34Maximum amounts payable by insurer for treatment and care not provided at hospitals or provided at private hospitals (section 8.9)

#### 34 Maximum amounts payable by insurer for treatment and care not provided at hospitals or provided at private hospitals (section 8.9) 34 Maximum amounts payable by insurer for treatment and care not provided at hospitals or provided at private hospitals (section 8.9) > > (1) The maximum amount for which an insurer is liable in respect of any claim for fees payable for treatment and care to which section 8.9 of the Act applies is the amount listed, in respect of the treatment concerned, in the AMA List. > > > > Note. > > > > Section 8.9 of the Act does not apply to treatment and care that is provided at a hospital (whether to an in-patient or an out-patient) and for which any payment is required to be made to the hospital and not to the provider of the treatment. The section does apply to the fee payable to a private hospital for any treatment and care at the hospital. > > > (2) This clause applies only in relation to treatment and care— > > > > > (a) that is provided to an injured person by a health practitioner, and > > > > > (b) in respect of which a fee is specified in the AMA List. > > > (3) In this clause— > > > > AMA List means the document called List of Medical Services and Fees published by the Australian Medical Association and dated 1 November 2017 as amended or replaced, from time to time, by a document that— > > > > > (a) has been published by the Australian Medical Association, as an amendment to, or replacement of, the AMA List, and > > > > > (b) has been recognised by the Authority, by notice published in the Gazette. > > **cll 33–35:** Ins 2017 (639), Sch 1 \[3\].