Document ID: chunk:federal_register_of_legislation:F2025C00117:body:0:p14
Version: federal_register_of_legislation:F2025C00117
Segment Type: other
Provision Reference: 
Character Range: 38550–41613

hospital who is admitted for the purposes of undertaking a specific rehabilitation treatment program that is deemed by the insurer to be relevant and appropriate for the treatment of the patient's disease, injury or condition.

           Note: If a patient is receiving rehabilitation treatment that is not under a specific rehabilitation treatment program, the patient is taken to be in the category of 'other patient'.

9. Other patient

      (1) In this Schedule, other patient is deemed to be a patient at a hospital who is receiving any treatment that involves part of an overnight stay, but who is not:
            (a) an advanced surgical patient;
            (b) a surgical patient;
            (c) an obstetric patient;
            (d) a psychiatric patient; or
            (e) a rehabilitation patient.

           Note: A patient receiving hospital treatment that is palliative care as described in item 1 of the table in subsection 72‑1(2) of the Act is deemed to be in the category of 'other patient'.

     Part 3 Certified Type B procedures and certified overnight Type C procedures

10. Certified Type B procedures

      (1) Minimum benefits for overnight accommodation are payable for patients receiving a Type B procedure only if certification under subclause (2) is provided.

      (2) Certification must be provided as follows:
            (a) the practitioner providing the Type B procedure; or
            (b) a professional employed by a hospital who is involved in the provision of the procedure provided by that hospital,
      must certify in writing that:
            (c) because of the medical condition of the patient specified in the certificate; or
            (d) because of the special circumstances specified in the certificate,

     it would be contrary to accepted medical practice to provide the procedure to the patient unless the patient is given hospital treatment at the hospital for a period that includes part of an overnight stay.

11. Certified overnight Type C procedures

      (1) Minimum benefits for overnight accommodation are payable for patients receiving a certified Type C procedure only if:
            (a) certification has first been provided for the Type C procedure in accordance with clause 7 of Schedule 3; and
            (b) certification under subclause (2) is also provided.

      (2) Certification must be provided as follows the practitioner providing the certified Type C procedure must certify in writing that:
            (a) because of the medical condition of the patient specified in the certificate; or
            (b) because of the special circumstances specified in the certificate,

     it would be contrary to accepted medical practice to provide the procedure to the patient unless the patient is given hospital treatment at the hospital for a period that includes part of an overnight stay.

Schedule 2 ‑ Overnight shared ward accommodation for private patients at public hospitals in the Australian Capital Territory, New South Wales, Northern Territory, Queensland, South