Commonwealth Consolidated Acts

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PRIVATE HEALTH INSURANCE ACT 2007 - SECT 75.1

Waiting period requirements

  (1)   An insurance policy meets the waiting period requirements in this Division if the * waiting period that applies to a person who did not * transfer to the policy is no longer than:

  (a)   for a benefit for * hospital treatment or * hospital - substitute treatment that is obstetric treatment or treatment for a * pre - existing condition (other than treatment covered by paragraph   (b))--12 months; and

  (b)   for a benefit for hospital treatment or hospital - substitute treatment that is psychiatric care, rehabilitation or palliative care (whether or not for a pre - existing condition)--2 months; and

  (c)   for any other benefit for hospital treatment or hospital - substitute treatment--2 months.

  (2)   The Private Health Insurance (Complying Product) Rules may modify the requirements in subsection   (1) in relation to all or particular kinds of private health insurers, benefits or insured persons. To the extent the Rules do so, the waiting period requirements in this Division are taken to be met if the conditions in the Rules are met.

Note:   If a private health insurer provides an insured person with, or arranges for an insured person to be provided with, treatment, it is treated as a benefit for the purposes of this Division (see subsection   69 - 5(3)).



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