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Health Insurance (Health Insurance Plan) (Additional Benefits) Amendment Order 2014

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Health Insurance (Health Insurance Plan) (Additional Benefits) Amendment Order 2014
FA E R
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AT F
TQUO U

BERMUDA

HEALTH INSURANCE (HEALTH INSURANCE PLAN) (ADDITIONAL BENEFITS)
AMENDMENT ORDER 2014

BR 48 / 2014

The Minister responsible for health, in exercise of the power conferred by section
13(2) of the Health Insurance Act 1970, makes the following Order:

Citation
This Order which amends the Health Insurance (Health Insurance Plan) (Additional

Benefits) Order 1988 (the “principal Order”) may be cited as the Health Insurance (Health
Insurance Plan) (Additional Benefits) Amendment Order 2014.

Amends the Schedule
The Schedule to the principal Order is amended by inserting, next after paragraph

13, the following—

The benefits specified in this Schedule shall extend to cover treatment
outside Bermuda at 60% of usual and customary charges in an approved hospital,
unless the treatment is available in Bermuda or it is an elective treatment. The
benefit is to be limited to in-patient and out-patient hospital treatment within the
Health Insurance Plan’s approved network of hospitals. Should treatment occur in
a hospital outside of the Health Insurance Plan’s approved network of hospitals,
the reimbursement amount shall be equal to what it would have been at a hospital
within the network.

The amount recoverable under paragraph 14—

shall, in respect of in-patient treatment of a particular disability,
be limited to expenses incurred over a period of not more than 45
days during a twelve month period;

“14.

15.

(a)

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HEALTH INSURANCE (HEALTH INSURANCE PLAN) (ADDITIONAL BENEFITS)
AMENDMENT ORDER 2014

shall not include the cost of transportation to or from the approved
hospital;

shall not include the cost of any hospice care;

shall not include the cost of any treatment for alcoholism or drug
addiction.

In this Schedule—

“approved hospital” means a hospital outside Bermuda which is—

licensed or approved as a hospital by the government hospitals
authority in whose jurisdiction the hospital is located; and

part of the approved network of hospitals;

“approved network of hospitals” means a network of hospitals approved by
the Committee;

“Committee” has the same meaning as in section 11A of the Health
Insurance Act 1970;

“the general hospital” has the same meaning as in section 1(1) of the
Bermuda Hospitals Board Act 1970.”.

(b)

(c)

(d)

16.

(a)

(b)

Commencement
This Order shall come into operation on 1 June 2014.

Made this 20th day of May 2014



Minister of Health and Environment

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