一篇详细解读澳洲海外留学生医疗保险OSHC

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澳洲留学生保险(OSHC)是前往澳洲留学的国际学生必备的保险项目。它不仅是留学签证的必备条件之一,也是保障学生在澳洲期间获得基本医疗保健服务的重要途径。
通过这篇文章中,我们将深入了解OSHC作用、购买方式以及理赔方式,帮助留学生全面了解和合理选择适合自己的保险计划。

OSHC是什么?

OSHC,即Overseas Student Health Cover,是澳洲政府为国际学生强制要求购买的医疗保险。所有国际学生在获得学生签证之前必须购买OSHC保险,并一直保持有效状态。它旨在帮助留学生支付在澳期间的住院和医疗费用,包括:
1.一般诊疗
2.专科治疗
3.住院治疗
4.手术
5.处方药
6.救护车服务

OSHC报销什么?不报销什么?

报销内容:
1.在医疗收费指导清单上MBS,非医院形式,就诊于全科医生所产生的费用。
2.在医疗收费指导清单上MBS,所产生的的住院医疗费用,如手术。
3.共享公立医院病房
4.共享私立医院病房:只包括与OSHC公司有合同协议的医院
5.手术住宿
6.一些复健器械或假肢
7.一定金额的药物报销,每个处方项最多50澳元
8.救护车服务
PBS是澳洲药物福利计划,即PBS上的药品清单。
MBS是澳大利亚OSHC福利计划,即MBS清单上的服务
不报销什么:
1.牙医
2.验光配镜师的收费
3.由理疗师、接骨师、脊椎治疗师、自然疗法师提供的服务或其他辅助服务
4.整容手术
5.人工协助生殖项目
6.在到达澳大利亚后的头12个月内,与妊娠有关的治疗
7.在购买OSHC之后的最初12个月里,治疗一个在购买OSHC之前已经既有的疾病
注意,看牙,配眼镜的费用很贵,在OSHC标准险中不能报销,得有专门的附加险(Extras)才可以报销哦。

如何选择保险产品?

目前能提供澳洲OSHC的保险公司一共有六家,分别是CBHS、ahm OSHC、nib、medibank、Allianz Care和Bupa。

每家保险公司的报销范围和细则都有所不同。为了帮助大家更好地选择适合自己的OSHC,我们特别整理了一份详细的对比图。
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买到适合的OSHC后,我们先激活它才能使用,那么如何OSHC激活?

看病流程:

1.搜索诊所信息
可在GoogleMap上找诊所,也可以在OSHC公司官网或者OSHC公司的APP上搜索,或者选择学校的校园诊所(更推荐哦!一般学校官网都会有对应的诊所信息)
2.预约诊所的全科医生(GP)和就诊时间
在网站或APP可以查看GP的背景及使用语言(有的医生会粤语/普通话)。
3.按时约见GP(全科医生)
建议早一点达到诊所Checkin报到,当医生喊你的名字时,就可以去面诊了。
4.诊断、开药、进一步检查或转诊到专科医生(Specialist)如GP无法解决,会开出推荐信并将病人转给专科医生。
5.问诊结束后获取invoice(发票)并向OSHC公司报销费用。
两种理赔方式:
Bulk billing报销
看病的机构与你OSHC公司有合作时,可以通过出示 membership number(卡号),直接报销费用,后续OSHC公司会直接与诊所沟通联系。
Invoice报销
先自费,等看病结束后拿着Invoice(发票)到门店或者APP上报销。
报销/理赔流程
访问OSHC保险公司网站或联系保险经纪公司,如GoGlobalSafe。保险经纪公司可以协助您提交理赔。
填写理赔申请表。
提供必要的理赔材料,例如:医疗账单、医生证明、处方药清单等。
提交理赔申请后,您的保险公司会审核您的理赔申请。如果审核通过,您将收到理赔款项。
 
 
1.购买时间:澳洲法律规定投保OSHC是签发学生签证的必要条件,在申请澳大利亚签证之前就需要好购买OSHC保险。
2.续保:请确保您的OSHC保险一直处于有效状态,以免影响正常权益。
3.理赔材料:请妥善保存医疗账单、医生证明、处方药清单等理赔材料。

以下是一些澳洲学校校园诊所的官网链接,点击这些学校名称,即可进入官网界面,您可以预约挂号,了解服务。

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