PART 2 — ENTITLEMENT TO TREATMENT

2.1 Treatment for entitled persons in Australia

2.1.1 Subject to these Principles, the Commission may provide or arrange for treatment in Australia of:

(a) entitled persons who have been issued with:

(i) a Gold Card; or

(ii) a White Card; or

(iii) a written authorisation issued on behalf of the Commission; and

2.2 Treatment for entitled persons residing or travelling overseas

2.2.1 Subject to these Principles, the Commission will accept financial responsibility for the treatment overseas of service injuries or service diseases only for:

(a) a member or former member who is resident overseas; or

(b) a member or former member who is travelling overseas.

2.2.2 Except where the Commission decides otherwise, the Commission will not accept financial responsibility under paragraph 2.2.1 for costs incurred in the treatment of a service injury or a service disease while a member or former member is temporarily absent from Australia unless, prior to departure, an office of the Department has been notified of the member's or former member’s intention to travel.

2.2.3 Except in an emergency, for treatment other than residential care or residential care (respite), financial responsibility under paragraph 2.2.1 will be limited to:

(a) the cost of treatment provided in accordance with the mode and duration that would have been provided or arranged, under these Principles, in Australia; or

(b) the cost of treatment provided by a health authority or facility nominated by the Commission.

Treatment that is residential care/residential care (respite)

2.2.4 For treatment that is residential care or residential care (respite), financial responsibility under paragraph 2.2.1 will be limited to:

(a) in the case of residential care provided for a period to a member or former member, whether provided in an emergency or not — the lesser of:

(i) the amount charged the member or former member; or

(ii) an amount equal to the amount of residential care subsidy that would be payable if the member or former member was in Australia for the same period, plus any daily care fee that the Commission would have accepted responsibility for if the member or former member was in Australia;

(b) in the case of residential care (respite) provided for a period to a member or former member, whether provided in an emergency or not — the lesser of:

(i) the amount charged the member or former member; or

(ii) an amount equal to the amount of residential care subsidy that would be payable if the member or former member was in Australia for the same period (not exceeding 63 days in a financial year), plus any daily care fee that the Commission would have accepted responsibility for if the member or former member was in Australia.