Healthcare funding in 澳大利亚
All residents have access to free healthcare in the public health system under Medicare. 根据医疗福利计划(MBS)，联邦医疗保险将为初级和专科医疗支付的费用由国家政府设定。. If charged at the published MBS-rate, Medicare covers 100% of the cost of GP visits (referred to as "bulk-billing"), public hospital care, and 85% of outpatient specialist costs. If a GP or specialist charges a rate higher than the MBS, patients must cover the gap with out-of-pocket payments or private health insurance, depending on where the service is delivered.
政府亦透过药物福利计划，以折扣价格提供处方药。. Medicare does not cover costs for dental examinations or treatment, 救护车 services, private allied health (e.g. outpatient physiotherapy, occupational therapy, 言语病理学, podiatry services), or glasses or all home nursing (co-payment usually required).
公立医院提供的所有医疗保健服务都是根据与诊断有关的团体(DRG)的活动提供资金的。. Treatment in a public hospital is free for all residents, however patients are not able to choose their own specialist. Patients can choose to be treated in a private facility under their selected specialist.
私立医院提供的专家服务按医疗保险规定费率的85%供资, as long as the treatment is listed on the MBS. The remaining 15% of the specialist fee and the hospital costs (e.g. 住宿, 剧院, 护理和食品由私人健康保险和/或病人支付(共同支付), excess or self-funded). 私立医院与私人保健基金协商费率，以支付私人保险患者的住院费用. 每个基金将谈判费率，并有自己的偿还要求和业绩指标.
私立医院可以从自雇专家(称为来访医疗官员- VMOs)那里获得一些资金，用于使用咨询室和行政服务. 然而, VMOs are paid separately by Medicare, 病人和/或私人保健基金也将分别与私人保健基金谈判报销问题.
For out-of-hospital services, funding will depend on the service provided. Outpatient specialist consultations are funded by Medicare for 85% of the MBS rate. Mental health funding is shared between national and state/territory 政府ernments. When delivered as an inpatient service within a private hospital, 精神病医生的费用由医疗保险支付，住院费用必须由病人和/或私人健康保险支付.
Allied health delivered as an outpatient service maybe funded by Medicare, private health insurance or the patient to self-fund, depending on the service and if it is listed on the MBS
处方药由国家政府根据药品福利计划(PBS)提供补贴。. 补贴的金额取决于药物，大多数患者需要共同支付处方药的费用. 然而, not all prescribed medications are on the PBS.
