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s 131

Treatment and care benefits—MAI guidelines

In force
Chapter 2Motor accident injuries—defined benefits
Part 2.5Defined benefits—treatment and care benefits
Division 2.5.5Treatment and care benefits—payment

131 Treatment and care benefits—MAI guidelines

The MAI guidelines may make provision in relation to the following:

(a)

treatment and care that is considered reasonable and necessary for a person injured in a motor accident;

(b)

the maximum amount of defined benefits payable for stated treatment and care;

(c)

verifying that the treatment and care a person injured in a motor accident receives is reasonable and necessary;

(d)

verifying that the costs of treatment and care a person injured in a motor accident receives is reasonable and necessary;

(e)

the information a health practitioner may ask a person injured in a motor accident for in relation to an assessment of the person by the health practitioner under section 121 (Assessment of injured person’s injuries);

(f)

the information a health practitioner may ask the relevant insurer for a motor accident for in relation to an assessment of a person injured in the motor accident by the health practitioner under section 121;

(g)

the circumstances in which the relevant insurer for a motor accident may ask for a medical assessment of a person injured in the motor accident under section 121;

(h)

payment of expenses in relation to reasonable and necessary treatment and care provided by any of the following:

(i)

a public hospital;

(ii)

an ambulance service;

(iii)

a provider of a service relating to treatment and care that bulk bills for the service;

(i)

the principles to be followed by health practitioners in relation to the provision of treatment and care for people injured in motor accidents.

Part 2.6 Defined benefits—quality of life benefits

Division 2.6.1 Quality of life benefits—entitlement

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