Document ID: chunk:federal_register_of_legislation:F2022L00095:clause:2_1:p2
Version: federal_register_of_legislation:F2022L00095
Segment Type: clause
Provision Reference: sch 2 cl 1 (pt 2/2)
Character Range: 9269–12013

must meet one of the following.
    a.                                                                                                                                                               If the claimant is eligible for Medicare — the service has a Medicare benefit item number.
    b.                                                                                                                                                               If the claimant is not eligible for Medicare — it is reasonable to expect a Medicare rebate for the service would be payable if they were eligible for Medicare.

8.9.7    Reimbursement – specialists and allied health
1.  A claimant is eligible to be reimbursed up to $400 for each of their eligible dependants in a financial year.
2.  Reimbursement under this section is limited to an out of pocket expense incurred in relation to any of the following provided to an eligible dependant.
    a.                                                                                                                                                       Consultation with a specialist if the service provided has a Medicare benefit item number.
    b.                                                                                                                                                       Medically prescribed appliances.
    c.                                                                                                                                                       Remedial massage services by a provider registered with the Australian Regional Health Group.
    d.                                                                                                                                                       An allied health service.
3.  Despite subsection 2, a claimant is not eligible to be reimbursed for services if any of the following apply.
    a.                                                                                                                                                       The service attracts GST.
    b.                                                                                                                                                       The service are cosmetic.
4.  A benefit under this section may be transferred to another eligible dependant of the member.
5.  Costs incurred for admissions, stays and accommodation in hospitals or institutional settings are not reimbursable.

8.9.8    Continuation of benefits following the death of a member
   A claimant continues to be eligible for a reimbursement under section 8.9.6 or section 8.9.7 for 12 months after the death of the member of the eligible dependant.