你知道bulk billing 的真正意思么？

鱼羊鲜

好多人好像把bulk billing等同于No Out-of-Pocket Expense 或者 No Gap Fee了。。。

但同事告诉我bulk billing不是这个意思，到底是怎么回事？

nbmelblily

还有别的意思?

无知的80后

不懂，同等答案

豆丁

GP可以随便charge你多少费用都可以，反正medicare只能报30来块钱，有2个程序：
第一，你先付钱，然后去medicare claim
第二，也就是bulk billing,你授权给诊所，他直接跟medicare拿那30来块钱。
没啥特殊含义。

鱼羊鲜

bulk billing 也有可能要付一部分gap，
同事说bulk billing 是指医生直接从medicare那收到一定比例的医药费（100%也可能85%，其余的病人付），
与bulk billing对应的是 病人直接付款，然后病人去找medicare报销。

鱼羊鲜

豆丁 发表于 2012-11-20 21:39
GP可以随便charge你多少费用都可以，反正medicare只能报30来块钱，有2个程序：
第一，你先付钱，然后去medi ...

所以我同事说的是对的了？
bulk billing 不等于不掏一分钱，也可能要付gap的，对吧

kane321

对的，看诊所，有没有gap问清就行

deadphoenix

According to WIKI:
Bulk billing is a payment option under the Medicare system of universal health insurance in Australia. The health service provider, usually a Doctor is paid 85% of the scheduled fee directly by the government by billing the patient via their Medicare card. The service provider receives only 85% of the scheduled fee but avoids the costs and risks of billing and debt collection. It could be described as a form of factoring.
The alternative to bulk billing is for the service provider to collect the fee directly from the patient (there is no restriction on this fee, which is determined by the provider). In order to claim the Medicare rebate, the patient then has to visit a Medicare office, fill out a claim form (for unpaid claims and claims where cash is not being refunded) and claim 75% of the scheduled fee from the government (100% for general practitioner services).[1]
Under Medicare, it is not permissible to charge the patient a co-payment with bulk billing (although this was previously permissible): a service provider who bulk bills for a service may not charge the patient further for that service.
Service providers may choose whether or not to use bulk billing. Most general practitioner services are bulk-billed, but less so in more affluent areas and in rural, regional and remote areas of Australia where there is a greater shortage of doctors and health care services. The key purpose of bulk billing is to provide an economic constraint on medical fees and charges.

守望者

Bulk billing is a payment option under the Medicare system of universal health insurance in Australia. The health service provider, usually a Doctor is paid 85% of the scheduled fee directly by the government by billing the patient via their Medicare card. The service provider receives only 85% of the scheduled fee but avoids the costs and risks of billing and debt collection. It could be described as a form of factoring.

The alternative to bulk billing is for the service provider to collect the fee directly from the patient (there is no restriction on this fee, which is determined by the provider). In order to claim the Medicare rebate, the patient then has to visit a Medicare office, fill out a claim form (for unpaid claims and claims where cash is not being refunded) and claim 75% of the scheduled fee from the government (100% for general practitioner services).[1]

Under Medicare, it is not permissible to charge the patient a co-payment with bulk billing (although this was previously permissible): a service provider who bulk bills for a service may not charge the patient further for that service.

Service providers may choose whether or not to use bulk billing. Most general practitioner services are bulk-billed, but less so in more affluent areas and in rural, regional and remote areas of Australia where there is a greater shortage of doctors and health care services. The key purpose of bulk billing is to provide an economic constraint on medical fees and charges.

鱼羊鲜

kane321 发表于 2012-11-20 21:43
对的，看诊所，有没有gap问清就行

恩 不用问支不支持bulk billing，问gap是多少就好

鱼羊鲜

Under Medicare, it is not permissible to charge the patient a co-payment with bulk billing (although this was previously permissible): a service provider who bulk bills for a service may not charge the patient further for that service.

根据维基百科，是说医院提供了bulk billing 就不应该再收病人费用了？

nmanz

学习了。

Water_drop

64629737

我也只知道问是不是bulk bill，如果对方回答是，我就认为我是不要花钱的啦！

鱼羊鲜

矛盾了。。。

减肥到底

学习了

寻找方向

学习了

felizconsole

挺之前一个学医的朋友说做bulk billing的医生相对来说挣的比较少，靠走量来赚钱的。

qianshachuang

bulk bill都是诊所用来打广告的阿，证明看病不用钱。没听说哪家诊所bulk bill还要gap payment的。

鱼羊鲜

好吧，听维基百科的好了

话说现在bulk billing的很少很少了

rdlcs

CelinaChen

谢谢分享

Nemesis_Killer

Medicare不允许一方面bulk bill，同时收gap。如果收费高于bulk bill的额度，那么诊所会要求病人付全款，然后病人需要凭收据自己去Medicare报销，报销的额度一般和bulk bill的额度一样，其余的就是自己需要承担的。

Nemesis_Killer

felizconsole 发表于 2012-11-20 21:09
挺之前一个学医的朋友说做bulk billing的医生相对来说挣的比较少，靠走量来赚钱的。 ...

Bulk Billing的确一般收入比较少，毕竟Medicare给的额度不高，所以需要以量取胜。我老师不做bulk bill，她一周看十几个病人就足够了，但是因为我资历浅，只好做bulk bill，那么一周看20多个才能刚刚维持生计。

鱼羊鲜

Nemesis_Killer 发表于 2012-11-20 23:03
Bulk Billing的确一般收入比较少，毕竟Medicare给的额度不高，所以需要以量取胜。我老师不做bulk bill， ...

墨尔本的有福了

chance11

学习了

michael128

只看能刷卡的GP，不能刷卡的从来不去

rororobin

看GP一般都不用给钱，但是如果是专科医生的话自己要先付，再去CLAIM回来大概40%左右，具体看你看什么科

sabrinamai

那其实是什么意思？究竟bulk bill还要不要自己掏钱？ 还是当时用medicare付了，到时候还需要给钱给medicare？ 越来越confused了

Nemesis_Killer

鱼羊鲜 发表于 2012-11-21 07:13
墨尔本的有福了

不在墨尔本，我在悉尼。