Document ID: chunk:federal_register_of_legislation:F2024L00144:reg:65:p14
Version: federal_register_of_legislation:F2024L00144
Segment Type: reg
Provision Reference: reg 65 (pt 14/38)
Character Range: 77316–80117

the program is deemed to have commenced, should be taken as the date on which benefits were first paid for under the program.

       (b)          The number of programs does not refer to the particular programs offered by the health insurer, but refers to the number of persons participating in a program.

       (c)          If a member participates in more than one program, each program they participate in is counted.

    32.         Benefits and fees charged are recorded in the quarter in which they are paid.

Part 9 Benefits Paid for General Treatment

The data in this part is to be reported as cumulative totals over the quarter being reported.

    33.         Report the number of services, benefits paid and fees charged for General Treatment excluding Hospital-Substitute Treatment and CDMP.

    34.  Include, for example, payments for ambulance, ex-gratia payments and payment for travel in this part under General Treatment. Do not include them as "ineligible hospital benefits".

       (a)          Services benefits and fees on behalf of a person with Hospital-linked Ambulance Treatment should be included in this part, even in those cases where the person is not included in Part 6.

       (b)          Note that health management programs are reported in each quarter that benefits are paid for the program. The commencement date of the program, and thus the first quarter in which the program is deemed to have commenced, should be taken as the date on which benefits were first paid for under the program. Note that the program would be deemed to be ceased in the case where the participant leaves the program (for example, by choice or other reason such as death). Note that number of programs does not refer to the particular programs offered by the health insurer, but refers to the number of persons participating in a program. If a member participates in more than one program, each program they participate in is counted.

       (c)          Programs that are similar to, but do not satisfy the criteria for, CDMPs should be reported under Part 9 General Treatment.

Part 10 Lifetime Health Cover

The data in this part is to be reported as at the end of the quarter being reported.

    35.         Report the number of adults with hospital cover by gender at their Lifetime Health Cover certified age at entry.

    36.         The fields in the columns heading "loading removed" should all have zero reported until 2010. Loadings removed in any other circumstances should not be reported. Report the number of adults with 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