T37.7.1 Ineligible & Compensable Fee Date effective Patients Dialysis $776 12 Aug 2015 T34.8.1A No-gap Gap Not listed Chargeable Patient prostheses prostheses Private Minimum Minimum Prior agreement Benefit Benefit required DVA Ineligible Compensable Minimum Maximum Full cost recovery Benefit Benefit ADF Personnel Immigration Detainees Health T34.8.1B Insurer Discount Details Private Patients Rebate All items on the Prostheses List (excluding Cardiothoracic and Ophthalmic items) Minimum No Invoice required Benefit Cardiothoracic items 7.5% Ophthalmic items 20% T34.9.1 Admitted Non-admitted Prosthetic Services Public (Eligible*) No Charge No Charge Public Chargeable Chargeable Private Chargeable (except DVA when Chargeable required for discharge) MACA Chargeable Ineligible Compensable
T37.7.1 Ineligible & Compensable Patients Fee Date effective Dialysis $776 12 Aug 2015 T34.8.1A Chargeable Patient No-gap prostheses Gap prostheses Not listed Private Minimum Benefit Minimum Benefit Prior agreement required DVA Ineligible Minimum Benefit Maximum Benefit Full cost recovery Compensable ADF Personnel Immigration Detainees T34.8.1B Private Patients Health Insurer Rebate Discount Details All items on the Prostheses List (excluding Cardiothoracic and Ophthalmic items) Minimum Benefit No Invoice required Cardiothoracic items 7.5% Ophthalmic items 20% T34.9.1 Prosthetic Services Admitted Non-admitted Public (Eligible*) No Charge No Charge Public Chargeable Chargeable Private DVA Chargeable (except when required for discharge) Chargeable MACA Chargeable Ineligible Compensable
S20-2016.docx