covered by an insurance policy that provides
private patient hospital cover has a meaning affected by section 4.
- Note: For limited purposes, sections 12, 13 and 14 also treat certain
persons as being covered by an insurance policy that provides private patient
hospital cover.
2 Subsection 3(1) (definition of provides )
Repeal the definition.
3
Section 4
Repeal the section, substitute: 4 When does a person have
private patient hospital cover?
(1) For the purposes of this Act, a person is
covered by an insurance policy that provides private patient hospital cover if
the policy is an applicable benefits arrangement, within the meaning of
section 5A of the National Health Act 1953 , to which paragraph 5A(1)(a)
of that Act applies.
(2) However, for the purposes of this Act a person is not covered by an
insurance policy that provides private patient hospital cover if:
- (a)
- the
insurance policy that covers the person is an applicable benefits arrangement
that:
- (i)
- is modified in accordance with an election described in
paragraph (ba) of Schedule 1 to the National Health Act 1953 ; and
- (ii)
- is associated with a health benefits fund conducted by a registered
organization under that Act; and
- (b)
- the difference between the lesser benefits mentioned in that paragraph and
the benefits payable in accordance with a corresponding applicable benefits
arrangement not modified in accordance with such an election is more than:
- (i)
- $1,000; or
- (ii)
- $500, if there is only one contributor (as defined in that Act) to the
health benefits fund for the applicable benefits arrangement mentioned in
paragraph (a) of this subsection and benefits are not payable under the
arrangement in respect of the contributor's dependants (as defined in that
Act), if any.
(3) Subsection (2) does not prevent a person from being covered by an
insurance policy that provides private patient hospital cover if:
- (a)
- the
person has been covered by the policy continuously since the end of
24 May 2000; and
- (b)
- the election mentioned in subparagraph (2)(a)(i) was made before the
end of 24 May 2000.
(4) For the purposes of this Act, a person is also covered by an insurance
policy that provides private patient hospital cover if:
- (a)
- the policy is
issued by a person to whom subsection 67(3) of the National Health Act 1953
applies; and
- (b)
- if the person referred to in paragraph (a) were a registered
organization within the meaning of that Actthe policy would be an
applicable benefits arrangement, within the meaning of section 5A of that
Act, to which paragraph 5A(1)(a) of that Act would apply.
(5) However, for the purposes of this Act a person is not covered by an
insurance policy that provides private patient hospital cover if:
- (a)
- the
person is covered by an insurance policy described in subsection (4); and
- (b)
- under subsection (2), the person would not be covered by an insurance
policy that provides private patient hospital cover for the purposes of this
Act, assuming that:
- (i)
- the policy mentioned in paragraph (a) of this subsection were a
policy described in subsection (1); and
- (ii)
- the person issuing the policy were a registered organization conducting a
health benefits fund under the National Health Act 1953 ; and
- (iii)
- the policy were associated with the fund.
(6) Subsections (2) and (5) do not limit the circumstances in which, for
the purposes of this Act, a person is not covered by an insurance policy that
provides private patient hospital cover.
- Example: For the purposes of this
Act, a person is also not covered by an insurance policy that provides private
patient hospital cover if the person is not covered by an insurance policy
described in subsection (1) or (4).
Medicare Levy Act 1986
4 After subsection 3(5)
Insert:
(5A) However, for
the purposes of this Act a person is not covered by an insurance policy that
provides private patient hospital cover if:
- (a)
- the insurance policy that
covers the person is an applicable benefits arrangement that:
- (i)
- is modified in accordance with an election described in
paragraph (ba) of Schedule 1 to the National Health Act 1953 ; and
- (ii)
- is associated with a health benefits fund conducted by a registered
organization under that Act; and
- (b)
- the difference between the lesser benefits mentioned in that paragraph and
the benefits payable in accordance with a corresponding applicable benefits
arrangement not modified in accordance with such an election is more than:
- (i)
- $1,000; or
- (ii)
- $500, if there is only one contributor (as defined in that Act) to the
health benefits fund for the applicable benefits arrangement mentioned in
paragraph (a) of this subsection and benefits are not payable under the
arrangement in respect of the contributor's dependants (as defined in that
Act), if any.
(5B) Subsection (5A) does not prevent a person from being covered by an
insurance policy that provides private patient hospital cover if:
- (a)
- the
person has been covered by the policy continuously since the end of
24 May 2000; and
- (b)
- the election mentioned in subparagraph (5A)(a)(i) was made before the
end of 24 May 2000.
5 At the end of section 3
Add:
(7) However, for the purposes of this
Act a person is not covered by an insurance policy that provides private
patient hospital cover if:
- (a)
- the person is covered by an insurance policy
described in subsection (6); and
- (b)
- under subsection (5A), the person would not be covered by an
insurance policy that provides private patient hospital cover for the purposes
of this Act, assuming that:
- (i)
- the policy mentioned in paragraph (a) of this subsection were a
policy described in subsection (5); and
- (ii)
- the person issuing the policy were a registered organization conducting a
health benefits fund under the National Health Act 1953 ; and
- (iii)
- the policy were associated with the fund.
(8) Subsections (5A) and (7) do not limit the circumstances in which, for
the purposes of this Act, a person is not covered by an insurance policy that
provides private patient hospital cover.
- Example: For the purposes of this
Act, a person is also not covered by an insurance policy that provides private
patient hospital cover if the person is not covered by an insurance policy
described in subsection (5) or (6).
6 Application of amendments
The amendments made by this Schedule apply for
the purposes of working out Medicare levy and surcharge (as defined in
Part VIIB of the Income Tax Assessment Act 1936 ) for financial years
starting on or after 1 July 2000.
(81/00)
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