Document ID: chunk:federal_register_of_legislation:C2025C00097:section:4
Version: federal_register_of_legislation:C2025C00097
Segment Type: section
Provision Reference: s 4
Character Range: 81609–84025

4                                                                      (a) *hospital treatment *covered under the policy; and                                                                                                                                                                                                                                                                 (a) at least the amount set out, or worked out using the method set out, in the Private Health Insurance (Medical Devices and Human Tissue Products) Rules as the minimum benefit, or method for working out the minimum benefit, for the medical device or human tissue product; and
                                                                       (b) if the policy covers *hospital‑substitute treatment—hospital‑substitute treatment covered under the policy;                                                                                                                                                                                                        (b) if the Private Health Insurance (Medical Devices and Human Tissue Products) Rules set out an amount, or a method for working out an amount, as the maximum benefit, or method for working out the maximum benefit, for the medical device or human tissue product—no more than that amount or the amount worked out using that method.
                                                                       that is the provision of a *medical device or *human tissue product, of a kind listed in the Private Health Insurance (Medical Devices and Human Tissue Products) Rules, as described in either of the following paragraphs:
                                                                       (c) the medical device or human tissue product is provided in circumstances in which a *medicare benefit is payable, and, if those Rules set out conditions that must be satisfied in relation to the provision of the medical device or human tissue product in those circumstances, those conditions are satisfied;
                                                                       (d) the medical device or human tissue product is provided in other circumstances set out in those Rules, and, if those Rules set out conditions that must be satisfied in relation to the provision of the medical device or human tissue product in those circumstances, those conditions are satisfied.