Commonwealth Consolidated Acts

HEALTH INSURANCE ACT 1973 - SECT 3BA

             (1)  A person is a prescribed dental patient if:

                     (a)  an approved medical practitioner or dental practitioner has issued a certificate that states that the person is suffering from a cleft lip or a cleft palate condition; and

                     (b)  the person has not attained the age of 22 years.

             (2)  A person is also a prescribed dental patient if:

                     (a)  before the person attained the age of 22 years, an approved medical practitioner or dental practitioner issued a certificate that states that the person is suffering from a cleft lip or a cleft palate condition; and

                     (b)  the person has attained the age of 22 years, but has not attained the age of 28 years; and

                     (c)  the person's treatment for the condition started before the person attained the age of 22 years.

          (2A)  A person is also a prescribed dental patient , in relation to a particular course of treatment, if:

                     (a)  before the person attained the age of 22 years, an approved medical practitioner or dental practitioner issued a certificate that states that the person is suffering from a cleft lip or a cleft palate condition; and

                     (b)  the person has attained the age of 28 years; and

                     (c)  before the person attained the age of 28 years, he or she received treatment for the condition; and

                     (d)  the Minister declares in writing that he or she is satisfied that:

                              (i)  because of exceptional circumstances, the person requires repair of previous reconstructive surgery in connection with the condition; and

                             (ii)  the person therefore needs to undergo that course of treatment.

             (3)  A person is also a prescribed dental patient if:

                     (a)  an approved medical practitioner or dental practitioner has issued a certificate that states that the person is suffering from a condition determined by the Minister to be a condition to which this definition applies; and

                     (b)  the person has not attained the age of 22 years.

             (4)  In this section, an approved medical practitioner or approved dental practitioner is a medical practitioner or dental practitioner who is approved by the Minister in writing for the purposes of this section.

             (5)  A certificate mentioned in paragraph (1)(a), (2)(a) or (3)(a) must be issued in accordance with the approved form.

             (6)  A determination by the Minister under paragraph (3)(a) must be made by notice published in the Gazette .