PRIVATE HEALTH INSURANCE INCENTIVES ACT 1997
PART 2 - THE INCENTIVES SCHEME
Division 3 - Who is eligible to participate in the scheme?
SECTION 3-2 APPROPRIATE PRIVATE HEALTH INSURANCE COVER 3-2(1) [When cover considered appropriate] The policy provides appropriate private health insurance cover if: (a) it provides hospital cover (see subsection (2)); or (b) it provides ancillary cover (see subsection (3)); or (c) it provides combined cover (see subsection (6)). 3-2(2) [Payable premium amounts] The policy provides hospital cover if: (a) it is an applicable benefits arrangement, within the meaning of section 5A of the National Health Act 1953, to which paragraph 5A(1)(a) of that Act applies; and (b) the annual premium payable for the policy is not less than:(i) if the policy covers only one person - $250, or such other amount as the Minister determines in writing; or
(ii) if the policy covers more than one person - $500, or such other amount as the Minister determines in writing.3-2(3) [Ancillary cover] The policy provides ancillary cover if: (a) persons covered by the policy are covered (wholly or partly) for liability to pay fees and charges in respect of ancillary health benefits within the meaning of section 67 of the National Health Act 1953; and (b) the annual premium payable for the policy is not less than:
(i) if the policy covers only one person - $125, or such other amount as the Minister determines in writing; or
(ii) if the policy covers more than one person - $250, or such other amount as the Minister determines in writing.3-2(4) [Interpretation] In subsections (2) and (3): annual premium means the amount of premium payable if the policy were to apply for one year, whether or not the policy applies, in the particular case in question, for that period. 3-2(5) [Disallowable instruments] Determinations made for the purposes of subparagraph (2)(b)(i) or (ii) or (3)(b)(i) or (ii) are disallowable instruments for the purposes of section 46A of the Acts Interpretation Act 1901. 3-2(6) [Combined cover] The policy provides combined cover if it provides both hospital cover and ancillary cover.
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