Private Health Insurance Act 2007

CHAPTER 3 - COMPLYING HEALTH INSURANCE PRODUCTS  

PART 3-3 - REQUIREMENTS FOR COMPLYING HEALTH INSURANCE PRODUCTS  

Division 66 - Community rating requirements  

SECTION 66-15  

66-15   ENTITLEMENT TO BENEFITS FOR GENERAL TREATMENT  
Neither:

(a)    the community rating principle in section 55-5 ; nor

(b)    the community rating requirement in paragraph 66-1(1)(b) ;

prevents a private health insurer from determining a person ' s entitlement under a [*]

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

complying health insurance policy to a benefit for [*]

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

general treatment (other than [*]

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

hospital-substitute treatment) in respect of a period by having regard to the amount of benefits for that kind of treatment already claimed for the person in respect of the period.


 

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