CHAPTER 2
-
INCENTIVES
PART 2-2
-
PREMIUMS REDUCTION SCHEME
History
Pt 2-2 heading substituted by No 105 of 2013, s 3 and Sch 2 item 3, effective 1 July 2013. The heading formerly read:
PART 2-2
-
PREMIUMS REDUCTION AND INCENTIVE PAYMENTS SCHEMES
Division 23
-
Premiums reduction scheme
Subdivision 23-B
-
Participation in the premiums reduction scheme
SECTION 23-15
APPLICATION TO REGISTER AS A PARTICIPANT IN THE PREMIUMS REDUCTION SCHEME
23-15(1)
A person may apply to a private health insurer, in the
[ast_1]
To find definitions of asterisked terms, see the Dictionary in Schedule
1
.
approved form, to become a
[ast_1]
To find definitions of asterisked terms, see the Dictionary in Schedule
1
.
participant in the
[ast_1]
To find definitions of asterisked terms, see the Dictionary in Schedule
1
.
premiums reduction scheme in respect of a
[ast_1]
To find definitions of asterisked terms, see the Dictionary in Schedule
1
.
complying health insurance policy issued by the insurer if:
(a)
the insurer is a
[ast_1]
To find definitions of asterisked terms, see the Dictionary in Schedule
1
.
participating insurer; and
(b)
the person is a
[ast_1]
To find definitions of asterisked terms, see the Dictionary in Schedule
1
.
PHIIB in respect of a premium paid or payable under the policy; and
(c)
the person meets any requirements specified in the Private Health Insurance (Incentives) Rules for the purposes of this paragraph.
History
S 23-15(1) amended by No 26 of 2012, s 3 and Sch 1 item 12, by substituting para (b), applicable in relation to premiums, and amounts in respect of premiums, paid on and after 1 July 2012. Para (b) formerly read:
(b)
either or both of the following apply:
(i)
the person has paid, or the person
'
s employer has paid as a
*
fringe benefit on the person
'
s behalf, a premium under the policy in respect of a financial year;
(ii)
the person is insured under the policy (and is not a
*
dependent child); and
23-15(2)
A private health insurer that receives an application under subsection
(1)
must notify the Chief Executive Medicare of the application no more than 7 business days (or any other period determined by the Chief Executive Medicare under subsection
(4)
) after receiving the application.
History
S 23-15(2) amended by No 54 of 2025, s 3 and Sch 2 item 2, by substituting
"
no more than 7 business days (or any other period determined by the Chief Executive Medicare under subsection (4))
"
for
"
, in the
*
approved form, no more than 14 days (or any other period determined by the Chief Executive Medicare)
"
, effective 1 April 2026. For application, transitional and validation provisions, see note under s
279-1
.
23-15(3)
A notice under subsection
(2)
must:
(a)
be given electronically in accordance with the electronic system approved by the Chief Executive Medicare under section
333-16
for the purposes of this paragraph; and
(b)
include the information required by that system to be included in the notice; and
(c)
be accompanied by any documents required by that system to accompany the notice.
History
S 23-15(3) substituted by No 54 of 2025, s 3 and Sch 2 item 3, effective 1 April 2026. For application, transitional and validation provisions, see note under s
279-1
. S 23-15(3) will read:
23-15(3)
If notified of an application and satisfied that paragraphs (1)(a), (b) and (c) apply, the Chief Executive Medicare must register the applicant as a
[ast_1]
To find definitions of asterisked terms, see the Dictionary in Schedule 1.
participant in respect of the policy.
23-15(4)
The Chief Executive Medicare may, by legislative instrument, determine a different period for the purposes of subsection
(2)
.
History
S 23-15(4) substituted by No 54 of 2025, s 3 and Sch 2 item 3, effective 1 April 2026. For application, transitional and validation provisions, see note under s
279-1
. S 23-15(4) formerly read:
23-15(4)
The Chief Executive Medicare must notify the private health insurer that issued the policy if the Chief Executive Medicare registers a person as a
[ast_1]
To find definitions of asterisked terms, see the Dictionary in Schedule 1.
participant in the
[ast_1]
To find definitions of asterisked terms, see the Dictionary in Schedule 1.
premiums reduction scheme in respect of the policy.
History
S 23-15 amended by No 32 of 2011, s 3 and Sch 4 item 507, by substituting
"
Chief Executive Medicare
"
for
"
Medicare Australia CEO
"
(wherever occurring), effective 1 July 2011.