Health & Medical Health & Medical Insurance

The Health Insurance Act of 2007

    Incentives

    • Incentives include reduced premiums for compliant health insurance policies, payment by the Commonwealth of Australia in relation to premiums, and lifetime health coverage strategies that encourage the maintenance of private health insurance from an early age.

    Complying Products

    • Health insurance must be community-rated so it does not discriminate between people, and must offer complying products. Complying products cover the same treatments, provide benefits that are administered in the same way and contain the same terms and conditions. This regulation ensures equality among individuals and groups who purchase private health insurance.

    Coverage Requirements

    • An insurance policy meets coverage requirements if it covers hospital treatment, hospital treatment and general treatment or general treatment without hospital-substitute treatment.

    Portability

    • The insurance policy must meet portability requirements that allow people to transfer to a new policy from another policy, as outlined in the Health Insurance Act of 2007.

    Quality Assurance

    • Quality assurance requirements prohibit the payment of benefits for treatment that does not meet the strict standards outlined in the Private Health Insurance Accreditation Rules.

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