Commonwealth Consolidated Acts

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PRIVATE HEALTH INSURANCE ACT 2007 - SECT 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 * complying health insurance policy to a benefit for * general treatment (other than * 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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