PET - Plain English Taxonomy

Attribute: OI12966
Concept:
Label: Benefits paid
Concept Guidance:
This is the value, during the relevant period, for the benefits paid by the private health insurance fund. 
Form-Specifc Guidance:
When reporting by age category, the benefits paid should be reported against the relevant age at the time the treatment was done, not the against the age of the person in the current reporting period, because sometimes claims are made and benefits paid long after the actual treatment.
In Part 11 Total hospital treatment medical services statistics, only report medical benefits paid.
Dimensions
Dimension Member Description
(ChronicDiseaseManagementProgram)
This dimension categorises the reported data according to the types of benefits payable under a private health insurance policy.
The information reported is in relation to benefits payable that are part of a Chronic Disease Management Program (CDMP). A CDMP is intended to: reduce complications in a person with a diagnosed chronic disease; prevent or delay the onset of chronic disease for a person with identified multiple risk factors for chronic disease; requires the development of a written plan and is coordinated by a person who has accepted responsibility for ensuring the services are provided according to the plan and monitoring the patient's compliance.
This dimension categorises the reported data according to the types of Chronic Disease Management Programs.