Commonwealth Consolidated Acts

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PRIVATE HEALTH INSURANCE ACT 2007 - SECT 72.10

Minimum benefits for prostheses

             (1)  Private Health Insurance (Prostheses) Rules made for the purposes of item 4 of the table in subsection 72‑1(2) must only list a kind of prosthesis if:

                     (a)  an application has been made under subsection (2) in relation to that kind of prosthesis; and

                     (b)  the Minister has granted the application.

             (2)  A person may apply to the Minister to have the Private Health Insurance (Prostheses) Rules list a prosthesis of the kind to which the application relates.

             (3)  The application must be:

                     (a)  in the * approved form; and

                     (b)  accompanied by any application fee imposed under the Private Health Insurance (Prostheses Application and Listing Fees) Act 2007 .

             (4)  The Minister must inform the applicant in writing of the Minister's decision whether or not to grant the application. If the Minister decides not to grant the application, the Minister must also inform the applicant of the reason for that decision.

             (5)  If:

                     (a)  the Minister grants the application; and

                     (b)  the applicant pays to the Commonwealth any initial listing fee imposed under the Private Health Insurance (Prostheses Application and Listing Fees) Act 2007 within 14 days of being informed of the Minister's decision to grant the application;

the Minister must, on the next occasion when the Minister makes or varies the Private Health Insurance (Prostheses) Rules:

                     (c)  list the kind of prosthesis to which the application relates in those Rules; and

                     (d)  set out in those Rules a minimum benefit for the prosthesis; and

                     (e)  if the Minister considers it appropriate--set out in those Rules a maximum benefit for the prosthesis.



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