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'Not value for money': Mga dentista binatikos ang private health insurance

Ayon sa Australian Dental Association, mas pipiliin ng mga taong itabi ang pera kesa gumastos para sa potensyal na dental na serbisyo.

Inakusahan ng nangungunang dental body ang mga pribadong health insurers na niloloko nito ang mga pasyente, at sila ay nananawagan sa pederal na pamahalaan upang bigyan ang mga konsyumer ng iba pang pagpipilian. 

Sinabi ng Australian Dental Association (ADA) na ang kasalukayang funding arrangements sa dental care ay hindi nakakatugon sa pangangailangan ng maraming pamilya. 

"Many consumers with general treatment cover still pay high out-of-pocket costs due to gaps and exclusions in policies, variation in coverage across providers, higher costs sometimes faced when selecting a provider of choice, minimal annual increases in rebates for services such as dental, and limited movement in the value of annual limits," ayon sa kamakailang ADA report.

Nila-lobby ng ADA sa pamahalaan ng Australya na isaalang-alang ang pagbibigay ng parehong rebate na kasalukuyang ibinibigay sa mga may health insurance sa mga taong nag-iipon ng kanilang sariling pera. 

"Most people would be better off putting their money into a savings account," sinabi ni ADA CEO Eithne Irving sa SBS News.

Dentists are worried that almost two-thirds of Australians haven't had a check up in the last two years, with eight in 10 saying they fear going to the dentist.
Dentists are worried that almost two-thirds of Australians haven't had a check up in the last two years, with eight in 10 saying they fear going to the dentist. Source: SBS News

Ngunit sinabi naman ni Private Healthcare Australia CEO Rachel David na ang mga health funds ay gumagasta ng malaki sa mga dental services. 

Sinabi din niya ang mga health funds ay nagbabayad ng higit sa $2.6 bilyon bawat taon sa mga benepisyo, 90 posyento dito ay para sa mga serbisyo sa mga low at middle-income earners. 

Ayon kay dental prosthetist na si Martin dunn, ang rebate para sa mga pustiso ay masyadong mababa at iminungkahi niya na dapat masuri ang taunang cap sa mga claim para sa mga major dental work. 

"The fact is that when people get dentures, they don't get them every year. They might go years and years and years with no claim whatsoever," sabi ni Mr Dunn.

"It would be really nice if they could actually claim all of those years at the time that they got their dentures, that would make a huge difference to patients."

Sinabi ng isang Sydney accountant na si Francie Stonis na ang pagkawala ng kanyang ngipin sa edad na 16 noong siya ay nasa Pilipinas ay may panghabang-buhay na epekto. 

"I lost my confidence," sabi niya.

Simula noon, pinagtuunan na talaga niya ng pansin ang dental health niya at ng kanyang pamilya. 

"With my children, I've been very very protective of their teeth. To everyone I know I say 'last resort is denture, try to save your teeth'."

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3 min read

Published

Updated

By Rosemary Bolger

Presented by Roda Masinag




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