What is covered:
The agreements are intended to cover treatment of any
immediately necessary nature which arises during a stay in Australia and
which requires treatment before returning home. The agreements do not cover
pre-arranged or elective treatment, or treatment for which there is no
immediate medical necessity. Those people entering the country for the specific
purpose of receiving treatment are excluded under the agreements.
All agreements except for those with New Zealand and the Republic
of Ireland cover residents of those countries for:
·
Free treatment as a public hospital inpatient or
outpatient
·
Medicare benefits for out of hospital treatment
(ie: provided by doctors operating in private practice)
·
Subsidised pharmaceuticals under the
Pharmaceutical Benefits Scheme.
Visitors from New
Zealand and the Republic of Ireland
are only covered for:
·
Free treatment as a public hospital inpatient or
outpatient
·
Subsidised pharmaceuticals under the
Pharmaceutical Benefits Scheme.
“Immediately necessary care” is more than just emergency
treatment and may include:
·
Routine primary care
·
Subsequent investigation (eg: referrals to
pathology, diagnostic or specialist services)
·
Pre-existing conditions (any necessary
monitoring or treatment)
·
Psychiatric care where medically necessary (eg:
to stabilize the patient’s condition to enable the journey home)
The longer a visitor stays in Australia, the greater the range of
services that are likely to be immediately necessary and that should be made
available (i.e. they will be treated more like Australian residents). Where
there is doubt over individual services, patients should seek a note from the
doctor indicating the medical necessity for the proposed service. Where
required individual cases should be judged on merit.
The Agreements do not cover all health services. Some
services not covered under the agreements are:
·
Ambulance cover
·
Dental care
·
Medical evacuation to your home country
·
Funerals
·
Treatment in private hospitals, or as a private
patient in a public hospital
·
Treatment that is not immediately necessary
·
Elective treatment
·
Treatment that has been pre-arranged before
arrival in Australia
For this reason it is highly recommended that all visitors
to Australia from Reciprocal Health Care Agreement countries buy health or
travel insurance designed for overseas visitors.
If you are staying temporarily in Australia for an extended
period and will be covered by an Agreement, you may be able to enrol in
Medicare by visiting a Medicare office with your passport. If you are from
Italy or the Netherlands, you will also need to show proof that you are
enrolled in your home country's health system. You can telephone 132 011 (local
call cost if calling from within Australia) or visit a Medicare office to
confirm what documentation you will need to provide. Medicare office locations
are available from the Medicare Australia website (Once on the Medicare Australia
website a list of office locations can be accessed by clicking on 'Public',
then 'Medicare', then 'Office Locations').
Health Insurance for
Visitors from Overseas
People without access to Medicare are responsible for all
health costs incurred in Australia.
For this reason it is highly recommended that all overseas visitors to Australia
(including visitors from Reciprocal Health Care Agreement countries who have
only restricted Medicare access) arrange suitable insurance cover. Domestic
private health insurance for Australian residents, as provided by the
organisations registered under Australian health law, is not suitable for
visitors to Australia
because this insurance is a supplement to Medicare and will therefore not
adequately cover the costs of a person who is not eligible for Medicare.
Private health insurance for overseas visitors in Australia is
available from Australian registered health organisations, insurance brokers
and general insurers.
Please contact Nevett
Ford Lawyers Melbourne if you require any further information in relation to
this issue, or if you require specific legal advice regarding any aspect of the
Reciprocal Health Care arrangements.