4Definitions

4 Definitions

In these Rules:

Act means the Private Health Insurance Act 2007.

addiction medicine specialist means a specialist (within the meaning of the Health Insurance Act 1973) in relation to addiction medicine.

basic policy means an insurance policy that:

(a) covers hospital treatment; and

(b) covers at least the treatments in all of the clinical categories indicated for a basic policy in Schedule 4; and

(c) is not a gold, silver or bronze policy.

bronze policy means an insurance policy that:

(a) covers hospital treatment; and

(b) covers at least the treatments in all of the clinical categories indicated for a bronze policy in Schedule 4; and

(c) is not a gold or silver policy.

certified Type C procedure has the same meaning as in rule 3 of the Private Health Insurance (Benefit Requirements) Rules.

certified overnight Type C procedure has the same meaning as in rule 3 of the Private Health Insurance (Benefit Requirements) Rules.

clinical category, for hospital treatment, means a clinical category that is set out in Schedule 5.

consultant physician has the same meaning as in subsection 3(1) of the Health Insurance Act 1973.

consultant psychiatrist means a specialist (within the meaning of the Health Insurance Act 1973) in relation to psychiatry.

general medical services table has the same meaning as in subsection 3(1) of the Health Insurance Act 1973.

gold policy means an insurance policy that:

(a) covers hospital treatment; and

(b) covers the treatments in all of the clinical categories indicated for a gold policy in Schedule 4.

implantable cardiac event recorder includes a component of an implantable cardiac event recorder.

insulin infusion pump includes a component of an insulin infusion pump.

insurer means a private health insurer.

MBS item means an item that is in, or which from time to time a determination under section 3C of the Health Insurance Act 1973 deems to be in, any of the following:

(a) the general medical services table, made under section 4 of the Health Insurance Act 1973, as in force from time to time;

(b) the diagnostic imaging services table, made under section 4AA of that Act, as in force from time to time;

(c) the pathology services table, made under section 4A of that Act, as in force from time to time.

National Disability Insurance Scheme has the same meaning as in section 9 of the National Disability Insurance Scheme Act 2013.