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Receiving service from outside your own service organization may result in a "surprise invoice". Sometimes this happens when you are served by an in-network service but other service suppliers, such as anaesthesiologists and radiologists, are involved who are not part of your team.
Please click here to see a brief overview of the health net. Insurance companies are obliged to link to their web sites with information about their contractual hospital, facility and provider networking. Consumer should consult their health insurance provider to review their list of contractors.
The Medibank would like to give health tips and your My Health Record would help.
1.5 million - Medibank plans to treble its yearly number of client interaction by 2020. 25 percent - Medibank has a major impact on the health insurance industry. 1,200 - It has a large number of medical staff, among them nursing staff and general practitioners. Speaking in an interviewer with Fairfax Media, David Koczkar, Medibank's CEO, said the goal was to treble the number of " meaningful" health-related member interaction to 1.5 million per year by 2020.
When asked whether Medibank had taken steps to gain recourse to My Health Records - the nationally digitised data system with data protection and safety issues - Mr Koczkar did not reply with rejections, saying: "There is still a long way to go and we will see and see what happens". "Medibank, which with its affiliate AHM has the biggest 25 percent stake, already has more than 1200 medical staff, among them nursing staff, general practitioners and other medical profession.
There are two studies underway - one in which doctors give "meaningful" health counselling on the telephone and another in which doctors respond to health issues, e.g. how to deal with symptom problems, on-line via Nurse Webchat. Koczkar said Medibank wanted to help clients negotiate in a bewildering healthcare system and was hoping to help each of its 3 clients.
He said, "We are respectful of the relationship that individual health workers have with their health workers. You have to have a guide who oversees this whole area of nursing, and if you begin to have more than one person moving in different direction without co-ordination, you will at best get double work and at worse a multi-purpose approach to your health care," he said.
Recognizing Medibank's wish to be active and enhance the health of its members, Dr. Bartone said health counseling must be rigorous. Harry Nespolon, PhD, President-elect of the Royal Australian College of General Practitioners, said it was a "good thing" to help a patient navigation through the healthcare system, but Medibank could not replace general practitioners. Describing Medibank's plan as "good marketing", he probably wanted to make members think they had some value for themselves.
"He said it was crass" that Medibank would probably try to cut the number of needless trips to hospitals, which would cost them a lot of moneys. Doubtful of the success of Medibank's attempts, he referred to a programme implemented by the federal administration that emboldened men to call medical staff and later disintegrated. "When someone calls and says, "I have a rash," it could be anything from eczema to malignant meningitis, and while a family doctor can advise you personally, the doctor on the telephone will take you to a hospital," he said.
"There is a place for this council, but there is a line. Mr Kocskar did not repudiate the three-fold question as to whether the Medibank is taking any steps to obtain My health data from its members. "We looked at the medical file discussion and I think anything that can help improve health for our clients we would support," he said.
"My medical record contains the only health care service provider who is entitled to refer to the information of a health receiver are those who provide health care for the individuals. "She did not reply to a request as to whether a health insurance company could provide health care with the agreement of a member and with the aim of offering health care counselling to that person's My medical file.
The ADHA was flooded with critical comments from pundits of information protection and information technology professionals after it determined to move My Health Records from an opt-in to an opt-out system. Any Australian who does not unsubscribe before 15 November will receive a automatic electronic medical file. Ester Han is a health journalist for the Sydney Morning Herald.