Commonwealth Consolidated Acts

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PRIVATE HEALTH INSURANCE ACT 2007 - SECT 69.5

Meaning of cover

             (1)  An insurance policy covers a treatment if, under the policy, the insurer undertakes liability in respect of some or all loss arising out of a liability to pay fees or charges relating to the provision of goods or a service that is or includes that treatment.

             (2)  An insurance policy also covers a treatment if the insurer provides an insured person, or arranges for an insured person to be provided with, goods or a service that is or includes that treatment.

             (3)  If an insurance policy * covers a treatment in the way described in subsection (2), this Part applies as if the provision of the goods or service were a benefit provided under the policy.



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