Private Health Insurance Act 2007

CHAPTER 3 - COMPLYING HEALTH INSURANCE PRODUCTS  

PART 3-3 - REQUIREMENTS FOR COMPLYING HEALTH INSURANCE PRODUCTS  

Division 69 - Coverage requirements  

SECTION 69-5   MEANING OF COVER  

69-5(1)    
An insurance policy covers a treatment if, under the policy, the insurer undertakes liability in respect of some or all loss arising out of a liability to pay fees or charges relating to the provision of goods or a service that is or includes that treatment.

69-5(2)    
An insurance policy also covers a treatment if the insurer provides an insured person, or arranges for an insured person to be provided with, goods or a service that is or includes that treatment.

69-5(3)    
If an insurance policy ^[*]

To find definitions of asterisked terms, see the Dictionary in Schedule 1 .

covers a treatment in the way described in subsection (2) , this Part applies as if the provision of the goods or service were a benefit provided under the policy.