Private Health Insurance Act 2007

CHAPTER 3 - COMPLYING HEALTH INSURANCE PRODUCTS  

PART 3-3 - REQUIREMENTS FOR COMPLYING HEALTH INSURANCE PRODUCTS  

Division 75 - Waiting period requirements  

SECTION 75-1   WAITING PERIOD REQUIREMENTS  

75-1(1)    
An insurance policy meets the waiting period requirements in this Division if the ^[*]

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

waiting period that applies to a person who did not ^[*]

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

transfer to the policy is no longer than:

(a)    for a benefit for ^[*]

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

hospital treatment or ^[*]

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

hospital-substitute treatment that is obstetric treatment or treatment for a ^[*]

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

pre-existing condition (other than treatment covered by paragraph (b) ) - 12 months; and

(b)    for a benefit for hospital treatment or hospital-substitute treatment that is psychiatric care, rehabilitation or palliative care (whether or not for a pre-existing condition) - 2 months; and

(c)    for any other benefit for hospital treatment or hospital-substitute treatment - 2 months.

75-1(2)    
The Private Health Insurance (Complying Product) Rules may modify the requirements in subsection (1) in relation to all or particular kinds of private health insurers, benefits or insured persons. To the extent the Rules do so, the waiting period requirements in this Division are taken to be met if the conditions in the Rules are met.

Note:

If a private health insurer provides an insured person with, or arranges for an insured person to be provided with, treatment, it is treated as a benefit for the purposes of this Division (see subsection 69-5(3) ).