He/she would develop (over the years) a complete history of you and your family members' history. Visits to GPs are 100% covered by Medicare (you don't pay anything.)

Some GP's can be visited by walking in (first come, first serve basis), while others require an appointment.

Some GP's are much better than others. You need to ask around (your neighbours, parents of your children's at school, etc.) about good GP's in your area. 

2. If you need blood/urine/stool tests or ex-ray, the GP can request them. Most of these are 100% covered by Medicare. So, you don't have to pay anything.

3. If you need medication, the doctor would write a prescription for you (روشتة). The government has a scheme called PBS. If the medicine you need is in the PBS list (most medicines are), you need to pay only $3x of the cost of the medicine. I am not sure if it is $33 or $35; something like this. So, if it costs $235, you pay only $3x. If it costs $20, you pay only $20.

4. If you have a pension (or health care card), you pay only around $6, instead of around $35. This card is provided by Centrelink (Human Services) to people having low income. You need to check their website for more details.

5. If your problem needs specialist's consultation, the GP will give you a "referral letter" to the specialist. You need to call the specialist for an appointment. Specialists' fees are VERY expensive (sometimes more than $300). Some charge more than others. For most illnesses, Medicare reimburses (returns to) you part of what you paid to the specialist (around $100.) When you make an appointment with the specialist, you can ask about his/her fees and the amount, which Medicare reimburses you with. 

If you have private health insurance, the insurance Co might reimburse you some additional amount to the Medicare amount - depending on your insurance plan. 

6. If you need admission to a hospital (e.g. for an operation), most operations are 100% free. However, for some operations, there is a long waiting list (up to a year in NSW).

If you have private health insurance, you can get the operation done faster in private hospitals, and you can get special services, like a private room.

7. If you need an ambulance, you pay $500 for it (in NSW)! I think this is different in the other states. If you have a pension card, you don't pay for an ambulance.

8. Some medicines are categorised as "over the counter", which means you can buy them without a prescription. Pension (or health care card) discounts do NOT apply to these medicines.

Other medicines need a prescription. These are hidden behind the pharmacist. You can only get them if you have a prescription.

Please, visit the Department of Human Services website for more details (https://www.humanservices.gov.au/customer/dhs/medicare), and for getting a Medicare card.

Bilal Abdeen (Admin)
Answered 4 years ago
Bilal Abdeen (Admin)

From 1 July 2014, NSW residents requiring road, fixed wing aircraft or helicopter or a combination of these from the scene of an accident, illness or injury to a public hospital or other destination nominated by NSW Ambulance will be charged a call out fee of $349 plus an additional charge of $3.15 per kilometre or part thereof.

If you require non-emergency transport, such as transport for ongoing medical treatment, you will be charged a call-out fee of $275 plus an additional $1.69 per kilometre or part thereof.

## The chargeable kilometres include the round trip distance between: • the base ambulance station nearest to the location of the patient • to the location of the patient • to the destination where that patient disembarked from the ambulance (if transported) • back to the base ambulance station referred to above.

## NSW AMBULANCE SERVICES PROVIDED FREE OF CHARGE IN the following cases:

1) If you hold one of the Pensioners/Concession Cards mentioned below and were in receipt of a benefit entitlement at the time of receiving your ambulance service in NSW:

• Health Care Card • Pensioner Concession Card • Commonwealth Seniors Health Care Card • Repatriation Health Card (also known as “Gold Card”) issued by the Commonwealth Department of Veterans’ Affairs (excluding non-emergency ambulance services) • Repatriation Health Card (also known as “White Card”) issued by the Commonwealth Department of Veterans’ Affairs, but only for ambulance services which relate to a specific condition that is funded by the Department of Veterans’ Affairs

2) Other cases:

• you are covered by a private health fund or have ambulance only cover • you were a student covered by a school or group contribution • the ambulance service is covered by a worker’s compensation, motor accident or third party insurance claim • you were a child or young person in the care or parental responsibility of the State or in receipt of financial assistance under the Children and Young Persons (Care and Protection) Act 1998 • you required an ambulance following a sexual assault • you required an ambulance following domestic violence or child abuse

Ahmed Mekkawy
Answered 4 years ago
Ahmed Mekkawy

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