Document ID: chunk:federal_register_of_legislation:F2025C00117:body:0:p5
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or charges incurred in respect of that hospital treatment.

      (2) In respect of treatment referred to in rule 5 of this Part, the amount of benefit payable by the insurer in respect of hospital treatment for a nursing‑home type patient (as set out in Schedule 4) will not exceed an amount equal to the fees or charges incurred in respect of that hospital treatment less the amount of the patient contribution in relation to the patient for each day on which the patient was a patient in the hospital.

Schedule 1―Overnight accommodation:  private hospitals in all States/Territories and shared ward accommodation at public hospitals in Victoria and Tasmania

Part 1 General

1. Circumstances

     For rules 4 and 5 of Part 2 of these Rules, the circumstances specified for hospital treatment to which this Schedule applies are that the treatment is:
            (a) provided to a patient who is not a nursing‑home type patient; and
            (b) provided to a patient:
                (i) at a private hospital; or
                (ii) as shared ward accommodation at a public hospital in Victoria or Tasmania; and

           Note: The definition of hospital treatment in section 121‑5 of the Act includes that the treatment is provided either at the hospital or provided or arranged with the direct involvement of a hospital.  This Schedule sets out benefit requirements only for treatment provided at the relevant hospital ― see paragraph 121‑5(1)(c) of the Act.
            (c) provided for the purpose of permitting the provision to the patient of hospital treatment that is:
                (i) a Type A procedure; and
                (ii) for a period that includes part of an overnight stay.

                Note: A Type A procedure is defined to include a certified Type B procedure and a certified overnight Type C procedure―see the definitions of those terms in rule 3 of Part 1 of these Rules.

2. Minimum benefit

      (1) The minimum benefit for hospital treatment provided in the circumstances specified in this Schedule is the amount set out in the tables in this Schedule for that hospital treatment.

      (2) When counting the days referred to in the tables in this Schedule to determine the minimum benefit in respect of any particular patient, days forming part of a continuous period of hospitalisation are to be counted.

Table 1‑Overnight accommodation for private patients at private hospitals in all States/Territories
Column 1                                                                                             Column 2
Class of patient                                                                                     Minimum benefit payable per night
Advanced surgical patient
‑ first 14 days                                                                                      $527
‑ over 14 days                                                                                       $367
Surgical patient or obstetric patient
‑ first 14 days                                                                                      $489
‑ over 14 days                                                                                       $367
Psychiatric patient
‑ first 42 days                                                                                      $489
‑ 43 – 65 days                                                                                       $425
‑ over 65 days                                                                                       $367
Rehabilitation patient
‑ first 49 days                                                                                      $489
‑ 50