Document ID: chunk:federal_register_of_legislation:F2024C00744:front:0:p48
Version: federal_register_of_legislation:F2024C00744
Segment Type: other
Provision Reference: 
Character Range: 128098–131086

is equivalent to the charge that would be applicable under the Medicare Benefits Schedule for that procedure; or

(b) examination for a medical certificate for life assurance purposes; or

(c) examination for a medical certificate for membership of a friendly society; or

(d) examination for employment purposes; or

(e) multi‑phasic screening; or

(f) services where the cost is otherwise recoverable wholly or partly, by way of a legal claim; or

         (g) services that have been paid for, wholly or partly, by the Department of Human Services, as a medicare benefit, or by a health insurance fund; or

         (ga) diabetes educator services under this Part that may be provided under Part 7 (Treatment Generally From Other Health Providers); or

         (k) vaccination for an entitled person who proposes to travel outside Australia, unless:

         (i) the person is the holder of a Gold Card; and

              (ii) the person is in Australia at the time the vaccination is provided; and

              (iii) the vaccination is provided to the person under the Repatriation Pharmaceutical Benefits Scheme.

    Note 1: a vaccination is not treatment of an injury or disease.  It is preventive treatment.  Normally an entitled person under the Act is only eligible for treatment of an injury or disease.  Eligibility for preventive treatment such as a vaccination is granted by a determination under s.88A of the Act – in this case the Veterans' Entitlements (Vaccinations for Overseas Travel) Eligibility Determination 2010.

    Note 2: an approved medical practitioner is also a Community Pharmacist under the Repatriation Pharmaceutical Benefits Scheme.

PART 5 — DENTAL TREATMENT

5.1 Providers of services
5.1.1 The Commission may accept financial responsibility for dental treatment provided to an entitled person by a dental prosthetist, dentist or dental specialist where the treatment is provided in accordance with these Principles and in accordance with the Notes for Allied Health Providers (Section 1 General Information and Section 2(c)(as section 2(c) affects a dental prosthetist, dentist or dental specialist, as the case may be)).

5.1.1A For paragraph 5.1.1, dental treatment provided by a dentist or dental specialist includes dental treatment provided by a dental hygienist, dental therapist or oral health therapist on behalf of the dentist or dental specialist, as the case may be.

5.1.2  The Commission will accept financial responsibility for dental treatment provided to an entitled person in a Tier 1 Hospital or Contracted Day Procedure Centre without the need for prior approval.

    Note: the Notes for Allied Health Providers, the "Fee Schedule of Dental Services for Dentists and Dental Specialists" and the "Fee Schedule of Dental Services for Dental Prosthetists", as incorporated‑by‑reference into the Principles, could be relevant to dental treatment provided to an entitled person in a hospital.

5.1.2A Except in an emergency, the