Federal Register of Legislation - Australian Government

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Determinations/Health as made
Amends the Health Benefits Reinsurance (Records of Organisations) Determination 1998.
Administered by: Health
Registered 01 Jun 2005
Gazetted 27 Jun 2001
Date of repeal 01 Apr 2007
Repealed by Other
Repealing Comments Enabling provision repealed by Private Health Insurance (Transitional Provisions and Consequential Amendments) Act 2007 (Act No. 32, 2007).

The PRIVATE HEALTH INSURANCE ADMINISTRATION COUNCIL makes this Determination under subsection 73BB (1) of the National Health Act 1953.

Dated 14 May 2001

G. RICHARDSON

Commissioner of Private Health Insurance Administration

 


1              Name of Determination

                This Determination is the Health Benefits Reinsurance (Records of Organisations) Amendment Determination 2001 (No. 1).

2              Commencement

                This Determination commences on gazettal.

3              Amendment of Health Benefits Reinsurance (Records of Organisations) Determination 1998

                Schedule 1 amends the Health Benefits Reinsurance (Records of Organisations) Determination 1998.


Schedule 1        Amendment

Do not delete: Schedule Part Placeholder

(section 3)

[1]         Schedule, Part 2, Form PHIAC 1

insert at the end

Part 7 Medical Services Statistics

 

Page 11

 

 

 

1
Amount Charged

2
Medicare Benefit

3
Fund Benefit

4
Gap (d)

5
No. of Services

6
% of Services

7
Amount Charged/CMBS (%)

 

 

MPPA HPPA/PA

 

 

 

 

 

 

 

 

 

No-Gap(a) Agreement

 

 

 

 

 

 

 

 

A

<= MBS Fee

 

 

 

0

 

0%

0%

 

B

>MBS to 125% MBS Fee

 

 

 

0

 

0%

0%

 

C

>125% to 150% MBS Fee

 

 

 

0

 

0%

0%

 

 

D

>150% to 200% MBS Fee

 

 

 

0

 

0%

0%

 

 

E

>200% MBS Fee

 

 

 

0

 

0%

0%

 

 

 

Known Gap (b) Agreement

 

 

 

 

 

 

 

 

 

F

>MBS to 125% MBS Fee

 

 

 

0

 

0%

0%

 

 

G

>125% to 150% MBS Fee

 

 

 

0

 

0%

0%

 

 

H

>150% to 200% MBS Fee

 

 

 

0

 

0%

0%

 

 

I

>200% MBS Fee

 

 

 

0

 

0%

0%

 

 

J

Sub-Total

0

0

0

0

0

0%

0%

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Gap Cover Schemes

 

 

 

 

 

 

 

 

 

 

No Gap (a) Scheme

 

 

 

 

 

 

 

 

 

K

<= MBS Fee

 

 

 

0

 

0%

0%

 

 

L

>MBS to 125% MBS Fee

 

 

 

0

 

0%

0%

 

 

M

>125% to 150% MBS Fee

 

 

 

0

 

0%

0%

 

 

N

>150% to 200% MBS Fee

 

 

 

0

 

0%

0%

 

 

O

>200% MBS Fee

 

 

 

0

 

0%

0%

 

 

 

Known Gap (b) Scheme

 

 

 

 

 

 

 

 

 

P

>MBS to 125% MBS Fee

 

 

 

0

 

0%

0%

 

 

Q

>125% to 150% MBS Fee

 

 

 

0

 

0%

0%

 

 

R

>150% to 200% MBS Fee

 

 

 

0

 

0%

0%

 

 

S

>200% MBS Fee

 

 

 

0

 

0%

0%

 

 

T

Sub-Total

0

0

0

0

0

0%

0%

 

 

 

 

 

 

 

 

 

 

 

 

 

 

No Agreement (c)

 

 

 

 

 

 

 

 

 

U

<= MBS Fee

 

 

 

0

 

0%

0%

 

 

V

>MBS to 125% MBS Fee

 

 

 

0

 

0%

0%

 

 

W

>125% to 150% MBS Fee

 

 

 

0

 

0%

0%

 

 

X

>150% to 200% MBS Fee

 

 

 

0

 

0%

0%

 

 

Y

>200% MBS Fee

 

 

 

0

 

0%

0%

 

 

Z

Sub-Total

0

0

0

0

0

0%

0%

 

 

 

 

 

 

 

 

 

 

 

 

 

AA

Grand Total

0

0

0

0

0

0%

0%

 

 

AB

Total services with no gap

0

0

0

0

0

0%

0%

 

 

AC

Total services with no or known gap

0

0

0

0

0

0%

0%

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

The following Check Total must be Printed –->

0.00