Western Australian Current Regulations

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HEALTH SERVICES (FEES AND CHARGES) ORDER 2016 - REG 14

14 .         Classes of out‑patients

        (1)         An out‑patient must be classified under this clause for the purpose of the payment of the fees and charges set out in Schedule 1 in respect of an out‑patient.

        (2)         An out‑patient must be classified as —

            (a)         a compensable out‑patient; or

            (b)         an eligible veteran out‑patient, namely, an out‑patient —

                  (i)         who is a veteran; and

                  (ii)         who elects to be treated under the DVA arrangement;

                or

            (c)         an eligible out‑patient, namely, an out‑patient —

                  (i)         who is an eligible person; but

                  (ii)         who is not a compensable out‑patient or eligible veteran out‑patient;

                or

            (d)         an ineligible out‑patient, namely, an out‑patient —

                  (i)         who is not an eligible person; and

                  (ii)         who is not a compensable out‑patient or eligible veteran out‑patient;

                or

            (e)         a concessional beneficiary, namely, an out‑patient —

                  (i)         who is a concessional beneficiary (as defined in the National Health Act section 84); or

                  (ii)         who is a dependant as defined by that section of such a concessional beneficiary;

                or

            (f)         a pensioner, namely, an out‑patient who holds a pensioner concession card or a dependant (as defined in the National Health Act section 84) of such an out‑patient.

        (3)         At the time of —

            (a)         attendance at a hospital for the purposes of receiving a pathology service provided by the hospital as an out‑patient service; or

            (b)         receiving a pathology service provided by a hospital elsewhere than at the hospital,

                or as soon as practicable after that time, an eligible person (not being a compensable patient or a veteran), a concessional beneficiary or a pensioner may elect to be treated as a private pathology out‑patient for the purpose of that pathology service.

        (4)         If a person makes an election under subclause (3), then —

            (a)         the person is classified as a private pathology out‑patient for the purpose of the payment of any charge for that pathology service fixed in Schedule 1 Division 4; and

            (b)         despite subclause (2)(c), (e) or (f), the person is not classified as an eligible out‑patient, concessional beneficiary or pensioner (as the case may be) for that purpose.

        (5)         For the purposes of subclause (2)(a), a compensable out‑patient includes a person in respect of the payment for whose health services one or more of the following applies or appears prima facie to apply —

            (a)         the Workers Compensation and Injury Management Act 2023 ;

            (ab)         the Motor Vehicle and Workplace Accidents (Catastrophic Injuries) Act 2016 ;

            (b)         the Motor Vehicle (Third Party Insurance) Act 1943 ;

            (c)         the law of Australia relating to the Defence Force within the meaning of the Defence Act 1903 (Commonwealth).

        [Clause 14 amended: Gazette 9 Mar 2018 p. 798; SL 2023/87 cl. 10; SL 2024/81 cl. 4; SL 2024/104 cl. 4.]



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