Commonwealth Numbered Acts

HEALTH INSURANCE AMENDMENT ACT 1991 No. 171 of 1991 - SECT 4

4. Section 10 of the Principal Act is amended by omitting subsections (2) to
(6) (inclusive) and substituting the following subsections:

"(2) A benefit in respect of a service is:

   (a)  in the case of a service of the kind referred to in paragraph (da) of
        the definition of `basic private table' or `basic table' in
        subsection 4(1) of the National Health Act 1953 (not being a service,
        or a service in a class of services, that, under the regulations, is
        excluded from this paragraph) - an amount equal to 75% of the Schedule
        fee; or

   (b)  in any other case (not being a case to which paragraph (c) applies) -
        an amount equal to 85% of the Schedule fee; or

   (c)  in the case of a prescribed GP service, where the patient is not a
        concessional beneficiary or a concessional beneficiary's dependant -
        an amount equal to 85% of the Schedule fee less:

   (i)  in the period beginning on 1 December 1991 and ending on 31 October
        1992 - $3.50; or

   (ii) in the year beginning on 1 November 1992 or a later year beginning on
        1 November - $5.

"(3) If the Schedule fee exceeds the amount of benefit calculated under
paragraph (2)(b) or (c) by more than the greatest permissible gap, the benefit
is taken to be the Schedule fee less the greatest permissible gap.

"(4) If an amount calculated under subsection (2), or the greatest permissible
gap, is not a multiple of 5 cents, that amount is to be rounded up to the
nearest multiple of 5 cents.

"(5) In this section:
`greatest permissible gap' means $26.80;
`patient' means the person to whom the service was rendered.".