Commonwealth Consolidated Acts

HEALTH INSURANCE ACT 1973 - SECT 10AB

  (1)   Where:

  (a)   a family is registered; and

  (b)   a person becomes a family member after it is so registered; and

  (c)   the family's registration is varied by the addition of the new family member;

then:

  (d)   claims in respect of his or her medical expenses incurred during the calendar year in which the registration is varied but before the variation may be taken into account for the purposes of section   10AC or 10ACA as if the person had, at all times during that year, been a member of the registered family; but

  (e)   increased benefits are not payable under that section in relation to medical expenses that are incurred in respect of that person or any other family member and in respect of which benefit has already been paid.

  (2)   Where:

  (a)   a family is registered; and

  (b)   a person ceases to be a family member after it is so registered; and

  (c)   the family's registration is varied by the deletion of the person; and

  (d)   the family members (including the person referred to in paragraph   (b)) have not, at the time of the variation, become entitled under section   10AC or 10ACA to increased benefits in respect of medical expenses incurred in the calendar year in which the variation is made;

claims in respect of his or her medical expenses incurred during that year may be dealt with separately under sections   10AD and 10ADA, or, if the person becomes a member of another registered family, dealt with under sections   10AC and 10ACA.

  (3)   Where:

  (a)   a family is registered; and

  (b)   the family members become entitled under section   10AC or 10ACA to increased benefits in respect of medical expenses incurred in a year; and

  (c)   a person ceases to be a family member after the family members become so entitled and during that year; and

  (d)   the family's registration is varied by the deletion of the person;

then:

  (e)   claims in respect of his or her medical expenses incurred at any time during that year are to be dealt with under sections   10AC and 10ACA, as if he or she had remained a family member throughout the year; and

  (f)   despite any other provision of this Act and despite the variation, the person is not entitled to be treated as a member of another registered family during the year.