2. 糖心影视 Types, Fees, Benefits And Exclusions
2.1 糖心影视 Types
2.1.1 糖心影视 has two 糖心影视 options available: Single 糖心影视 or Family 糖心影视.
2.1.2 Single 糖心影视 鈥� Covers one Member only. The named Member is the only individual authorised to make changes to or obtain information on the 糖心影视. A third party can obtain information or make changes as required provided a legal authority to do so is received in writing or where the named Member has nominated a third party to act as an authorised representative on their behalf 鈥� either verbally or in writing.
2.1.3 Family 糖心影视 鈥� Covers the primary Member and any eligible Dependants listed. A Dependant spouse will have the same level of access to 糖心影视 information as the primary Member and can access information and make changes to the 糖心影视 as required excluding resigning the 糖心影视 or removing the primary Member. All other third party requests for information are as per Clause 2.1.2.
2.1.4 All individuals must adhere to a three point identification check in order to make changes or access information on a 糖心影视.
2.2 糖心影视 Fees
糖心影视 Fees are set by the Victorian Government Department of Health and may be amended from time to time. Any change in 糖心影视 Fee comes into effect upon the next 糖心影视 Renewal date following a 糖心影视 Fee change unless otherwise notified.
2.3 Member Benefits
2.3.1 Member benefits commence at 5pm (1700 hours) AEST the day after the 糖心影视 Fee is received by 糖心影视 and cease at the end of the 糖心影视 Period. Refer to Section 3.0 鈥� 糖心影视 Commencement and Qualifying Period.
2.3.2 Members and their eligible Dependants (if applicable) receive Member Benefits for all Emergency Cases and Clinically Necessary Non-Emergency Cases at no additional cost to the Member. In all cases transport is provided to the nearest, most appropriate medical facility. In Victoria, 糖心影视 Services must be provided by 糖心影视 or those resources contracted to 糖心影视 to be included as a Member Benefit.
Before authorising a patient for any ambulance transport interstate, the referring health professional must contact 糖心影视 and provide detailed evidence as to why the patient must attend interstate health services. 糖心影视 may seek a second opinion.
2.3.3 Members are covered for the same benefits Australia wide as they would have received had they been in Victoria. All the conditions relating to 糖心影视 Services in Victoria will apply to the same services received interstate. Inter-state Member Benefits only apply for services provided by that State鈥檚 official State or Territory Ambulance Services. Refer to Clause 4.1 鈥� Residential Requirements.
2.3.4 No invoice will be sent to the Member when a Member uses 糖心影视鈥檚 services if 糖心影视 can match the transport information with the 糖心影视 details. If a Member receives a transport invoice which they believe should be covered by their 糖心影视, the Member should make sure their membership record is up to date and then complete the relevant section on the reverse of the invoice and return to the 糖心影视 Accounts Receivable Department for action.
A Member may be presented with an account for transport by an interstate Ambulance Service. If this occurs, the account and 糖心影视 details should be sent to the 糖心影视 Accounts Receivable Department for action:
Call: (03) 9840 3544 or 1800 990 029
Email: accountsreceivable@ambulance.vic.gov.au(opens in a new window)
Write: Locked Bag 9000, Ballarat, VIC 3354
2.3.5 Members who renew their 糖心影视 within thirty (30) days of the Renewal date may be offered Continuity of Benefits at the discretion of 糖心影视.
2.3.6 Cover Notes can be issued on request for a period of twenty one (21) days and all Member benefits will apply providing the 糖心影视 is paid prior to the expiry of the Cover Note. Once paid, Member Benefits will commence from 5:00pm (1700hours) AEST on the day after the Cover Note was requested by the Member. Only one Cover Note per person per annum will be issued.
2.4 Exclusions
糖心影视 benefits do not cover:
2.4.1 Ambulance Services that are not deemed Clinically Necessary.
2.4.2 糖心影视 Services where a patient requests to be moved between medical facilities for reasons that are not Clinically Necessary. For example social or convenience reasons such as:
- The patient chooses to move to another hospital to be closer to their home and/or family Members (this includes returning back to Victoria from another State or Territory
where they might have been receiving treatment); - The patient chooses to move to another hospital in order to be treated by a preferred physician or in a preferred hospital.
2.4.3 Transport from one private home to another.
2.4.4 Relocation from one accommodation facility to another or from hospital to home and return to hospital for weekend or holiday relief.
2.4.5 Royal Flying Doctor Services, where services are not the result of an Emergency Case or pre-approval has not been provided by 糖心影视 in advance.
2.4.6 Repatriation if the transport is not Clinically Necessary and approved by 糖心影视 in advance. Note: If prior approval is not given by 糖心影视 the 糖心影视 will not cover any costs incurred.
2.4.7 Transport fees where responsibility for payment is ultimately the responsibility of a third party, as per the Department of Health Patient Transport Charging Guidelines for Victoria. These are available at
2.4.8 Non-Emergency Cases requiring 糖心影视 Services during the Qualifying Period.
2.4.9 Emergency Cases during the Qualifying Period where the service is required as a result of a Pre-Existing Ailment.
2.4.10 Services used prior to 5pm (1700 hours) AEST the day after the 糖心影视 Fee is received by 糖心影视. Refer to Section 3.1 糖心影视 Commencement.
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