Health Insurance (Optometric services) Determination 2016
4. Definitions4. Definitions
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4. Definitions
(1) In this Determination:
Act means the Health Insurance Act 1973.
bulk-billed for a relevant service, means:
(a) a medicare benefit is payable to a person in relation to the service; and
(b) under an agreement entered into under section 20A of the Act:
(i) the person assigns, to the person by whom the service is provided, his or her right to the payment of the medicare benefit; and
(ii) the second-mentioned person accepts the assignment in full payment of his or her fee for the service provided.
care recipient means a person receiving residential care under section 21-2 of the Aged Care Act 1997.
old item 10900 means item 10900 of the general medical services table as in force at any time before the repeal of the item by Part 1 of Schedule 1 to the Health Insurance Legislation Amendment (Optometric Services and Other Measures) Regulation 2014.
relevant provisions means all provisions, of the Act and regulations made under the Act, and the National Health Act 1953 and regulations made under that Act, relating to medical services, professional services or items.
relevant service means a health service, as defined in subsection 3C(8) of the Act, that is specified in the Schedule.
residential aged care facility means a facility where residential care (within the meaning given by section 41-3 of the Aged Care Act 1997) is provided.
Schedule means the Schedule to this Determination.
telehealth eligible area has the same meaning as in the general medical services table.
Note: The following terms are defined in subsection 3(1) of the Act:
clinically relevant
general medical services table
optometrist
(2) In this Determination, Group A10 refers to the group of all the relevant services specified in items the Schedule, Subgroup 1 of Group A10 refers to the group of relevant services specified in items 10905 to 10944 of the Schedule and Subgroup 2 of Group A10 refers to the group of relevant services specified in items 10945 to 10948 of the Schedule.
(3) Unless the contrary intention appears, a reference in this Determination to a provision of the Act or the National Health Act 1953 or regulations made under the Act or under the National Health Act 1953 as applied, adopted or incorporated in relation to specifying a matter is a reference to those provisions as in force from time to time and any other reference to provisions of an Act or regulations is a reference to those provisions as in force from time to time.