Private Health Insurance Act 2007
For the purposes of paragraph 72-1(1)(d) , the [*]
To find definitions of asterisked terms, see the Dictionary in Schedule 1 .
rules of the private health insurer that issues the policy meet the rules requirement in this section if the rules have the effect required by subsection (2) .72-5(2)
The effect required is that if, under an agreement or arrangement with a private health insurer, a particular [*]
To find definitions of asterisked terms, see the Dictionary in Schedule 1 .
health care provider (other than a [*]To find definitions of asterisked terms, see the Dictionary in Schedule 1 .
medical practitioner) provides particular [*]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 to people insured under the same [*]To find definitions of asterisked terms, see the Dictionary in Schedule 1 .
complying health insurance product of the insurer, any charge for the treatment: (a) that is payable by an insured person; and (b) which is not recoverable by a benefit under the product;must be the same for all of the people insured under the product, irrespective of:
(c) the frequency with which that provider provides that particular treatment to people insured under that product; or (d) any other matter.72-5(3)
The Private Health Insurance (Complying Product) Rules may modify the effect required by subsection (2) in relation to all or particular kinds of [*]
To find definitions of asterisked terms, see the Dictionary in Schedule 1 .
complying health insurance products, benefits, treatments or [*]To find definitions of asterisked terms, see the Dictionary in Schedule 1 .
health care providers. To the extent the Rules do so, the rules requirement is taken to be met if the conditions in the Rules are met.
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