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Private Health Insurance Act 2007
66‑15 Entitlement to benefits for genera66‑15 Entitlement to benefits for general treatment
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66‑15 Entitlement to benefits for general treatment
Neither:
(a) the community rating principle in section 55‑5; nor
(b) the community rating requirement in paragraph 66‑1(1)(b);
prevents a private health insurer from determining a person’s entitlement under a *complying health insurance policy to a benefit for *general treatment (other than *hospital‑substitute treatment) in respect of a period by having regard to the amount of benefits for that kind of treatment already claimed for the person in respect of the period.