OSHC Prescription Medicine Reimbursement: PBS vs Non-PBS Explained
Learn how OSHC reimburses prescription medicines, the difference between PBS and non-PBS drugs, and coverage limits.
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Understanding OSHC Prescription Coverage
When you hold OSHC (Overseas Student Health Cover), prescription medicines are covered under your policy. However, the level of reimbursement depends on whether the medicine is listed on the Pharmaceutical Benefits Scheme (PBS) or not.
PBS vs Non-PBS Medicines
- PBS medicines: These are subsidised by the Australian government. OSHC policies generally cover the cost of PBS-listed medicines, but you may need to pay a co-payment.
- Non-PBS medicines: These are not on the PBS list. Coverage for non-PBS medicines is typically limited or not included in standard OSHC policies.
Reimbursement Limits and Higher Subsidies
Each OSHC policy has a maximum benefit for prescription medicines. To receive a higher subsidy, you may need to:
- Purchase medicines that are PBS-listed.
- Submit your receipts for reimbursement.
- Stay within the policy’s annual or per-item limits.
For specific amounts and conditions, always refer to your OSHC policy documents and the official PBS schedule.
Frequently Asked Questions
Does OSHC cover all prescription medicines?
No, OSHC generally covers PBS-listed medicines up to the policy limit. Non-PBS medicines may not be covered or may have lower reimbursement.
How can I get a higher subsidy for my medicines?
Ensure your medicine is on the PBS list and keep receipts for claims. Your policy will outline any applicable co-payments and maximum benefits.
Are there any out-of-pocket costs?
Yes, you may be responsible for the co-payment amount set by the PBS, as well as any amount above the policy’s coverage limit.