Federal Register of Legislation
Health Insurance (Permitted benefits — diagnostic imaging services) Determination 2018 Health Insurance Act 1973
I, Celia Street, delegate of the Minister for Health, make this Determination under section 23DZZIG of the Health Insurance Act 1973.
Dated 13 March 2018
CELIA STREET Assistant Secretary Diagnostic Imaging and Pathology Branch Medical Benefits Division Department of Health
1 Name This Determination is the Health Insurance (Permitted benefits — diagnostic imaging services) Determination 2018. 2 Commencement This Determination commences on the day after it is registered. 3 Authority This Determination is made under section 23DZZIG of the Health Insurance Act 1973. 4 Definitions In this Determination: Act means the Health Insurance Act 1973. Note: Diagnostic imaging equipment, diagnostic imaging service, hospital and specialist are defined in subsection 3(1) of the Act. Provider, requester and connected are defined in subsection 23DZZID(1) of the Act. 5 Repeal The Health Insurance (Permitted benefits – diagnostic imaging services) Determination 2008 is repealed. 6 Permitted benefits for diagnostic imaging services
(1) For section 23DZZIG of the Act, a benefit mentioned in Schedule 1 is a class of permitted benefit if: (a) a beneficiary who is, or is connected to, a requester of a kind of diagnostic imaging service, asks for, or accepts, the benefit from a provider, or a person connected to a provider, of a kind of diagnostic imaging service; or (b) a provider, or a person connected to a provider, of a kind of diagnostic imaging service offers or provides the benefit to a beneficiary who is, or is connected to, a requester of a kind of diagnostic imaging service.
(2) However, a benefit is not a permitted benefit if: (a) it is related to the number, kind or value of requests for diagnostic imaging services made by a requester to a particular provider; or (b) taken with other benefits of the same kind, it exceeds the number that would usually be needed by the beneficiary's practice. Schedule 1 Classes of permitted benefits (section 6)
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