5Definitions

5 Definitions

Note: A number of expressions used in this instrument are defined in the Act, including the following:

(a) complying health insurance policy;
(b) hospital-substitute treatment;
(c) hospital treatment; and
(d) medicare benefit.

In this instrument:

Act means the Private Health Insurance Act 2007.

cardiac home/remote monitoring system includes a component of a cardiac home/remote monitoring system.

certified overnight Type C procedure has the same meaning as in rule 3 of the Private Health Insurance (Benefit Requirements) Rules 2011.

certified Type C procedure has the same meaning as in rule 3 of the Private Health Insurance (Benefit Requirements) Rules 2011.

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

default minimum benefit has the meaning given by subrule 9(5).

gap permitted prosthesis means a prosthesis of a kind listed in Schedule 1 where an amount is set out for that kind of prosthesis in the column under the heading 'Minimum Benefit' and a different amount is set out in the column under the heading 'Maximum Benefit'.

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

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

listed prosthesis means a kind of prosthesis listed in Schedule 1 to these Rules.

listing application has the same meaning as in subsection 72-10(6) of the Act.

listing criteria has the same meaning as in subsection 72-10(6) of the Act.

Medicare Benefit item 38287 has the meaning given by subrule 9(5).

Medicare Benefit item 38290 has the meaning given by subrule 9(5).

Medicare Benefit item 38512 has the meaning given by subrule 9(5).

Medicare Benefit item 38515 has the meaning given by subrule 9(5).

National Law means:

(a) for a State or Territory other than Western Australia — the Health Practitioner Regulation National Law set out in the Schedule to the Health Practitioner Regulation National Law Act 2009 (Qld) as it applies (with or without modification) as law of the State or Territory; or

(b) for Western Australia — the legislation enacted by the Health Practitioner Regulation National Law (WA) Act 2010 (WA) that corresponds to the Health Practitioner Regulation National Law.

no gap prosthesis means a prosthesis of a kind listed in Schedule 1 where an amount is set out for that kind of prosthesis in the column under the heading 'Minimum Benefit' and no amount is set out in the column under the heading 'Maximum Benefit'.