明年四月生产的亲们, claim Management Fund了吗

sharon233

差不多20周要交management fund了,但是明年要改safety net的议案不知道什么时候通过,改了之后好象能claim的就很少了.我的ob
说可以延迟到明年一月再报到medicare.请问大家的都是怎么报的呢?

sharon233

ffmm

明年不是只是把safety net threshold降下来了吗？

helina312

MEDICARE SAFETY NET是按照自然年来算的，当你REACH了threshold，之后的花费都能报80%。但是今年就剩个20多天了，你也没什么好报的了吧。
明年THRESHOLD 降下来了，个人700，家庭1000.  虽然THRESHOLD降下来了，但是不是你花的所有钱都被计算在内。
From 1 January 2016 there will be a limit on the out-of-pocket costs that count towards reaching the threshold. The maximum accumulation amount per Medicare service will be 150% of the MBS Fee less the MBS rebate. Any out-of-pocket costs beyond that amount will not count towards reaching the threshold.
OUT OF POCKET COSTS COUNT TOWARDS REACHING T/H= 150%*MBS FEE – MBS REBATE
不知道OB的management fee的MBS FEE是多少，但是MBS Rebate是494.95. 你最好让OB或者MEDICARE 给你算算。Management fee 的item number 16590.
OBSTETRICS
OBSTETRICS
16590
Planning and management of a pregnancy that has progressed beyond 20 weeks provided the fee does not include any amount for
the management of the labour and delivery,
payable once only for any pregnancy that has progressed beyond 20 weeks where the
practitioner intends to undertake the delivery for a privately admitted patient, not being a service to which item 16591 applies.
Fee: $324.10    Benefit: 75% = $243.10   85% = $275.50
Extended Medicare Safety Net Cap: $219.45

https://www.health.gov.au/intern ... 6BCA257DAA007C462D/$File/201501-Cat3.pdf
这个是从01/01/2015开始用的MBS BOOK.

sharon233

helina312 发表于 2015-12-2 12:14
MEDICARE SAFETY NET是按照自然年来算的，当你REACH了threshold，之后的花费都能报80%。但是今年就剩个20多 ...

so detailed, many thanks, I will double check with Medicare.

sharon233

http://www.smh.com.au/federal-po ... 0151201-glcamf.html

new safety net did not passed by the legislation