Topic: Patient Travel Subsidy Scheme - Eligibility
Description
Can I be considered for a subsidy if I need to travel?
If you have a Medicare Card (or are eligible to hold a Medicare Card) and you are a Queensland resident you can be considered for assistance under this Scheme. However, if your transport and accommodation costs are covered in other ways (such as through workers compensation or the Department of Veterans' Affairs) you will be required to claim assistance through those avenues first.
What if I won't be able to get as much assistance from another source when I need it?
Sometimes patients qualify for assistance from other sources such as through a damages claim. However, when treatment is needed, the level of assistance may not be known or the assistance may not be available for a long time. Under these circumstances you may be eligible for assistance under this scheme.
This can only be arranged if your alternative source can directly reimburse Queensland Health if and when you receive a payment.
What sorts of services can I be assisted to attend?
Transport and accommodation subsidies can only be provided for travel to and return from certain eligible services. Generally speaking, this Scheme is concerned with improving access to services provided by medical specialist. With some exceptions, eligible services are those which satisfy all of the following criteria:
- The type of service is listed in Schedule I as "essential" and is not listed in Schedule II as "excluded".
- The service must be recommended by a medical practitioner as necessary for your health. (That is, you must have a medical referral to the service.)
- The service is not available within 50 kilometres of your nearest public hospital. (For the purposes of this Scheme it is your responsibility to be able to get to your nearest public hospital. Please also note the exception listed below is in relation to accommodation subsidies only).
- The service must be the closest service of its type.
Exceptions
Exceptions can be made to the above criteria in the following circumstances:
- Accommodation only
- If your treatment requires that you be accommodated closer to the treatment facility than you normally live, you can be provided with a subsidy towards your accommodation costs.
Alternative medical staff for recommending treatment
- In remote areas a "remote area nurse" can recommend that attending a service is necessary for your health.
- Dental services listed in schedule I can be recommended by a dentist.
- The services of an eye specialist (ophthalmologist) can be recommended by a optometrist.
Emergency travel to a service
If you have been taken to a medical service in an emergency situation you can be assisted to return home so long as the service is more than 50 kilometres from your nearest public hospital. In this case you may also be provided with accommodation assistance even though the service may not be the closest of its kind. This applies within Queensland only. If you have travelled interstate for work or holiday purposes, you will not be able to claim travel or accommodation assistance for emergency medical care, or to return home to Queensland. It is strongly recommended that you take out insurance to cover emergency situations if you are travelling outside Queensland.
Seeing Your Regular Specialist
You may have been visiting a particular specialist but another similar service has been established closer to your nearest public hospital. If this is the case, transport and accommodation subsidies can still be approved for one additional visit to your original specialist. This is only allowed if your doctor believes it is necessary so that a transfer from your previous specialist to your to your new service can be arranged.
Availability of support
Sometimes travelling to a medical service that is further away can be less expensive because an escort may not be required or you may be able to stay in private accommodation. If this is the case, it is possible for you to be provided with assistance to travel to a more distant medical service so that you can make use of the support of family and friends that may live there but not at a closer location.
In some circumstances you will need to travel for your initial treatment but follow up services (such as checking your progress or checking the condition of surgical wounds) can be provided locally. Requests to travel for follow up services will be considered in their own right and will not be approved if they can be provided locally. Provided you have a referral from a medical practitioner you can attend any specialist medical service you wish. However, transport and accommodation subsidies can only be paid if you are attending a service that is eligible under the Scheme guidelines. If you choose to attend a service that is not eligible under these guidelines, then no subsidies can be provided.
Related Factsheets
- PTSS - What is it?
- How do I apply?
- How do I make a complaint?
- PTSS - Schedules
- PTSS - Application Form
Last updated: 28th April, 2008
Review Date: 14th March, 2007
