Knowee
Questions
Features
Study Tools

Rodney, 16 year old,  was admitted in the emergency service of a private hospital as a private patient after he broke his foot. He had several Xrays while at hospital. He now needs to have Xrays every month to check the progress of the healing. His parents have a private hospital cover with no excess.A.Radiologists fees in hospital were entirely covered by the private insurance but the fees in the monthly appointments are covered by Medicare for 100% of the MBS fee.B.Radiologist fees in hospital are covered for 85% of MBS by Medicare; the private insurance is providing a supplement;  the fees in the monthly appointments are only covered by Medicare for 75% of the MBS fee.C.Radiologist fees in hospital are covered for 75% of MBS by Medicare; the private insurance is providing a supplement;  the fees in the monthly appointments are only covered by Medicare for 85% of the MBS fee.D.Radiologists fees in hospital and for the monthly appointments are entirely covered by Medicare and the private insurance.E.Radiologist fees in hospital are covered for 75% of MBS by Medicare; the private insurance is providing a supplement;  the fees in the monthly appointments are only covered by Medicare for 100% of the MBS fee.

Question

Rodney, 16 year old,  was admitted in the emergency service of a private hospital as a private patient after he broke his foot. He had several Xrays while at hospital. He now needs to have Xrays every month to check the progress of the healing. His parents have a private hospital cover with no excess.A.Radiologists fees in hospital were entirely covered by the private insurance but the fees in the monthly appointments are covered by Medicare for 100% of the MBS fee.B.Radiologist fees in hospital are covered for 85% of MBS by Medicare; the private insurance is providing a supplement;  the fees in the monthly appointments are only covered by Medicare for 75% of the MBS fee.C.Radiologist fees in hospital are covered for 75% of MBS by Medicare; the private insurance is providing a supplement;  the fees in the monthly appointments are only covered by Medicare for 85% of the MBS fee.D.Radiologists fees in hospital and for the monthly appointments are entirely covered by Medicare and the private insurance.E.Radiologist fees in hospital are covered for 75% of MBS by Medicare; the private insurance is providing a supplement;  the fees in the monthly appointments are only covered by Medicare for 100% of the MBS fee.

...expand
🧐 Not the exact question you are looking for?Go ask a question

Solution

The correct answer is:

B. Radiologist fees in hospital are covered for 85% of MBS by Medicare; the private insurance is providing a supplement; the fees in the monthly appointments are only covered by Medicare for 75% of the MBS fee.

In Australia, Medicare generally covers 75% of the Medicare Benefits Schedule (MBS) fee for services and procedures if you're a private patient in a public or private hospital. The remaining 25% can be covered by private health insurance. However, for out-of-hospital services, Medicare covers 85% of the MBS fee. The remaining gap may be covered by private health insurance, depending on the policy.

This problem has been solved

Similar Questions

Medicare rebates are A.100% of the actual specialists' fees for inpatients admitted as private patient in a private hospital.B.100% of the specialists' MBS fees for inpatients admitted as private patient in a private hospital. .C.75% of the specialists' MBS fees for outpatients.D.85% of the specialists' MBS fees for outpatients.

Medicare rebates are A.75% of the specialists' MBS fees for outpatients.B.85% of the specialists' MBS fees for outpatients.C.100% of the actual specialists' fees for inpatients admitted as private patient in a private hospital.D.100% of the specialists' MBS fees for inpatients admitted as private patient in a private hospital

How much does PhilHealth cover for private hospitals?

There is an insurance company and three customers, Alice, Bob and John. The timing is as follows.(1) The insurance company announces the premium and excess of a health insurance policy.(2) At Date 1, each customer decides whether to purchase the health insurance policy.(3) At Date 2, each customer will discover their health status, which is either G (healthy) or B (needing treatment inhospital).(4) Nothing happens if a customer is healthy. If a customer needs treatment in hospital, then they pay $10,000 if theydo not hold a health insurance or the excess of the policy if they do. They are cured after treatment in hospital.For simplicity, assume that the insurance company is a monopolist.Each customer has the following utility index: 𝑢(−𝑥1) + 11.02 𝑢(−𝑥2), where 𝑥𝑡 is the payment (either to the insurancecompany or to the hospital) at Date 𝑡 and 𝑢(−𝑥) = 40000√1 − (𝑥∕20000) − 40000. Table 1 summarizes each customer’sage and probability of remaining healthy.Name Age Probability of GAlice 25 99.5%Bob 25 98%John 60 95%(a) First, assume that the insurnace company offers the policy with premium $210 and excess $750. Who would like tobuy this policy? (You should find that Bob and John would like to buy the policy.)(b) David is also 25 years old and will remain healthy with probability 98% at Date 2. Unlike Bob, David’s utility indexis −𝑥1 + 11.02 (−𝑥2). Show that David does not want to buy the insurance policy in (a).(c) Note that David and Bob are equally healthy, what makes one buy the insurance policy and the other does not?(d) Next, assume that the insurance company offers the policy with premium $530 and excess $500. Who would like tobuy this policy?(e) From the insurance company’s perspective, describe the potential problem of selling only one of the two policies in(a) and (d)

X-rays are used in hospitals for computed tomography (CT) scans. (i) State one other medical use for X-rays. ______________________________________________________________ ______________________________________________________________(1) (ii) State a property of X-rays that makes them suitable for your answer in part (d)(i). ______________________________________________________________ ______________________________________________________________(1)

1/1

Upgrade your grade with Knowee

Get personalized homework help. Review tough concepts in more detail, or go deeper into your topic by exploring other relevant questions.