Medicare benefits not payable in respect of certain medical expenses
17 Medicare benefits not payable in respect of certain medical expenses
A medicare benefit is not payable in respect of a professional service if:
the medical expenses in respect of that service have been paid, or are payable, to a recognized hospital;
the medical practitioner who rendered the service was acting on behalf of an organization that was, when the service was rendered, an organization prescribed for the purposes of this paragraph;
any part of the service was rendered on the premises of an organization that was, when the service was rendered, an organization referred to in paragraph (b); or
any amount has been paid, or is payable, in respect of the service in accordance with a scheme to which section 42B applies.
The statute text is free to read above. View Pro plans to unlock the case-law research tools for each provision.