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Australia--healthcare for tourists.

First, I have to say after spending 5 weeks in Australia, that Australians are just the nicest, most helpful folks. We were stopped several times by people who just wanted to meet us and talk. If we asked a question of a transit person or museum staff, we'd get an answer and then any additional information the person thought might be helpful. A couple stopped us from paying a meter, as it was free in the evening. We met a guy in Sydney on the way to the airport train. It was a steep downhill and we were pulling suitcases. He stopped us and actually walked us thru a couple hotels to use the elevators for a hack to avoid the downhills. All kinds of stuff like that. Then as nice as mainland Australians are, people in Tasmania were extra nice!

Regarding healthcare, we have been very fortunate to have not needed any medical care during any of our international travels.

I'd say we were both unlucky and lucky in Australia. When we arrived, I realized I had not counted in my thyroid meds. I had been waiting for the refill and then it was forgotten last minute. Our trip was for 5 weeks so I wasn't sure if I should just skip or try to get someone to fill it. I checked at a pharmacy in Sydney and the helpful pharmacist gave me a website for Medmate, an online clinic. I started to complete the questionairre and realized I needed a photo of my passport which I didn't have at the time. I stopped completing the form and then was sent a coupon! Anyway, long story short, a doctor calls, we talk, and she contacts the pharmacy with script. Cost was about $15USD for the service and about $10USD for the medication! Crazy, that's less than the copay I'd pay at home.

Then, I came down with bronchitis, and it got pretty bad. I walked to a pharmacy (Chemist Warehouse) talked to the pharmacist who said I needed an inhaler which a pharmacist can prescribe. No fee for the service, about $9USD for the inhaler. It has a different name in Australia, and when I asked, she double checked that it was indeed the same as Albuterol/Ventolin. She also said, if I wasn't better in a couple days, I would likely need an antibiotic and to come back. Her fear was that the bronchitis was becoming a pneumonia, which does tend to happen with me.

The inhaler was a God send and we were able to continue our travels with some modifications.

So, for Australia, at least, Medmate and a pharmacy are great resources at very inexpensive prices. I would imagine that there are similar services in other countries. I'm glad I checked in with a pharmacist for both the meds and the bronchitis and just didn't assume that I didn't have any options other than an ER, or similar. A couple extra points, I always have a list of the meds I take, and I know strengths and the reason I take it. I also have all labels for the prescriptions. So I was able to send Medmate a photo of my prescription label. It is always helpful and wise to be a knowledgeable healthcare consumer.

Posted by
1175 posts

Glad you liked Australia! The way the health system works, pharmacists are first port of call for standard illnesses, followed by a general practitioner (ie primary care physician). ER only for absolute emergencies.

The prices pharma companies can sell medication for are set by the Federal Government - Australians also receive a subsidy so would pay less than you did, and even less if they are on a low income or retired.

Posted by
31 posts

If you do need to see a doctor, you can try the Medicare Urgent Care Clinics. I know two Americans who have used those Clinics and were by seen a doctor, with no charge. They received scripts for antibiotics which cost $10 (US). Most GP Clinics will not see new patients and the Emergency Departments have extremely long waiting times unless it is a heart attack, MVA or a stroke.

Posted by
7938 posts

Granted I had limited exposure to healthcare in Australia, but I was impressed. I was able to handle my needs quickly and inexpensively. Initially, I was thinking I needed to save receipts for reimbursement but the amounts were so low they wouldn't have reached coinsurance/deductible.

A traveler with similar needs in the U.S. would have had longer waits and paid much more. When people comment on needing trip insurance to cover medical internationally, my thought is, yes, but where a person really needs the insurance is in the U.S., even if just connecting to another flight at an airport.

Posted by
7938 posts

Tammy, I got some great help from the forum and do wish I could provide a trip report. Between the five weeks in Australia and trips across the country to see my kids/grandkids, I'm really busy. I leave in four 4 days for my next trip, and if you can believe it, right now I'm packing up Christmas ornaments.

If I have time, I'll post the itinerary I used, from there maybe folks will have specific questions that I can help with, or supplement with more later.

It was a great trip and I highly recommend Australia, especially Tasmania.

Posted by
934 posts

I was just told by a friend that travels to Australia, that if I'm over 70 (71? 72?) I have to go to an approved list Doctor here for an exam before I can get a Visa? My Doctor won't do, apparently. This being hearsay I'd appreciate any info.

Posted by
1175 posts

How long are you planning to stay for? If it's 3 months of less and you're a US citizen, you can apply for an ETA which doesn't require a medical check.

For some visas (generally longer stay visas) Australia may require a medical examination for those aged over 75.

Posted by
934 posts

The person who told me traveled with a family group that stayed less than a month. One of their party couldn't go because they couldn't get to one of the "approved" Doctors in time.

Are you telling me the Medical check with "approved" Doctors is necessary? Didn't know that.

Posted by
69 posts

As Simon said, If you apply for a visa tourist stream 600, which allows travel for up to 3 months per visit over a 12 month period, an applicant over 70 will have to undergo the medical exam. The visa also costs $200. The ETA which gives the exact same benefits as the $200 visa costs just $20. The difference is the ETA can ONLY be applied for via an app downloaded from the play store/app store and completed on a suitable smartphone which links to your passport using NFC. There are no requirements for a medical if you claim that you are in good health and answer NO to all the questions like "have you had TB?", etc. The ETA is also a much simpler document to fill in.

Posted by
1175 posts

"Are you telling me the Medical check with "approved" Doctors is necessary? Didn't know that."

For the longer visa, given their age, yes. But they should have just applied for an ETA.

Posted by
934 posts

"But they should have just applied for an ETA."

They seemed to be unaware of that choice. I certainly was.

edit: just checked with friend and he says they looked at the ETA but "if you're over 75 you still have to do the Medical exam (with the approved Doctors)" even with the ETA. The member who couldn't go was over 75.

Posted by
69 posts

The rules are: At 70+ you are required to undergo a medical examination from a panel approved doctor when applying for visitor visa subclass 600.
At 75+ you MAY BE asked to undergo an examination IF your answers to the health questions in the visitor ETA subclass 601 are deemed a risk, along with being 75+. If you answer NO to all the health questions and are 75+ the ETA will most likely be approved automatically.

Posted by
9621 posts

I just helped a 90+ yr old cousin apply and it was approved without further documentation.

Posted by
934 posts

Sounds like the member that couldn't go answered "Yes" to some questions she shouldn't have. They did try the ETA. There was a problem with uploading pictures and they went to a place that would take approved pictures. But he did say that person wouldn't have enjoyed the trip with her mobility problems so...

Posted by
7938 posts

I recall that acceptance of the picture for the ETA was quite finicky. I persisted and used the government app.

Posted by
934 posts

They persisted with the Government app until they finally gave up and went to the place that would make the right kind of photos.

Posted by
69 posts

That is the problem. They didn't persist enough. There are clear instructions and even video tutorials on how to take the correct selfie. The photos have to be taken from the same phone which you use for the application and yes, can be finnicky but paying $200 plus fees from a 3rd party as well as medical exams, etc is way more hardship than looking up google, YouTube or AI