Private Health Insurance Act 2007
CHAPTER 4
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HEALTH INSURANCE BUSINESS, HEALTH BENEFITS FUNDS AND MISCELLANEOUS OBLIGATIONS OF PRIVATE HEALTH INSURERS
PART 4-5
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MISCELLANEOUS OBLIGATIONS OF PRIVATE HEALTH INSURERS
Division 172
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Other obligations
SECTION 172-5
AGREEMENTS WITH MEDICAL PRACTITIONERS
Medical purchaser-provider agreements
172-5(1)
If a private health insurer enters into an agreement with a [*]
Practitioner agreements
172-5(2)
If a hospital or day hospital facility enters into an agreement with a [*]
View history note
Hide history noteMedical purchaser-provider agreements
172-5(1)
If a private health insurer enters into an agreement with a [*]
To find definitions of asterisked terms, see the Dictionary in Schedule 1 .
medical practitioner for the provision of treatment to persons insured by the insurer, the agreement must not limit the medical practitioner ' s professional freedom, within the scope of accepted clinical practice, to identify and provide appropriate treatments.Practitioner agreements
172-5(2)
If a hospital or day hospital facility enters into an agreement with a [*]
To find definitions of asterisked terms, see the Dictionary in Schedule 1 .
medical practitioner, under which treatment is provided to persons insured by the insurer, the agreement must not limit the medical practitioner ' s professional freedom, within the scope of accepted clinical practice, to identify and provide appropriate treatments.Note:
Medical practitioners may, in dealings with private health insurers, be able to take advantage of the collective bargaining provisions of Subdivision B of Division 2 of Part VII of the Competition and Consumer Act 2010 .
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