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Medicare cover


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Old 09-24-2009, 10:55 AM
 
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Medicare cover

Hi

I have been reading a lot about medicare cover for NZ Permanent Residents and it looks like due to the reciprocal agreement (Visitors from the Republic of Ireland and New Zealand - Medicare Australia) I would be covered for certain things.

Now my partner an me are getting married early next year and are planning to have a family soon, does anyone know what if any ppregnancy related services would be covered through the reciprocal agreement?

Also we would probably apply through the GSM straight away, but after reading some of the posts here it looks like that could take a long time to come through....now are you automatically eligible for all healthcare services once you have lodged a PR application?

Also, while I am on a roll, we have had a look at Skilled the Independent (Migrant) Visa (Subclass 175) and my partner does get the 160 points necessary....however it looks like this is only for when you are offshore. Is there something similar onshore? The onshore visas all look somewhat different and seem to mean more waiting possibly?

thanks in advance.


  #2 (permalink)  
Old 09-24-2009, 05:21 PM
Wanderer's Avatar
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The medical system in Oz aucks is similar to NZ though not quite as generous for I understand there is no charge in NZ for heading in to see a GP whereas in Australia now there are some [relatively few] medical centres that might run what is called bulk billing - patient goes in with no charge and medical practice gets paid by Medicare but most operate on a system where the patient pays the bill and then goes to Medicare to get a partial refund or now many medical practices offer a system whereby the patient can pay the difference beyween what total bill is and what Medicare refund is.

Same applies to a lot of outpatient type services like special Xrays you can get at a private hospital.

NZ runs a system much like Australia had many yaers ago.

For pregnancy type services, same deal would apply and you would be covered for admission to a public hospital for birth and then there are various state funded programs that hospitals can organise or federally funded ones that might be run by community health centres that are run by local councils.
Any services that you want via private medical practices would be subject to Medicare refund as mentioned above.

As to your partner getting a PR visa, you need to read latest immigration regulations, effective from yesterday:

Latest Immigration Regulations Update
http://www.immi.gov.au/skilled/gener...processing.pdf

Unless you have an occupation on the CSL, forget a GSM skilled visa application
Until after 2013






  #3 (permalink)  
Old 09-25-2009, 05:40 PM
 
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I had a question about medicare--

I'm trying to do my own research but the site keeps crashing on me when I try to look stuff up... i try to google it and I can't find anything.

Basically is there a good resource that says what is covered and what isnt by medicare?

I just want to know, specifically--gardasil (the cervical cancer vaccine), skin cancer checks, and is there ANY dental coverage at all through medicare? For example, not to get crowns or anyting like that, but simple, 6 monthly oral hygene?


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  #4 (permalink)  
Old 09-26-2009, 03:00 AM
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This'll be a good reference site for you too Aucks and hopefully will not crash elkitten - Medicare Australia

Essentially medicare is the taxation/levy funded system for basic medical care, that which hopefully will stop you dying prematurely through illness or accident.
System in Australia is supposed to work like;
. feel crook or whatever - visit a GP[if you want to][or maybe just visit a chemist] and either be bulk billed or pay with medicare refund etc. as mentioned in earlier post.
. for something that needs further diagnosis, GP will either organise blood tests, write a referral fo an Xray or seeing a specialist etc.
Again medicare partially covers costs.
. If you need hospitalisation for treatment of illnesses/major accidents etc., Medicare covers admission to public hospitals and you become a [patient of hospital doctors, registrars and specialists and some private practising specialists also work at hospitals so you could retain the specialist you saw.
. If you want to have choice over your doctors, you need to join up to private insurance, there being all sorts of levels
Health Insurance, Private Health Cover, Home & Contents Insurance, Private Health Insurance - Australian Unity and Private Health Insurance & Health Cover ? nib Health Funds [I think] are a couple of smaller private funds that you could check out and Private Health Insurance Australia - iSelect might be a funds comparison site.

There is an income tax/levy benefit if you are a member of a private fund, something the government has encouraged in recent decades to lessen load on public hospitals for what is happening is that:
. Either because of availability of private medical practices or to avoid paying, people turn up to hospital emergency/outpatient departments seeking treatment without having seen a GP and you can have huge waiting times - like a lot of the western world, alcohol, other drugs and modern lifestyle choices place an enormous load/strain on the public system and governments are too piss weak to be hard nosed about saying "you did it to yourself, so suffer the consequences!"
. Subsequently, a lot of elective surgery/treatment joins the queue, only problem being that this means more elderly people possibly suffering with ailments that can eventually kill them, solely because resources are used for treating drunks injuring themselves [and others!] drug addicts amd others inflicting harm on themselves - let them rot in the gutter I say!

And that may seem crude and harsh but think about it a bit, and why should someone who has led a responsible life, contributed to the community in a good way suffer merely so the irresponsible can be treated ahead of them and at same time place an enormous strain on those working in the health industry, not to mention danger to them.

Re treatment drugs, you'll see on the medicare site PBS, prescribed benefits scheme and that means treatment drugs, most tried proven types are subsidised with greater subsidy for those on social security benefits.
I know the CCV was discussed a year or so ago and pretty sure that it has been introduced to the PBS, talk at the time being that it was optional I think and aimed at the younger market.

Skin cancer checks - something to be done with GP.

Dental has not been on medicare but again, there has been recent discussion and possibly something introduced in last budget or may have been postponed.

I know Australian Unity has in part cover I use provision for various dental coverage and though the very poor dental situation of a lot of Australians has been highlighted, my own experience of treatments about every five years! is that you eat well, brush the teeth regularly and even on tank water without fluoride teeth kind of look after themselves.

Quite a few states have fluoride addition to water supply policies.

Hope that helps, and other than for my own view, sorry about being vague but being one who lives quite a distance from a hospital etc., you tend of kind to live with aching as you age! rather than relying on too much seeing of doctors.





  #5 (permalink)  
Old 09-26-2009, 09:37 AM
 
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Quote:
Originally Posted by Wanderer View Post
Latest Immigration Regulations Update
http://www.immi.gov.au/skilled/gener...processing.pdf

Unless you have an occupation on the CSL, forget a GSM skilled visa application
Until after 2013
Hey Wanderer

I suppose as long as we would have full medicare cover while waiting for the visa it wouldn't really matter if we had to wait till 2013 as we would both be able to work on our other respective visas. Is my understanding that you do qualify for full cover while waiting for PR to be granted correct? What about other social security benefits (hopefully we would not need them but in case something went horribly wrong) do you have exactly the same rights as a PR/citizen in that regard while waiting for PR to be granted?

thanks


  #6 (permalink)  
Old 09-27-2009, 06:40 AM
 
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How annoying posted a long reply to this yesterday and it looks like it got lost. Anyway, I don't mind waiting till 2013 as long as once we have applied for PR we are eligible for all social security just like a permanent resident. Is my understanding that this is the case correct? Not that we are planning on relying on the system for anything but the German in me likes to know that there is a safety net .

Another question I have is around addsing children to the 175 visa. Say I got pregnant prior to the visa being granted is it quite easy to add another dependant or do you have to restart the whole application process?

Again thanks for any input.


  #7 (permalink)  
Old 09-27-2009, 12:03 PM
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Aucks,
Re
Quote:
What about other social security benefits (hopefully we would not need them but in case something went horribly wrong) do you have exactly the same rights as a PR/citizen in that regard while waiting for PR to be granted?
You need to have the PR approved before being eligible for all SS benefits, and a wait in some cases:
Quote:
This visa allows you and any secondary applicants included in your visa application to live as permanent residents in Australia.

Australian permanent residents can:
live and work in Australia on a permanent basis
study in Australia at school or university
receive subsidised healthcare through Medicare and the Pharmaceutical Benefits Scheme (PBS)
access certain social security payments (subject to waiting periods)
be eligible for Australian citizenship (subject to the residency eligibility criteria)
sponsor people for permanent residence.
from Skilled – Independent (Migrant) Visa (Subclass 175)
More info with reference links: http://www.fahcsia.gov.au/sa/interna...-nz_other.aspx

A child could not be added to a PR application once it has been granted but doesn't need to as Australian Citizenship would come with birth:
Australian Citizenship – Becoming an Australian Citizen and the Wizard will give you the info.

And if the birth occurred before granting and you wanted to add the child as a secondary applicant that would mean just contaction immi, probably a form 1022 or something like that re a change in circumstances.





Last edited by Wanderer; 09-27-2009 at 12:08 PM.

  #8 (permalink)  
Old 09-28-2009, 05:00 AM
 
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Posts: 8
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well after all these questions I found out that PR application or not I am eligible for medicare anyway as a NZ resident see the email from Medicare below

RE: Eligibility Enquiry [SEC=UNCLASSIFIED]‏
From: [email protected] on behalf of [email protected]
Sent: Monday, 28 September 2009 1:10:45 p.m.



Dear Annika,

Thank you for your email dated 26 September 2009.

The same applies to residents and citizens. The criteria is where you were residing for the previous few years before moving to Australia.

I hope this information helps.

Yours sincerely,

Maggie King
Information Centre
Medicare Australia


26/09/2009 09:10 AM
To <[email protected]>
cc
Subject RE: Eligibility Enquiry [SEC=UNCLASSIFIED]



Hi Maggie

thank you so much for your prompt response. Does the same apply to a NZ permanent resident or to NZ citizens only?

thanks

Annika

> Subject: Re: Eligibility Enquiry [SEC=UNCLASSIFIED]

> Date: Fri, 25 Sep 2009 09:20:45 +1000
> From: [email protected]
>

>
> Dear Annika,
>
> Thank you for your e-mail 24 September 2009 regarding enrolling with
> Medicare.
>
> A New Zealand citizen who can supply documents which show they have
> entered Australia to reside permanently may be eligible to enrol in the
> Medicare scheme. It is the responsibility of the applicant to provide
> sufficient documents to establish they are residing in Australia.
> (See attached file:
> ma_1198_medicare_enrolment_new_zealand_citizens_re siding_permanently.pdf)
>
>
> To enrol in the Medicare Scheme you will need to complete an Enrolment
> application and present it at a branch or by mail (in approved
> circumstances). The form is available on the internet at the following
> address:
>
> http://www.medicareaustralia.gov.au/...h/forms/mf.htm
>
> Or for your convenience I have attached a copy of the form below:
> (See attached file: ma_3101_medicare_enrolment_application_form_011005 .pdf)
>
> If you have no branch within a reasonable distance from your place of
> residence, you may choose to send the form to us by mail. In this case,
> please photocopy your identification and have it certified by a Justice of
> the Peace before mailing. Mail it to:
> Medicare Australia
> Eligibility Department
> GPO Box 9822
> In Your Capital City
>
> When lodging your application at a Medicare branch please take the
> originals along with photocopies of the identification which will need to
> be **certified.
>
> Please Note: * *Copies of the original documents must be endorsed as a
> true copy and will need to include the signature, address or office of one
> of the following:
>
> a Justice of the Peace
> Commissioner for Declarations
> Commissioner of Affidavits
> person authorised under State Law
> solicitor
> registered medical practitioner
> bank manager or postal manager
>
> I trust this information will be of assistance. Should you require anything
> further please contact us on 132 011 (our service is available 24 hours 7
> days a week).
>
> Yours sincerely
>
> Maggie King
> Information Centre
> Medicare Australia
>
>
To
> <[email protected]>
> 24/09/2009 07:39 cc
> PM
> Subject
> Eligibility Enquiry [SEC=No
> Protective Marking Present]
>

>
> Dear Sir or madam
>
> my partner who is a New Zealander and myself are planning to move to
> Australia, could you tell me if he is eligible to enrol in the scheme? I am
> a NZ permanent resident, would I be eligible?
>
> thanks
>


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