Emigration: Healthcare Part 2: Non-EU countries

Just to round off our discussion of medical care around the world if you should chose to move abroad:

USA
Unlike other developed countries, the US does not have a universal system of healthcare coverage - it is up to individuals to obtain health insurance. What that means to you as a new arrival or a part-time visitor/tourist is that it is absolutely essential to have medical insurance when in the USA.

American residents with a green card aged 65 or over can sign up for the government-run Medicare scheme, and low-income parents, children, pregnant women and people with certain disabilities are eligible for the government-administered Medicaid programme. The US government also runs the State Children's Health Insurance Program (S-Chip), which provides coverage to children whose parents are on modest incomes, but not poor enough to qualify for Medicaid. Military veterans are also provided healthcare by a government-run scheme.

Australia
Medicare Health Care System was introduced in Australia in 1984. Medicare facilitates access to all eligible Australian residents for free or low-cost medical, optometric and public hospital care, while leaving them free to choose private health services should they so desire.

Individuals’ financial contributions to the public health care system are based on their income and are made through a taxation levy known as the Medicare levy. People admitted to public hospitals as Medicare patients receive treatment by doctors and specialists nominated by the hospital. They are not charged for care and treatment or after-care by the treating doctor. Private paying patients in public or private hospitals on the other hand can choose their own doctor.

Medicare pays 75 per cent of the Medicare schedule fee for services and procedures provided by the treating doctor. For patients who have private health insurance, some or all of the outstanding balance may be covered. Medicare Australia also pays pharmaceutical benefits under the Pharmaceutical Benefits Scheme, which subsidises an agreed list of prescription drugs. For both medical and pharmaceutical services, safety net arrangements exist to make sure patients who need a high level of treatment or medication during a financial year do not incur significant out-of-pocket expenses. Out-of-pocket costs are the difference between the Medicare benefit and what the patient is actually charged.

The Australian Government has signed reciprocal health care agreements with the governments of the United Kingdom, the Republic of Ireland, Finland, Italy, Malta, the Netherlands, Norway, New Zealand and Sweden. Visitors from these countries are eligible for Medicare assistance for medically necessary treatment only. If hospital treatment is required, such visitors are eligible for treatment only as Medicare patients and not as private patients. Other visitors are not eligible for Medicare and should arrange for health insurance to cover their stay in Australia.

South Africa
South Africa's health system consists of a large under-resourced and over-used public sector, under pressure to deliver services to about 80% of the population and a smaller but fast-growing private sector. This private sector is run largely on commercial lines and caters to middle- and high-income earners who tend to be members of medical schemes (18% of the population), and to foreigners looking for top-quality surgical procedures at relatively affordable prices.

It is virtually mandatory to have a private medical aid either through your employer, who shares the cost with you, or individually. State hospitals are appalling – take it from one who knows. As a tourist or émigré, you would be well advised to get medical insurance cover.

New Zealand
Under the public healthcare scheme in New Zealand, a certain degree of care is offered free to its residents and to those with work permits that allow them to temporarily reside in New Zealand. The hospitals are publicly run and treat citizens or permanent residents free of charge. Waiting times for non-urgent care can be fairly long and many patients are going private in order to be treated faster.

To benefit from the public health system in New Zealand, you must hold a permanent resident visa, be a resident of the country or hold a work permit for two years at the time of application. To check your eligibility, please take the test at http://www.moh.govt.nz/ . If you meet the criteria, your partner and children aged 19 years or under will also be eligible for publicly funded healthcare. If you do not meet these requirements, you have to take out a private health insurance in New Zealand or before departure from your country of origin, either if you plan to stay or if you are just visiting.

The current system, funded by taxes, includes free prescriptions and treatments at public hospitals, free x-rays and laboratory tests when carried out from public hospitals or clinics, free service charges for pregnant women, free dental care for children at school age, and free breast screenings for women aging fifty above. The other free services offered are subsidised GP referral visits, free treatments for patients suffering with chronic conditions and subsidised prescriptions for children six years old and younger.

The EHIC or European Health Insurance Card
In 2006 the E111 form was phased out and replaced by the free European Health Insurance Card (EHIC). Also called the EU Medical Card, it gives details such as your name, date of birth and National Insurance number. The card lasts for 3-5 years and entitles you to receive free or reduced-cost emergency healthcare if you or any of your dependants are suddenly taken ill or have an accident when visiting countries with reciprocal health agreements with the UK (European Union countries plus Iceland, Liechtenstein, Norway and Switzerland).

You should obtain a European Health Insurance Card (EHIC) before leaving the UK – you have to present this to get free or rebated medical expenses as mentioned above. The EHIC is available free of charge through most UK post offices or apply online at www.ehic.org.uk You can also contact them on 0845 606 2030 and get them to send you one. Every family member (individual traveller) needs their own card - that includes children – and you will need the name, date of birth and NHS or national insurance (NI) number of everyone you are applying for.

Only state-provided treatment is covered, and you'll receive treatment on the same terms as 'insured' residents of the country you're visiting. Private treatment isn't covered, and state-provided treatment may not cover all of the things that you'd expect to receive free of charge from the NHS.

That’s it – I hope this has helped. I am afraid that in future and to save escalating costs only those resident in the UK or in emergencies may be treated under the NHS scheme – something to think long and hard about.

Kim
The Overseas Guides Company
http://www.Emigrationguide.com