Commonwealth Consolidated Acts

PRIVATE HEALTH INSURANCE ACT 2007 - SECT 26.20

             (1)  The Medicare Australia CEO must make a decision granting or refusing the claim within 14 days after the day on which the claim is made.

             (2)  If the claim is granted, the Medicare Australia CEO must pay to the claimant the amount to which the claimant is entitled.

             (3)  If the claim is refused, the Medicare Australia CEO must give the claimant a notice stating that the claim has been refused and setting out the reasons for the refusal.