Document ID: chunk:federal_register_of_legislation:F2024L00144:reg:65:p37
Version: federal_register_of_legislation:F2024L00144
Segment Type: reg
Provision Reference: reg 65 (pt 37/38)
Character Range: 153307–159809

over all categories.

Amount charged % of MBS  Is the total amount charged in the category divided by the Medicare benefit schedule (MBS) fee. This is calculated as:

                         Note: that the Medicare benefit is 75% of the schedule fee.

Index

—%—
% of services.........................41

—2—
2 + persons, no adults.....................22

—3—
3 + adults...........................22

—A—
Aboriginal Health Workers..................34
ABP..............................28
ABP table...........................29
adult..............................20
Age Based Pool........................28
Allied Health Services.....................33
Amount charged........................41
Amount charged % of MBS..................42
Audiologists..........................34

—B—
Benefits Paid Chronic Disease Management Program....27
Benefits Paid General Treatment...............27
Benefits Paid Hospital Benefits................27

—C—
CDMP...........................25, 32
Chiropractors.........................34
Chronic Disease Management Program..........25, 32
Coordination..........................33
couple.............................22
Cover.............................20
Coverage requirements....................20

—D—
Day Hospital Facilities....................27
Day Only...........................27
Days - Hospital Treatment..................27
Days - Hospital-substitute Treatment.............27
dependent child........................20
Diabetes Educators......................35
Dietitians...........................35
Discontinued.........................25

—E—
Eligible Benefits........................31
End of quarter.........................25
Episode/s...........................26
Excess & Co-payments....................22
Excess/Co-Payments.....................31
Exclusionary Policies.....................23
Exercise Physiologists.....................35

—F—
family.............................22
Fees Charged.........................31
Fees excluding Medicare benefit...............30
Full Cover...........................31
Fund Benefit..........................41

—G—
Gap..............................41
General Treatment.....................26, 36
Accidental Death/Funeral Expenses.37
Acupuncture/Acupressure.........37
Ambulance.....................37
Chiropractic....................37
Community, Home, District Nursing.37
Dental.........................37
Dietetics.......................37
Domestic Assistance.............37
Ex gratia Payments..............37
Hearing Aids and Audiology.......37
Hypnotherapy...................37
Maternity Services...............37
Natural Therapies................38
Occupational Therapy............38
Optical........................38
Orthoptics (Eye Therapy).........38
Osteopathic Services.............38
Overseas.......................38
Pharmacy......................38
Physiotherapy...................38
Podiatry (Chiropody).............38
Preventative health products/Health management programs 37
Medical devices or human tissue products, Aids and Appliances 38
Psych/Group Therapy............38
School........................38
Sickness and Accident............39
Speech Therapy.................39
Theatre Fees....................39
Travel and Accommodation........39
General Treatment Ambulance Only Policies.........26
General Treatment claims processing.............32
General Treatment Only Policies...............26
Gross Benefit.........................29

—H—
HCCP.............................29
HCCP Claimants.......................30
HCCP Net Benefits......................30
HCCP Threshold.......................30
High Cost Claims Pool....................29
holder.............................21
Hospital and General Treatment Combined..........26
Hospital Treatment......................25
Hospital Treatment Only Policies...............26
Hospital-substitute Treatment.................25
Hospital-Substitute Treatment.................28

—I—
Incomplete episode......................27
Ineligible Benefits.....................28, 31
Insured Persons........................21

—K—
Known Gap agreement....................41

—L—
leave days...........................27
leave periods..........................27
Lifetime Health Cover.....................39
base rate.......................40
Certified age of entry.............40
cover age......................40
Loading.......................40
Loading removed................40

—M—
Medical benefits........................28
Medicare benefit........................41
Mental Health Workers....................35

—N—
New Policies/persons.....................24
No Agreement.........................41
No Excess & Co-payments..................23
No Gap Agreement......................40
No of Services.........................41
Non-Exclusionary Policies..................23
Nursing Home Type Patients.................28

—O—
Occupational Therapists....................35
Osteopaths...........................36
Overnight...........................28

—P—
Physiotherapists........................36
Planning............................33
Podiatrists/Chiropodists....................36
Policies............................21
Policy Holder.........................21
private health insurance policy................21
Private Hospitals.......................27
Medical devices or human tissue products Benefits.....28
Psychologists.........................36
Psychologists, occupational therapists and Aboriginal health workers 35
Public Hospitals........................27

—R—
Reduced cover.........................32
Retention index - Hospital Treatment policy holders.....32
Risk Equalisation Levy....................30
Risk Factors for chronic disease................34

—S—
SEU/s.............................21
single.............................22
single equivalent unit/s....................21
single parent..........................22
Some Lifetime Exclusions..................32
Speech Pathologists......................36
Start of quarter.........................23

—T—
Transferring from another Fund................24
Transferring from another policy...............24
Transferring from another state................24
Transferring to another policy.................24
Transferring to another state.................24
Treatment greater than one day................28

    [1]          The information required by this reporting standard in relation to Norfolk Island residents must be reported in the reporting form for NSW.
    [2]  For