Category Archives: Private Health Insurance

Criteria for Type C Banding

In accordance with the Private Health Insurance Act 2007 and Private Health Insurance (Benefit Requirements) Rules 2011, Type C procedures do not normally require hospital treatment. However, under certain situations minimum private health insurance benefits are payable for patients admitted to hospital to receive a certified Type C procedure. For benefits to be payable, the …

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Private Health Insurers pre-approval process

Private Health Insurance – pre-approval process It has been long established that if your surgeon recommends that you undertake a procedure and a Medicare item number exists for that procedure then your private health insurer will cover that procedure. Some major insurers are introducing an American-style managed care system that requires you to obtain pre-approval from …

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Private Health Insurance – exclusions and restrictions

Private Health Insurance – exclusions and restrictions Many members of the public are unaware that the term plastic surgery encompasses both reconstructive and cosmetic plastic surgery. “Reconstructive plastic surgery” is usually an operation, treatment or procedure performed on an abnormal structure, deformity or tissue of the body arising as a consequence of congenital defects, developmental …

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