Commonwealth Consolidated Acts

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PRIVATE HEALTH INSURANCE ACT 2007 - SECT 34.15

Meaning of hospital cover

             (1)  Hospital cover is so much of a * complying health insurance policy as * covers * hospital treatment. An * adult has hospital cover if he or she is insured under a complying health insurance policy that covers hospital treatment.

             (2)  An * adult is taken to have * hospital cover:

                     (a)  at any time during which the adult was covered by an * applicable benefits arrangement; or

                     (b)  at any time during which the adult holds a * gold card; or

                     (c)  at any time during which the adult is in a class of adults specified in the Private Health Insurance (Lifetime Health Cover) Rules for the purposes of this paragraph.

             (3)  In this section:

"gold card" means a card that evidences a person's entitlement to be provided with treatment:

                     (a)  in accordance with the Treatment Principles prepared under section 90 of the Veterans' Entitlements Act 1986 ; or

                     (b)  in accordance with a determination made under section 286 of the Military Rehabilitation and Compensation Act 2004 in respect of the provision of treatment.



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