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Private Health Insurance (Benefit Requirements) Rules 2011
Part 3Certified Type B procedures and certified overnight Type C procedures
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## Part 3 Certified Type B procedures and certified overnight Type C procedures
### 10. Certified Type B procedures
(1) Minimum benefits for overnight accommodation are payable for patients receiving a Type B procedure only if certification under subclause (2) is provided.
(2) Certification must be provided as follows:
(a) the practitioner providing the Type B procedure; or
(b) a professional employed by a hospital who is involved in the provision of the procedure provided by that hospital,
must certify in writing that:
(c) because of the medical condition of the patient specified in the certificate; or
(d) because of the special circumstances specified in the certificate,
it would be contrary to accepted medical practice to provide the procedure to the patient unless the patient is given hospital treatment at the hospital for a period that includes part of an overnight stay.
### 11. Certified overnight Type C procedures
(1) Minimum benefits for overnight accommodation are payable for patients receiving a certified Type C procedure only if:
(a) certification has first been provided for the Type C procedure in accordance with clause 7 of Schedule 3; and
(b) certification under subclause (2) is also provided.
(2) Certification must be provided as follows the practitioner providing the certified Type C procedure must certify in writing that:
(a) because of the medical condition of the patient specified in the certificate; or
(b) because of the special circumstances specified in the certificate,
it would be contrary to accepted medical practice to provide the procedure to the patient unless the patient is given hospital treatment at the hospital for a period that includes part of an overnight stay.