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

Administered by Department of Health, Disability and Ageing

Legislation au F2005B01392 Not in force Legislative Instrument

Legislation content

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

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

 

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