Document ID: chunk:federal_register_of_legislation:F2018L00257:front:0:p1
Version: federal_register_of_legislation:F2018L00257
Segment Type: other
Provision Reference: 
Character Range: 0–2846

Health Insurance (Permitted benefits — diagnostic imaging services) Determination 2018
Health Insurance Act 1973

I, Celia Street, delegate of the Minister for Health, make this Determination under section 23DZZIG of the Health Insurance Act 1973.

Dated 13 March 2018

CELIA STREET
Assistant Secretary
Diagnostic Imaging and Pathology Branch
Medical Benefits Division
Department of Health

1 Name
  This Determination is the Health Insurance (Permitted benefits — diagnostic imaging services) Determination 2018.
2 Commencement
  This Determination commences on the day after it is registered.
3 Authority
 This Determination is made under section 23DZZIG of the Health Insurance Act 1973.
4 Definitions
  In this Determination:
Act means the Health Insurance Act 1973.
Note:   Diagnostic imaging equipment, diagnostic imaging service, hospital and specialist are defined in subsection 3(1) of the Act. Provider, requester and connected are defined in subsection 23DZZID(1) of the Act.
5 Repeal
 The Health Insurance (Permitted benefits – diagnostic imaging services) Determination 2008 is repealed.
6 Permitted benefits for diagnostic imaging services

 (1) For section 23DZZIG of the Act, a benefit mentioned in Schedule 1 is a class of permitted benefit if:
 (a) a beneficiary who is, or is connected to, a requester of a kind of diagnostic imaging service, asks for, or accepts, the benefit from a provider, or a person connected to a provider, of a kind of diagnostic imaging service; or
 (b) a provider, or a person connected to a provider, of a kind of diagnostic imaging service offers or provides the benefit to a beneficiary who is, or is connected to, a requester of a kind of diagnostic imaging service.

 (2) However, a benefit is not a permitted benefit if:
 (a) it is related to the number, kind or value of requests for diagnostic imaging services made by a requester to a particular provider; or
 (b) taken with other benefits of the same kind, it exceeds the number that would usually be needed by the beneficiary's practice.
Schedule 1 Classes of permitted benefits
(section 6)

      1 Items related to diagnostic imaging that help the requester to read film or images, or to make requests for the rendering of services relating to diagnostic imaging, if:
 (a) they do not have the effect of preventing the requester from reading film or images produced by a provider other than the provider of the benefit or making requests for the rendering of services relating to diagnostic imaging to a provider other than the provider of the benefit; and
 (b) one of the following applies:
             (i) they can only be used for purposes connected with diagnostic imaging;
             (ii) if an item has more than 1 use — it has special features that help the requester to request the rendering of diagnostic imaging