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Section B: Fees for Non-Admitted Patients1. Fees and Charges for Non-Admitted PatientsPublic hospitals in Victoria are permitted to raise fees for the following non-admitted patient services; but are not permitted to raise fees for the following services provided to admitted patients upon discharge:
Date of effect: 1 July 2003 - 30 June 2008 MBS arrangements for funding of MRI apply to public and private non-admitted patients (eligibility conditions apply). Date of effect 1 September 1998 2. Dental FeesPublic dental services are available to eligible Victorians through community dental clinics located in community health centres, hospitals and in some instances mobile vans. Fees for public dental services apply to:
For details see: Dentistry in Victoria - Public Dental Fees Policy 3. Pharmaceutical FeesThe following charges apply to all pharmaceutical items (other than those items dispensed after reaching the safety net threshold) dispensed to eligible patients, including nursing home and hostel residents. Date of effect: 1 January 2009 Patient Contribution per Prescription Item For hospitals not participating in the Australian Health Care Agreement-Pharmaceutical Reforms General Patients $32.90 For hospitals participating in the Australian Health Care Agreement-Pharmaceutical Reforms charges can be levied for non-admitted and admitted patients upon discharge. General patients - up to $32.90 for PBS listed items and up to cost
price for non-PBS listed items. Brand and Therapeutic Group premiums may also be applied by participating hospitals. Date of effect: 1 January 2009 3.1 Pharmaceutical Benefits Safety Net Scheme The Pharmaceutical Benefits Safety Net Scheme exists to help protect financially individuals or families who need a lot of medicines in a calendar year. Once an individual or family reach the Safety Net threshold you can apply for a Safety Net Card and your PBS medicines will be cheaper or free for the remainder of that calendar year. Safety Net Threshold The Scheme requires a patient to record the purchase of PBS items on a Prescription Record Form (PRF). When a certain monetary value is reached (the safety net threshold), the patient qualifies for further PBS items at either a concessional price (for general patients) or for free (if you were a concessional patient originally). The safety net threshold may be reached by the accumulation of prescriptions purchased through pharmacies in the community, acute geriatric hospital services and public hospitals. Consequently, it is important that public hospital and acute geriatric hospital services pharmacies count patient payments for pharmaceuticals purchased from community pharmacies when applying the safety net thresholds. Public hospitals may record, on the PRF, any item ( PBS or non-PBS) that is supplied to a patient, for which a patient contribution is levied. For hospitals not participating in the Australian Health Care Agreement-Pharmaceutical Reforms the charges that may be recorded are: General Patients - $26.30 For hospitals participating in the Australian Health Care Agreement-Pharmaceutical Reforms the charges that may be recorded are as follows: General patients - up to the "Maximum Recordable Value for Safety Net", as listed in the Schedule of Pharmaceutical Benefits for PBS listed items and up to $32.90 for non-PBS listed items. Concessional Patients - up to $5.30 for PBS and non-PBS listed items. Patients qualify for the safety net after their expenditure has reached the following levels within the calendar year:
A family can include the following:
Concessional Beneficiaries The following cards should be recognised for the purpose of concessional benefits:
Child Disability Allowance Children in respect of whom a child disability allowance is paid are entitled to pharmaceutical benefits at concessional rates. The following applies:
The family may defer such a decision until sufficient payments have been recorded to make a decision to their advantage. Date of effect:1 January 1997 4. Spectacle and Other Optical Appliance FeesThe Victorian College of Optometry, participants of the Victorian Eyecare Scheme and public hospitals can charge fees for spectacles, contact lenses and low vision aids. Pensioner Concession Card Holders, Health Benefits Card Holders and Health Care Card Holders will now be charged for the cost of materials (including the cost of assembling lenses into a spectacle frame). However, prior to setting spectacle fees, approval from the Director, Acute Health Services is required. | |
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Spectacles |
Fee | |
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single vision lens |
At material cost | |
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bi-focal lens |
At material cost | |
| where patient supplies own frame - all lens types | At material cost | |
All other persons are ineligible to receive subsidised spectacles and therefore fees for these people should be set to achieve full cost recovery. Date of effect: 1 July 1995 |
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Last updated: 14 August, 2009 For information relating to this site, contact: Peter Lewis Tel 61 - 3 - 9096 9050 This web site is managed and authorised by the Accounting and Financial Policy Unit of the Metropolitan Health and Aged Care Services Division of the Victorian State Government, Department of Health, Australia |
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