6Listing of, and benefits for, prostheses

6 Listing of, and benefits for, prostheses

For item 4 of the table in subsection 72‑1(2) of the Act:

(a) Schedule 1 lists the kinds of prostheses:
(i) in relation to which the Minister has granted an application for listing under subsection 72‑10(5) of the Act; or
(ii) which are listed in accordance with section 12 of the Private Health Insurance (Transitional Provisions and Consequential Amendments) Act 2007; and

Note: Section 12 of the Private Health Insurance (Transitional Provisions and Consequential Amendments) Act 2007 deals with the listing of a prosthesis that was a no gap prosthesis or a gap permitted prosthesis for the purposes of the National Health Act 1953 immediately before the commencement of the Act.

(aa) circumstances in which a listed prosthesis is provided for the purposes of paragraph (d) of item 4 of the table in subsection 72‑1(2) are set out in rule 7; and
(ab) conditions that must be satisfied in relation to the provision of a listed prosthesis for the purposes of paragraphs (c) and (d) of item 4 of the table in subsection 72‑1(2) are set out in rule 8; and
(b) rule 9 sets out the method for working out the minimum benefit and maximum benefit for hospital treatment, covered under a complying health insurance policy, that is the provision of a listed prosthesis; and
(c) rule 10 sets out the method for working out the minimum benefit and maximum benefit for hospital‑substitute treatment, covered under a complying health insurance policy, that is the provision of a listed prosthesis.