Document ID: chunk:federal_register_of_legislation:F2024C00800:front:0:p43
Version: federal_register_of_legislation:F2024C00800
Segment Type: other
Provision Reference: 
Character Range: 114870–117763

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 Entitlement
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 will be provided with the following dental services:

         (a) for treatment of an injury or disease that is not a service injury or a service disease:

              (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 service injury or service disease:

              (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 White Card is entitled to dental treatment of a service injury or service disease and will be provided with:

              (a) the dental services listed in 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 that Schedule; and

         Note: Schedule C of the Fee Schedule imposes an annual monetary limit.

              (b) 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.

5.4 Emergency dental treatment
5.4.1 Prior Approval is not necessary for emergency dental treatment provided to an entitled person where the treatment is provided in accordance with:

    (a) the Principles;
         (b) the "Fee Schedule of Dental Services for Dentists and Dental Specialists", referred to in Schedule 1;
         (c) the "Fee Schedule of Dental Services