11GProvision of restricted and unrestricted cover

11G Provision of restricted and unrestricted cover

Gold policies (1) A gold policy must provide unrestricted cover for all hospital treatments in all clinical categories. Silver policies and bronze policies (2) A silver policy or a bronze policy: (a) must provide restricted cover or unrestricted cover for all hospital treatments in the following clinical categories: (i) rehabilitation; (ii) hospital psychiatric services; (iii) palliative care; and (b) must provide unrestricted cover for all hospital treatments in: (i) the other clinical categories that a silver policy or a bronze policy, as appropriate, is required to cover; and (ii) any other clinical categories that the policy covers. Basic policies (3) A basic policy must provide restricted cover or unrestricted cover for all hospital treatments in: (a) all of the clinical categories that a basic policy is required to cover; and (b) any other clinical categories that the policy covers.