Health Insurance (Allied Health Services) Determination 2010
Part 3Services and fees — pregnancy support counselling
Start here
Get a plain-English read of Part 3
Turn the raw legal text into a practical explanation grounded in Health Insurance (Allied Health Services) Determination 2010.
Part 3 Services and fees — pregnancy support counselling
| 81000 | Non‑directive pregnancy support counselling health service provided to a woman (but not as an admitted patient of a hospital) by an eligible psychologist if:<br> (a) the woman is concerned about a current pregnancy or a pregnancy that occurred in the 12 months preceding the provision of the first service; and<br> (b) the woman is referred by a medical practitioner who is not a specialist or consultant physician; and<br> (ba) the service is provided to the woman individually and in person; and<br> (c) the eligible psychologist does not have a direct pecuniary interest in a health service that has as its primary purpose the provision of services for pregnancy termination; and<br> (d) the service is at least 30 minutes duration;<br>to a maximum of 3 services (including services to which items 81000, 81005, 81010 and 4001* apply) for each pregnancy<br>The service may be used to address any pregnancy related issues for which non‑directive counselling is appropriate<br>This item is subject to section 9<br>[* in the General Medical Services Table] | 70.40 | | 81005 | Non‑directive pregnancy support counselling health service provided to a woman (but not as an admitted patient of a hospital) by an eligible social worker if:<br> (a) the woman is concerned about a current pregnancy or a pregnancy that occurred in the 12 months preceding the provision of the first service; and<br> (b) the woman is referred by a medical practitioner who is not a specialist or consultant physician; and<br> (ba) the service is provided to the woman individually and in person; and<br> (c) the eligible social worker does not have a direct pecuniary interest in a health service that has as its primary purpose the provision of services for pregnancy termination; and<br> (d) the service is at least 30 minutes duration;<br>to a maximum of 3 services (including services to which items 81000, 81005, 81010 and 4001* apply) for each pregnancy<br>The service may be used to address any pregnancy related issues for which non‑directive counselling is appropriate<br>This item is subject to section 9<br>[* in the General Medical Services Table] | 70.40 | | 81010 | Non‑directive pregnancy support counselling health service provided to a woman (but not as an admitted patient of a hospital) by an eligible mental health nurse if:<br> (a) the woman is concerned about a current pregnancy or a pregnancy that occurred in the 12 months preceding the provision of the first service; and<br> (b) the woman is referred by a medical practitioner who is not a specialist or consultant physician; and<br> (ba) the service is provided to the woman individually and in person; and<br> (c) the eligible mental health nurse does not have a direct pecuniary interest in a health service that has as its primary purpose the provision of services for pregnancy termination; and<br> (d) the service is at least 30 minutes duration;<br>to a maximum of 3 services (including services to which items 81000, 81005, 81010 and 4001* apply) for each pregnancy<br>The service may be used to address any pregnancy related issues for which non‑directive counselling is appropriate<br>This item is subject to section 9<br>[* in the General Medical Services Table] | 70.40 |