Document ID: chunk:federal_register_of_legislation:F2024C00744:front:0:p50
Version: federal_register_of_legislation:F2024C00744
Segment Type: other
Provision Reference: 
Character Range: 133485–136304

financial responsibility for dental treatment after a person is no longer eligible.

5.2A  Disqualified Dental Practitioners

5.2A.1 The Commission is not to accept financial responsibility for the cost of a dental service provided to an entitled person by, or on behalf of, a dental prosthetist, dentist or a dental specialist if, at the time the service was provided, a medicare benefit would not have been payable in respect of the service under section 19B of the Health Insurance Act 1973 (in force from time to time) if the dental prosthetist, dentist or dental specialist had provided the service as a practitioner under that Act.

5.3 Eligibility
5.3.1 Subject to these Principles, an entitled person who holds a Gold Card, White Card or written authorisation issued on behalf of the Commission, may be provided with dental services at the expense of the Commission.

5.3.2 A person who holds a Gold Card and who is not a former prisoner of war will be provided with the following dental services:

    (a) for treatment of an injury or disease that is not war‑caused:

              (i) the dental services listed in Schedules A, B and C of the DVA document entitled "Fee Schedule of Dental Services for Dentists and Dental Specialists", referred to in Schedule 1 — on condition the services are provided in accordance with those Schedules;

      Note: Schedule C imposes an annual monetary limit.

              (ii) the dental services listed in the DVA document entitled "Fee Schedule of Dental Services for Dental Prosthetists", referred to in Schedule 1 — on condition the services are provided in accordance with that Schedule.

         (b) for treatment of a war‑caused injury or war‑caused disease or malignant neoplasia:

              (i) the dental services listed in Schedules A, B and C of the DVA document entitled "Fee Schedule of Dental Services for Dentists and Dental Specialists", referred to in Schedule 1 — on condition the services are provided in accordance with those Schedules (but without the annual monetary limit in the Schedule C);

              (ii) the dental services listed in the DVA document entitled "Fee Schedule of Dental Services for Dental Prosthetists", referred to in Schedule 1 — on condition the services are provided in accordance with that Schedule.

5.3.3 A person who holds a Gold Card and who is a former prisoner of war will be provided with the following dental services:

              (a) the dental services listed in Schedules A, B and C of the DVA document entitled "Fee Schedule of Dental Services for Dentists and Dental Specialists", referred to in Schedule 1 — on condition the services are provided in accordance with those Schedules (but without the annual monetary limit in the Schedule C);

              (b) the dental services listed in the