Document ID: chunk:federal_register_of_legislation:F2025C00160:reg:3:p115
Version: federal_register_of_legislation:F2025C00160
Segment Type: reg
Provision Reference: reg 3 (pt 115/293)
Character Range: 2292760–2300316

a.                                                                                                                                                                          Section 8.9.7, Reimbursable items – Specialists, allied health services and related products.
    b.                                                                                                                                                                          Section 8.9.7A, Reimbursable items – Nicotine dependency reduction.
    c.                                                                                                                                                                          Section 8.9.7B, Reimbursable items – Ambulance cover.
    d.                                                                                                                                                                          Section 8.9.7C, Reimbursable items – Healthy eating programs.
    e.                                                                                                                                                                          Section 8.9.7D, Reimbursable items – Physical activity.
    f.                                                                                                                                                                          Section 8.9.7E, Reimbursable items – Cancer screening and prevention.
2.  A benefit under this section may be transferred to another eligible dependant of the member.
3.  Costs incurred for admissions, stays and accommodation in hospitals or institutional settings are not reimbursable.

8.9.7 Reimbursable items – Specialists, allied health services and related products

1.  For the purpose of section 8.9.6A, out-of-pocket expenses relating to the following services or products provided to an eligible dependant are reimbursable.
    a.                                                                                                                                                            Consultation with a specialist if the service provided has a Medicare benefit item number.
    b.                                                                                                                                                            Medically prescribed appliances.
    c.                                                                                                                                                            Remedial massage services by a provider registered with the Australian Regional Health Group.
    d.                                                                                                                                                            An allied health service.
    e.                                                                                                                                                            Any vaccinations provided by a chemist or other non-general practice provider.
    f.                                                                                                                                                            Pharmaceuticals that are not subsidised under the Pharmaceutical Benefits Scheme.
2.  Despite subsection 1, a reimbursement cannot be made for a service that is cosmetic.

8.9.7A Reimbursable items – Nicotine dependency reduction

   For the purpose of section 8.9.6A, out-of-pocket expenses relating to the following services or products provided to an eligible dependant are reimbursable.
   a.                                                                                                                                                            Nicotine replacement therapy.
   b.                                                                                                                                                            Any of the following community based programs to reduce tobacco use and nicotine addiction.
                                                                                                                                                                 i.                                                                                           Smokenders.
                                                                                                                                                                 ii.                                                                                          Allan Carr's Easyway.

8.9.7B Reimbursable items – Ambulance cover

   For the purpose of section 8.9.6A, the cost of ambulance cover that is not a part of a private health insurance hospital or extras policy for an eligible dependant is reimbursable.

   Note: Any expenses for an ambulance service that are not provided under the ambulance cover are not reimbursable under this Part.

8.9.7C Reimbursable items – Healthy eating programs

1.  For the purpose of section 8.9.6A, out‑of‑pocket expenses relating to the following services provided to an eligible dependant are reimbursable.
    a.                                                                                                                                                Dietitian‑led program subscriptions.
    b.                                                                                                                                                National Healthy Eating Activity and Lifestyle Program.
    c.                                                                                                                                                CSIRO program lead by a total wellbeing health coach.
    d.                                                                                                                                                Option 3 of the self-funded healthy weight for life solutions program provided by Healthy Weight for Life.
2.  Out-of-pocket expenses in this section do not include the cost of food.

8.9.7D Reimbursable items – Memberships and fitness classes

   For the purpose of section 8.9.6A, out-of-pocket expenses relating to the following services provided to an eligible dependant by a provider with a registered Australian Business Number are reimbursable.
   a.                                                                                                                                                                                                           Gym membership.
   b.                                                                                                                                                                                                           Fitness Passport membership.
   c.                                                                                                                                                                                                           Swimming pool membership.
   d.                                                                                                                                                                                                           Any of the following classes.
                                                                                                                                                                                                                i.                             Aqua fitness classes.