Commonwealth Consolidated Acts

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PRIVATE HEALTH INSURANCE ACT 2007 - SECT 34.15

Meaning of hospital cover

  (1)   Hospital cover is so much of a * complying health insurance policy as * covers * hospital treatment. An * adult has hospital cover if he or she is insured under a complying health insurance policy that covers hospital treatment.

  (2)   An * adult is taken to have * hospital cover:

  (a)   at any time during which the adult was covered by an * applicable benefits arrangement; or

  (b)   at any time during which the adult holds a * gold card; or

  (c)   at any time during which the adult is in a class of adults specified in the Private Health Insurance (Lifetime Health Cover) Rules for the purposes of this paragraph.

  (3)   In this section:

"gold card" means a card that evidences a person's entitlement to be provided with treatment:

  (a)   in accordance with the Treatment Principles prepared under section   90 of the Veterans' Entitlements Act 1986 ; or

  (b)   in accordance with a determination made under section   286 of the Military Rehabilitation and Compensation Act 2004 in respect of the provision of treatment.



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