Pharmaceutical Benefit Scheme

The Pharmaceutical Benefits Scheme (PBS) is run by the Australian Government to subsidise prescription medicines for Australians who have a Medicare card. If a medicine is subsidised under the PBS, you pay a lower price for the medicine, and the Government pays the rest. For more information, see pbs.gov.au.

If your cover includes pharmaceutical, you are able to claim the amount above the PBS patient co-payment (for the general population) up to the benefit amount.

Benefit excludes medicines or medications which are

prescriptions less than PBS co-payment
available without a medical practitioner’s prescription
not approved by the Therapeutic Goods Administration
prescribed for contraceptive purposes.

Government initiatives

Australian Government rebate on private health insurance Medicare Levy Surcharge Australian Government private health insurance reforms Lifetime Health Cover Loading (LHC) Lifetime mental health waiting period waiver Pharmaceutical Benefit Scheme Medicare Safety Net Medicare Benefits Schedule Age-based discount

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