Private Health Insurance (Complying Product) Rules 2015
9BSpecialist psychiatric treatment—choice to have upgrade treated in accordance with rule 9A
Start here
Get a plain-English read of 9B
Turn the raw legal text into a practical explanation grounded in Private Health Insurance (Complying Product) Rules 2015.
9B Specialist psychiatric treatment—choice to have upgrade treated in accordance with rule 9A
(1) A person may choose to have an upgrade in relation to psychiatric treatment treated in accordance with subrules 9A(4) to (8) if the person has not previously made such a choice in relation to any such upgrade.
(2) If:
(a) a person transfers to an insurance policy (the new policy), and the transfer is an upgrade in relation to psychiatric treatment; and
(b) a claim is made under the new policy for a benefit for specialist psychiatric treatment provided to the person; and
(c) a benefit of the amount claimed is only payable under the new policy for the treatment if the person chooses to have the upgrade treated in accordance with subrules 9A(4) to (8);
the making of the claim is sufficient evidence of the person choosing to have the upgrade treated in accordance with those subrules.
(3) For the purposes of paragraph (2)(c) of this rule, disregard any co‑payment or excess that is required to be paid under the new policy in respect of psychiatric treatment.