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Medical

 

1 How do I see a doctor without my parents?

There are no laws preventing you from going to the doctor without your parents or guardians. However, if you plan on going alone, then you should call the doctors’ office beforehand to confirm you want the appointment to be kept private.

Whilst a doctor can attend an appointment with you without your parents or guardians, a doctor can only give you medical treatment (eg prescribe you medication) if you give consent. Before you can consent to medical treatment, a doctor must make sure you understand the medical advice they have given you the consequences of any treatment and any alternative treatments that may be available.

 

2 When can I consent to medical treatment?

If you are 18 or older you can consent to medical treatment without your parents or guardians.

If you are under 18 whether you can consent to medical treatment will depend on the type of treatment and whether the doctor thinks you have sufficient intellectual and emotional maturity and competence to understand information relevant to a proposed treatment, including its risks, benefits and alternatives.  A doctor must also consider if your consent is voluntary, informed, current and covers the treatment to be performed. When making this decision your doctor may think about:

  • your age and maturity;
  • how serious the treatment is;
  • whether you understand the nature, purpose and consequences of the proposed treatments (for example, side effects and complications); and
  • your ability to appreciate the wider consequences of the treatment (for example, effects on your family and any long-term emotional impact).

 

3 How do I keep my medical treatment private?

A doctor is someone you can talk to and trust. A doctor is usually required to maintain confidentiality, meaning they are not allowed to tell other people about your appointment or what you discussed. However, in some situations where a doctor is worried about the health and safety of you or others, they might have to tell another person or government authority about your appointment.

For example, if:

  • you are under 18 and a doctor, nurse, or midwife thinks you are being sexually abused they must notify the Department for Child Protection and Family Support;
  • you have an infectious disease (for example, chlamydia, HIV, malaria or syphilis) your doctor must notify the Executive Director of Public Place; 
  • your doctor thinks you might seriously hurt yourself or others, they may decide to warn that person, your parents or the police. 

4 Emergency Medical Treatment

Sometimes you might require emergency medical treatment. A doctor is required to obtain consent to the treatment from you or your parents or guardians if possible. However, if you or your parents or guardians are incapable of giving consent, treatment may still be provided to you where it is necessary to save your life or prevent serious injury to your health.

 

5 How do I pay for medical treatment?

Most of the time simple visits to the doctor will be paid for by Medicare. However, depending on the doctor and medical treatment you have you might need to pay a fee.

What is Medicare?

Medicare is a government service that pays some or all of the cost for Australian citizens, Australian permanent residents and other persons living in Australia  to receive certain medical services (like visits to the doctor, dentist or hospital). In order to use Medicare you must have a Medicare card. Information about Medicare cards can be found here.

Can I get my own Medicare card?


How do I pay using Medicare?

Not all medical services will be paid for by Medicare. You should ask about payment options before you make your appointment with your doctor. In particular, you should ask:

  • “Does the doctor bulk bill?”
  • “Will I have to pay a gap?”

Bulk billing

When your doctor accepts your Medicare card as payment for the appointment.

Gap

The left over amount that you have to pay when Medicare does not cover the whole cost of the appointment.

 If the doctor does not bulk bill, you may need to make a Medicare claim to get a refund after your appointment. Most refunds are paid directly into the bank account that is connected to your Medicare card. More information about claiming can be found here

Medicare claim

When your doctor charges you directly for the appointment and Medicare gives you a refund later.

 

6 Seeking Medical Treatment on your own – a Checklist 

1. If you have a Medicare card, find a Doctor who ‘bulk bills’ and book an appointment. You can search for bulk-billing doctors here.

2. Ring your doctor to:

confirm you will be attending without your parents;
confirm you want the appointment kept private; and

ask about payment options.

3. Attend the appointment.

4. Make sure you communicate openly with your doctor and listen to their advice.

5. Depending on the reason why you see your doctor it might be a good idea to take some time after the appointment to think about your treatment options before you make any commitments.

We’ve also put together a handy animation that explains this process: https://www.youtube.com/embed/u9mKMXrcOIg

 

7 Will my parents or guardians know I’ve been to the doctor by using my Medicare card?

Your Medicare history can be accessed online through www.my.gov.au. If you are 14 years or over, you can create your own myGov account to be able to access this information.

If you are listed on your parent’s or guardian’s Medicare card:

  • if you are aged 14 or over, no one else can see your Medicare claim history online by logging into their MyGov account; or 
  • if you are under the age of 14, your parents or guardians can see limited details about your Medicare claim history online via their MyGov account which will include information regarding the date your saw a doctor, amount paid and the rebate given by Medicare.
You or your parents may also have registered for a My Health Record. A My Health Record will contain certain health information you or your parents choose to include in it. It may include details of claims made for Medicare benefits, claims for pharmaceutical benefits, organ donator status and immunisations administered until the age of 20. Anyone with parental responsibility for you can apply to have access to your My Health Record. When you turn 18 years old, this person will automatically lose the ability to access your My Health Record. More information on My Health Records can be found here: https://myhealthrecord.gov.au/internet/mhr/publishing.nsf/Content/find-out. 

 

8 Information on different types of medical treatment


NCYLC would like to express thanks to the law clerks and volunteers who assisted with the preparation of this material: Ray Aryal, Hayley Johnson, Jaslyn Ng, Katherine Warner.

This page was last updated in January 2017.