New South Wales Consolidated Acts

MOTOR ACCIDENTS COMPENSATION ACT 1999 - SECT 56

56 Maximum fees payable by insurers for medical treatment and other treatment or services not provided at hospitals or for treatment at private hospitals

(cf s 39B MAA)

(1) This section applies to--

(a) the fee payable for any medical treatment of an injured person, and

(b) the fee payable for any dental treatment of an injured person, and

(c) the fee payable for any rehabilitation service provided to an injured person, and

(d) the fees payable for any attendant care services provided to an injured person,

but does not apply to any such treatment or service that is provided at a hospital (whether to an in-patient or out-patient) and for which any payment is required to be made to the hospital and not to the treatment or service provider.

(2) This section also applies to the fee payable to a private hospital for any treatment at the hospital.

(3) The regulations may make provision for or with respect to fixing the maximum amount for which an insurer is liable in respect of any claim for fees to which this section applies.

(4) Any such fees may (but need not) be fixed by reference to fees recommended by the Australian Medical Association or other professional association or by reference to any schedule of fees.

(5) Each of the following is to be made consistently with any regulations under this section--

(a) a payment of treatment expenses by an insurer under Part 3.2,

(b) a payment by an insurer in accordance with the duty imposed under section 83,

(c) an assessment of a claim by the Commission under Part 4.4,

(d) an award of damages to which Chapter 5 applies.