Document ID: chunk:federal_register_of_legislation:F2024C00561:body:0:p7
Version: federal_register_of_legislation:F2024C00561
Segment Type: other
Provision Reference: 
Character Range: 16160–18975

patient within the meaning of that word in paragraph (b) of the definition of 'patient' in subsection 3 (1) of the Health Insurance Act 1973; and
                Note: 'Patient' as used in paragraph (b) of the definition of 'patient' in subsection 3 (1) of the Health Insurance Act 1973 does not include a newly‑born child whose mother also occupies a bed in the hospital except in certain specified circumstances.
(d) treatment which is part of a chronic disease management program that is intended to delay the onset of chronic disease for a person with identified multiple risk factors for chronic disease; and
                Note: Paragraph (d) does not refer to a chronic disease management program that is intended to prevent the onset of chronic disease for a person with identified multiple risk factors for chronic disease as hospital treatment is treatment intended to manage a disease, injury or condition and does not cover prevention―see the meaning of hospital treatment in subsection 121‑5 (1) of the Act. Treatment intended to prevent a disease may be general treatment―see subsection 121‑10 (1) of the Act.
(e) excluded natural therapy treatment.

     9. General treatment―included treatment
Ambulance services associated with the provision of treatment to an insured person are specified for the purposes of subsection 121‑10 (2) of the Act.

     10. General treatment―services for which medicare benefit is payable
For paragraph 121‑10 (3) (a) of the Act, the following classes of services for which medicare benefit is payable are general treatment:
(a) the professional medical therapeutic services identified in Groups T1 to T11 of the general medical services table that are:
(i) items in the table without the symbol (H); or
(ii) not stated in the item to be services that are to be performed in a hospital for the medicare benefit to be payable; and
(b) oral and maxillofacial services set out in Groups O1 to O11 of the general medical services table that are:
(i) items in the table without the symbol (H); or
(ii) not stated in the item to be services that are to be performed in a hospital for the medicare benefit to be payable; and
(c) the associated services in the:
(i) pathology services table; and
(ii) diagnostic imaging services table,
that are integral to the provision of the services specified in paragraphs (a) and (b),
but only when any of the services in the above classes are provided as part of hospital‑substitute treatment.
           Note 1: The effect of this rule is to provide for the above treatments or services that are eligible for a medicare benefit to come within the definition of hospital‑substitute treatment.
           Note 2: Private health insurers cannot cover, as part of general treatment (including hospital‑substitute treatment) professional