Document ID: chunk:federal_register_of_legislation:F2024L00144:reg:65:p15
Version: federal_register_of_legislation:F2024L00144
Segment Type: reg
Provision Reference: reg 65 (pt 15/38)
Character Range: 79877–82581

hospital cover by gender at their certified age at entry that have the loading removed. The loading is removed if the adult has held cover:

       (a)          for a continuous period of 10 years; or

       (b)          for a period of 10 years that has been interrupted only by permitted days without hospital cover or periods during which the adult was taken to have had hospital cover otherwise than because of paragraph 34-15(2)(a) of the Private Health Insurance Act 2007 (none of which count towards the 10 years).

    37.         Instructions for completing the HRF 601.1 when an adult has their loading removed.

    When an adult paying a loading has had ten continuous years paying the loading and the loading has been removed, that person should be shown as having the loading removed in the quarter in which that occurs. In subsequent quarters, they should be reported as having a certified age at entry of 30.

    The following describes the HRF 601.1 reporting requirements with an example using a fictitious female who is initially paying a loading of 4 per cent.

         * Initially the health insurer has no adults who have paid the LHC loading for ten years. All adult persons are reported in the first two columns, signifying they are paying a loading or their certified age at entry is 30 and they do not incur a loading.

         * In the quarter in which the loading is removed, the person should be reported in the column under "Male LHC loading removed" or "Female LHC loading removed" in the row corresponding to the loading they were previously paying. They should not also be reported in the row corresponding to a certified age at entry of 30 with no loading. There should be no double counting.

         * In the quarter after the quarter in which the loading is removed the person should be reported in one of the first two columns, "Male" or "Female", in the certified age at entry of 30 row.

         * If a person ceases to have hospital cover after their loading is removed, for more than the prescribed "Permitted days without hospital cover" as defined in section 34-20 of the Private Health Insurance Act 2007, and they take up hospital insurance again they should be reported in one of the first two columns "Male" or "Female", in the certified age at entry row corresponding to the loading they incur on rejoining.

Part 11 Total Hospital Treatment Medical Services Statistics

The data in this part is to be reported as cumulative totals over the quarter being reported. Report Medical Services Statistics for hospital-substitute treatment where the treatment includes professional services for which a Medicare benefit is payable as outlined in Private