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HEALTH INSURANCE (GENERAL MEDICAL SERVICES TABLE) AMENDMENT REGULATIONS 2004 (NO. 10) 2004 NO. 386 - SCHEDULE 1

Amendments

(regulation 3)

[1] Schedule 1, Part 2, rule 83, heading

substitute

83 Application of items 10990, 10991 and 10992

[2] Schedule 1, Part 2, subrule 83 (2)

substitute

(1A)
If the medical service described in item 10992 is provided to a person, either that item or 10990, but not both those items, applies to the service.

(2)
If item 10990, 10991 or 10992 applies to a medical service, the fee specified in that item applies in addition to the fee specified in any other item in this table that applies to the service.

[3] Schedule 1, Part 2, subrule 83 (3)

omit

items 10990 and 10991:

insert

items 10990, 10991 and 10992:

[4] Subrule 83 (4)

omit

item 10991:

insert

items 10991 and 10992:

[5] Subrule 83 (4), after definition of ASGC

insert

eligible area means:

(a)
a regional, rural or remote area; or

(b)
Tasmania; or

(c) a geographical area included in any of the following SSD spatial units:

(i)
Beaudesert Shire Part A;
(ii)
Belconnen;
(iii)
Darwin City;
(iv)
Eastern Outer Melbourne;
(v)
East Metropolitan;
(vi)
Frankston City;
(vii)
Gosford-Wyong;
(viii)
Greater Geelong City Part A;
(ix)
Gungahlin-Hall;
(x)
Ipswich City (Part in BSD);
(xi)
Litchfield Shire;
(xii)
Melton-Wyndham;
(xiii)
Mornington Peninsula Shire;
(xiv)
Newcastle;
(xv)
North Canberra;
(xvi)
Palmerston-East Arm;
(xvii)
Pine Rivers Shire;
(xviii)
Queanbeyan;
(xix)
South Canberra;
(xx)
South Eastern Outer Melbourne;
(xxi)
Southern Adelaide;
(xxii)
South West Metropolitan;
(xxiii)
Thuringowa City Part A;
(xxiv)
Townsville City Part A;
(xxv)
Tuggeranong;
(xxvi)
Weston Creek-Stromlo;
(xxvii)
Woden Valley;
(xxviii)
Yarra Ranges Shire Part A; or
(d)
the geographical area included in the SLA spatial unit of Palm Island (AC).

[6] Schedule 1, Part 3, item 10990, column 2

omit

(other than this item or item 10991)

insert

(other than this item or item 10991 or 10992)

[7] Schedule 1, Part 3, item 10991, column 2

omit

(other than this item or item 10990)

insert

(other than this item or item 10990 or 10992)

[8] Schedule 1, Part 3, item 10991, column 2, paragraph (e)

substitute

(e) the service is provided at, or from, a practice location in an eligible area

[9] Schedule 1, Part 3, after item 10991

insert

10992


A medical service to which item 1, 97, 601, 697, 5003, 5007, 5010, 5023, 5026, 5028, 5043, 5046, 5049, 5063, 5064, 5067, 5220, 5223, 5227, 5228, 5240, 5243, 5247, 5248, 5260, 5263, 5265 or 5267 applies if:

(a) the service is an unreferred service; and
(b) the service is provided to a person who is under the age of 16 or is a Commonwealth concession card holder; and
(c) the person is not an admitted patient of a hospital or approved day hospital facility; and
(d) the service is not provided in consulting rooms; and
(e) the service is provided in an eligible area; and
(f) the service is provided by, or on behalf of, a medical practitioner whose practice location is not in an eligible area; and
(g) the service is bulk-billed in respect of the fees for:
(i) this item; and
(ii) the other item in this table applying to the service


9.00




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