Private Health Insurance (Prostheses) Rules (No. 3) 2021
13Listing criteria for prostheses to be listed in Part C of Schedule 1
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13 Listing criteria for prostheses to be listed in Part C of Schedule 1
For a listing application to be granted to list a kind of prosthesis in Part C of Schedule 1, the listing criterion is that the kind of prosthesis is:
(i) an insulin infusion pump;
(ii) an implantable cardiac event recorder;
(iii) a cardiac home/remote monitoring system;
(iv) an irrigated cardiac ablation catheter;
(v) a mapping catheter for catheter cardiac ablation;
(vi) a patch for cardiac ablation;
(vii) a monopolar device for surgical cardiac ablation;
(viii) a bipolar device for surgical cardiac ablation;
(ix) a system for surgical cardiac ablation;
(x) a probe for surgical cardiac ablation;
(xi) a non-irrigated cardiac ablation catheter; or
(xii) an intracardiac electrophysiology catheter.
Note 1: The power to make listing criteria is in subsection 72-10(6) of the Act.
Note 2: Under subsection 72-10(7) of the Act the Minister must not grant a listing application if any applicable listing criteria are not satisfied in relation to the application.
Note 3: Under the Act the Minister may refuse to grant a listing application even if the listing criteria are satisfied. See Note to subsection 72-10(7) of the Act.