Commonwealth Consolidated Acts

PRIVATE HEALTH INSURANCE ACT 2007 - SECT 69.1

             (1)  An insurance policy meets the coverage requirements in this Division if:

                     (a)  the only treatments the policy * covers are:

                              (i)  specified treatments that are * hospital treatment; or

                             (ii)  specified treatments that are hospital treatment and specified treatments that are * general treatment; or

                            (iii)  specified treatments that are general treatment but none that are hospital-substitute treatment; and

                     (b)  if the policy provides a benefit for anything else--the provision of the benefit is authorised by the Private Health Insurance (Complying Product) Rules.

             (2)  Despite paragraph (1)(a), the policy must also * cover any treatment that a policy of its kind is required by the Private Health Insurance (Complying Product) Rules to cover.

             (3)  Despite paragraph (1)(a), the policy must not * cover any treatment that a policy of its kind is not allowed under the Private Health Insurance (Complying Product) Rules to cover.