PRIVATE HEALTH INSURANCE INCENTIVES ACT 1998

CHAPTER 4 - PROVISIONS APPLYING BOTH TO INCENTIVE PAYMENTS SCHEME AND TO PREMIUMS REDUCTION SCHEME  

PART 7 - GENERAL  

Division 19 - Miscellaneous  

SECTION 19-10  

19-10   REVIEW BY ADMINISTRATIVE APPEALS TRIBUNAL  

Application may be made to the Administrative Appeals Tribunal for review of the following decisions:

(a) a decision by the Medicare Australia CEO under section 6-30 confirming a decision under section 6-20 refusing a claim;

(b) a decision by the Medicare Australia CEO refusing to register a person under section 11-25 in respect of an * appropriate private health insurance policy ;

(c) a decision by the Medicare Australia CEO under subsection 11-40(1) to revoke a person's registration in respect of an appropriate private health insurance policy (other than a decision made as a result of a notice given by the person under subsection 11-30(4) );

(d) a decision by the Minister under section 14-15 to reject an application by a * health fund to become a * participating fund ;

(da) a decision by the Minister under section 14A to revoke a health fund 's status as a participating fund ;

(e) a decision by the Medicare Australia CEO under subsection 15-25(3) on reconsideration of a decision that a claim under section 15-10 , or an additional amount sought under section 15-21 or 15-22 is incorrect;

(f) a decision by the Medicare Australia CEO not to make a determination under section 18-15 in relation to an amount;

(g) a decision by the Medicare Australia CEO under section 18-25 on reconsideration of a decision:

(i) that an amount is recoverable as a debt due to the Commonwealth under:

(A) paragraph 18-5(1)(a) or (b) ; or

(B) paragraph 18-5(1)(f) in respect of a payment made to an individual; or

(ii) under subsection 18-20(1) to set off a debt against an amount otherwise payable to a person or his or her estate.

Note:

Under section 27A of the Administrative Appeals Tribunal Act 1975 , the decision-maker must notify persons whose interests are affected by the making of the decision and of their right to have the decision reviewed. In notifying any such persons, the decision-maker must have regard to the Code of Practice determined under section 27B of that Act.