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Private Health Insurance Act 2007
69‑1 Coverage requirements69‑1 Coverage requirements
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69‑1 Coverage requirements
(1) An insurance policy meets the coverage requirements in this Division if:
(a) the only treatments the policy *covers are:
(i) specified treatments that are *hospital treatment; or
(ii) specified treatments that are hospital treatment and specified treatments that are *general treatment; or
(iii) specified treatments that are general treatment but none that are hospital‑substitute treatment; and
(b) if the policy provides a benefit for anything else—the provision of the benefit is authorised by the Private Health Insurance (Complying Product) Rules.
(2) Despite paragraph (1)(a), the policy must also *cover any treatment that a policy of its kind is required by the Private Health Insurance (Complying Product) Rules to cover.
(3) Despite paragraph (1)(a), the policy must not *cover any treatment that a policy of its kind is not allowed under the Private Health Insurance (Complying Product) Rules to cover.