Document ID: chunk:federal_register_of_legislation:C2025C00097:section:3:p6
Version: federal_register_of_legislation:C2025C00097
Segment Type: section
Provision Reference: s 3 (pt 6/18)
Character Range: 47686–50316

days without hospital cover in respect of the adult.
 (4) Subsection (3) does not prevent this section applying again in respect of any later 10 year period.
 (5) In subsection (1):
old Schedule 2 means Schedule 2 to the National Health Act 1953 as in force before 1 April 2007.

34‑15  Meaning of hospital cover
 (1) Hospital cover is so much of a *complying health insurance policy as *covers *hospital treatment. An *adult has hospital cover if he or she is insured under a complying health insurance policy that covers hospital treatment.
 (2) An *adult is taken to have *hospital cover:
 (a) at any time during which the adult was covered by an *applicable benefits arrangement; or
 (b) at any time during which the adult holds a *gold card; or
 (c) at any time during which the adult is in a class of adults specified in the Private Health Insurance (Lifetime Health Cover) Rules for the purposes of this paragraph.
 (3) In this section:
gold card means a card that evidences a person's entitlement to be provided with treatment:
 (a) in accordance with the Treatment Principles prepared under section 90 of the Veterans' Entitlements Act 1986; or
 (b) in accordance with a determination made under section 286 of the Military Rehabilitation and Compensation Act 2004 in respect of the provision of treatment.

34‑20  Meaning of permitted days without hospital cover
 (1) Any of the following days that occur after an *adult ceases, for the first time after his or her *lifetime health cover base day, to have *hospital cover are permitted days without hospital cover in respect of that adult:
 (a) days on which the cover was suspended by the private health insurer in accordance with the rules for suspensions set out in the Private Health Insurance (Lifetime Health Cover) Rules;
 (b) days (not counting days covered by paragraph (a)) on which the adult is *overseas that form part of a continuous period overseas of more than one year;
 (c) the first 1,094 days (not counting days covered by paragraph (a) or (b)) on which the adult did not have hospital cover.
 (2) The Private Health Insurance (Lifetime Health Cover) Rules may specify days that, despite subsection (1), are taken not to be *permitted days without hospital cover.

34‑25  Meaning of lifetime health cover base day

General rule: 1 July after person turns 31
 (1) Subject to subsections (2), (3), (4) and (4A), a person's lifetime health cover base day is the 1 July after the person turns 31.
Note: See also section 37‑5.

Person who had lifetime health cover base day on or before 30 June 2010
 (2) If a person had a lifetime health cover base day on