糖心影视

The following definitions apply throughout the Business Rules:

糖心影视 (糖心影视) manages the 糖心影视 糖心影视 Scheme and provides 糖心影视 Services either directly or through contracted third parties.

Ambulance/糖心影视 Services

1. Includes ambulance treatment, transport, referral service or alternative care provided by 糖心影视 resources or those resources contracted to provide services for and on behalf of 糖心影视 for medical or surgical cases; and
2. Excludes any services provided by the Royal Flying Doctor Service (RFDS) unless transport is deemed Clinically Necessary and pre-approved by 糖心影视 or the result of an emergency case; and
3. Must be deemed Clinically Necessary, with the exception of Emergency Cases; and
4. In all cases 糖心影视 will transport patients to/from the nearest and most appropriate medical facility.

Australia Refers to all States and Territories of Australia and its Territorial waters.

糖心影视鈥檚 Operational Boundaries means the areas that 糖心影视 operates within (all of Victoria and certain areas of South Australia and New South Wales). Please refer to 糖心影视鈥檚 website for a list of towns or call the 糖心影视 糖心影视 Service Centre on 1300 366 141.

Clinically Necessary means the patient or the Member require active clinical monitoring/care or clinical supervision during transport that is provided by a paramedic, health professional or qualified patient transport officer or attendant. Authorisation must be provided by a Health Professional who can make an informed decision about whether there is a genuine clinical need for a patient to be transported by ambulance instead of any other way.

Continuity of Benefits means Members鈥� who renew their 糖心影视 within thirty (30) days post their renewal date may receive continuous 糖心影视. If continuous
糖心影视 applies then payment will be allocated from their due renewal date, with no loss of benefits.

Cover Note is an interim twenty one (21) day confirmation of the 糖心影视 valid until the expiry date shown on the Cover Note; Subject to payment being received by 糖心影视 within the Cover Note period.

Dependants 鈥� in respect of a Member includes the following:

• The Member鈥檚 partner, including legal or de-facto partners, whether of the opposite or same sex, and residing with the Member within 糖心影视鈥檚 Operational Boundaries;
• All dependent children (under the age of 17 years) of the Member and/or their partner, whether the
  natural child of the Member and/or their partner, or adopted, or a foster child, or any child in respect of which the Member and/or their partner is responsible for the primary care of that child;
• Dependent students of the Member and/or their partner engaged in full-time study at a secondary or tertiary education institution, provided that they are single and dependent upon the Member and are under the age of 25;
• Exchange students may be covered on their host鈥檚 Family 糖心影视 if approved by 糖心影视. If 糖心影视 accepts the child as a Dependant, they will be covered on a Family 糖心影视.

Notes:

1. Dependants must be eligible and listed on a Family 糖心影视 to receive Member benefits.
2. Those Dependants awaiting placement at tertiary institutions will continue to be covered by their parent/guardian鈥檚 糖心影视 up to 31 March of the year for which they have applied for placement. After this date proof of full time student status must be provided to receive 糖心影视 benefits in the event of having used 糖心影视鈥檚 services.
3. Where a Dependant student aged 17 to 24 years old requires transport by ambulance, an invoice may be issued and proof of full time student status will be required for invoice settlement.

Emergency Cases means cases that originate from a triple zero (000) call and are prioritised as an emergency case by the relevant authority.

Family 糖心影视 refers to a 糖心影视 for a Primary Member and their Dependant(s).

Financial Member is a Member who has paid for 糖心影视 for a period in advance.

Health Professional means a health professional who can authorise whether ambulance transportation is Clinically Necessary. This includes:

• A registered medical practitioner;
• An 糖心影视 paramedic;
• Authorised employee of Triple Zero Victoria; or
• A registered division 1 nurse

Member is any person who paid for a 糖心影视 for a 糖心影视 Period.

Member Benefits Members receive ambulance treatment, transport and services at no additional cost to the Member for Emergency Cases and Clinically Necessary Non-Emergency Cases except where exclusions and exceptions apply, including those exemptions set out under Section 2.4 and Section 3.0 of these Business Rules
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.

糖心影视 can be in the form of a Single 糖心影视 or Family 糖心影视.

糖心影视 Commencement Date is the Members start date for the 糖心影视 as set out under Clause 3.1.1.

糖心影视 Fee is the relevant payment required by 糖心影视 that entitles a person to either a Single or Family 糖心影视. Due to the variety of payment channels available the 糖心影视 Fee may not be received by 糖心影视 on the same day it is paid however, the Fee will be applied effective to the date it was paid once received, based on the date information provided by the relevant financial or payment institution. As such 糖心影视 recommends that Members please allow up to three (3) business days for your payment to be applied by 糖心影视. In the situation where a payment is not received by 糖心影视, proof of payment will be requested in order to locate the payment.

糖心影视 Period is the period of time expressed under Clause 3.1.3 that the Member has paid for 糖心影视. If payment for a 糖心影视 is not received for a full quarter, one, three, or five year period, 糖心影视 will pro-rata this payment to provide 糖心影视 for the pro-rata period.

New Member is a person who takes out 糖心影视 糖心影视 for the first time.

Non-Emergency Cases means cases designated by 糖心影视 as requiring a Non-Emergency response and that is deemed Clinically Necessary.

Non-Emergency Patient Transport means Clinically Necessary non-emergency patient transport provided by 糖心影视 or by a contracted service provider on behalf of 糖心影视.

Pre-Existing Ailment is any ailment, illness or condition of which the signs or symptoms were, in the opinion of a medical practitioner, in existence during the six (6) months prior to the day of joining. Pregnancy is not a preexisting condition for the purpose of this definition.

Qualifying Period is the period of time before 糖心影视 Benefits for pre-existing and non-emergency cases are provided (Refer to Clause 3.2 Qualifying Period).

Reinstated Members means Members who cease to be Financial Members and who subsequently renew their 糖心影视.

Renew/Renewing/Renewal means the payment of the 糖心影视 Renewal fee as noted on the 糖心影视 renewal form by the due date, provided funds are not dishonoured (Refer Clause 5.1 Funds and Dishonour Fees).

Single Member means a Member with no Dependants.

Single 糖心影视 this provides Member benefits for one individual only.