Medicare Gap Cover Schemes and Their Benefits
Medicare Gap Cover Schemes play a vital role in reducing out-of-pocket expenses for medical treatments that exceed the Medicare Benefits Schedule (MBS) fee. When receiving treatment at a private hospital, the Australian Government covers 75% of the MBS fee, while insurers cover the remaining 25%. However, doctors can charge more than the standard MBS fee, […]
Medicare and Private Health Insurance Coordination of Benefits
Coordination of benefits is the process that determines how Medicare and private health insurance interact when you have coverage from both. The primary payer, either Medicare or private insurance, will pay for covered services first, and the secondary payer will cover any remaining costs. The specific order of payment depends on factors such as age, […]
Understand Health Insurance Waiting Periods and Exclusions in Australia
When starting a new private health insurance policy or increasing your level of cover in Australia, it’s important to understand the waiting periods and exclusions that may apply. Waiting periods are the time you need to wait before you can claim benefits, while exclusions are specific services or conditions that may not be covered under […]