Document ID: chunk:federal_register_of_legislation:C2025C00097:section:3:p16
Version: federal_register_of_legislation:C2025C00097
Segment Type: section
Provision Reference: s 3 (pt 16/18)
Character Range: 72279–75252

amount or amounts, the Minister must table the Minister's reasons for refusal in each House of the Parliament no later than 15 sitting days of that House after the refusal.
 (7) An instrument made under subsection (3) is not a legislative instrument.

66‑15  Entitlement to benefits for general treatment
  Neither:
 (a) the community rating principle in section 55‑5; nor
 (b) the community rating requirement in paragraph 66‑1(1)(b);
prevents a private health insurer from determining a person's entitlement under a *complying health insurance policy to a benefit for *general treatment (other than *hospital‑substitute treatment) in respect of a period by having regard to the amount of benefits for that kind of treatment already claimed for the person in respect of the period.

66‑20  Different amount of benefits depending on where people live
  Neither:
 (a) the community rating principle in section 55‑5; nor
 (b) the community rating requirements in section 66‑1;
prevents the amount of a benefit for a treatment under a *complying health insurance policy from being different from the amount of a benefit for the same treatment under another policy that is in the same *product, if the difference is only because the persons insured under the policies live in different *risk equalisation jurisdictions.

66‑25  Different amounts of benefits for travel or accommodation
  Neither:
 (a) the community rating principle in section 55‑5; nor
 (b) the community rating requirements in section 66‑1;
prevents a private health insurer from determining a person's entitlement under a *complying health insurance policy to a benefit for travel or accommodation in respect of *hospital treatment or *general treatment based on the distance between the person's principal place of residence and the facility where treatment is provided.

Division 69—Coverage requirements

69‑1  Coverage requirements
 (1) An insurance policy meets the coverage requirements in this Division if:
 (a) the only treatments the policy *covers are:
 (i) specified treatments that are *hospital treatment; or
 (ii) specified treatments that are hospital treatment and specified treatments that are *general treatment; or
 (iii) specified treatments that are general treatment but none that are hospital‑substitute treatment; and
 (b) if the policy provides a benefit for anything else—the provision of the benefit is authorised by the Private Health Insurance (Complying Product) Rules.
 (2) Despite paragraph (1)(a), the policy must also *cover any treatment that a policy of its kind is required by the Private Health Insurance (Complying Product) Rules to cover.
 (3) Despite paragraph (1)(a), the policy must not *cover any treatment that a policy of its kind is not allowed under the Private Health Insurance (Complying Product) Rules to cover.

69‑5  Meaning of cover
 (1) An insurance policy covers a treatment if, under the policy, the insurer undertakes liability in respect of some or