Private Health Insurance (Benefit Requirements) Rules 2007 (No. 4)
3. Definitions3. Definitions
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3. Definitions
In these Rules:
Act means the Private Health Insurance Act 2007.
ACT means the Australian Capital Territory.
certified Type B procedure means a Type B procedure certified in accordance with clause 10 of Schedule 1.
certified overnight Type C procedure means a Type C procedure certified in accordance with clause 11 of Schedule 1.
certified Type C procedure means a Type C procedure certified in accordance with clause 7 of Schedule 3.
continuous period of hospitalisation, for the purpose of counting days of hospital treatment, includes any two periods during which a patient was, or is, receiving hospital treatment as a patient at a hospital, whether or not the same hospital, where the periods are separated from each other by a period of not more than 7 days during which the patient was not receiving hospital treatment as a patient at any hospital.
diagnostic imaging services table means the table prescribed under subsection 4AA (1) of the Health Insurance Act 1973.
fee in the MBS means the Schedule fee as defined in subsection 8 (1A) of the Health Insurance Act 1973.
general medical services table means the table prescribed under subsection 4 (1) of the Health Insurance Act 1973.
insurer means a private health insurer.
item has the same meaning as in subsection 3 (1) of the Health Insurance Act 1973.
MBS comprises the:
(a) general medical services table;
(b) diagnostic imaging services table; and
(c) pathology services table.
NSW means the State of New South Wales.
nursing-home type patient has the meaning given by Schedule 4.
outreach service means a service referred to in subsection 16 (1) of the Private Health Insurance (Transitional Provisions and Consequential Amendments) Act 2007, unless subsection 16 (2) of that Act applies to the particular service.
pathology services table means the table prescribed under subsection 4A (1) of the Health Insurance Act 1973.
policy means a complying health insurance policy.
private hospital means a hospital in respect of which there is in force a statement under subsection 121-5 (8) of the Act that the hospital is a private hospital.
Note: Section 15 of the Private Health Insurance (Transitional Provisions and Consequential Amendments) Act 2007 deals with the status of certain hospitals for which a declaration had been made before the commencement of the Act.
professional service has the same meaning as in subsection 3 (1) of the Health Insurance Act 1973.
public hospital means a hospital in respect of which there is in force a statement under subsection 121-5 (8) of the Act that the hospital is a public hospital.