天美传媒

The following definitions apply throughout the Business Rules:

天美传媒 (AV) manages the AV 天美传媒 Scheme and provides AV Services either directly or through contracted third parties.

Ambulance/AV Services

1. Includes ambulance treatment, transport, referral service or alternative care provided by AV resources or those resources contracted to provide services for and on behalf of AV 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 AV 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 AV 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.

AV鈥檚 Operational Boundaries means the areas that AV operates within (all of Victoria and certain areas of South Australia and New South Wales). Please refer to AV鈥檚 website for a list of towns or call the AV 天美传媒 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 天美传媒 within thirty (30) days post their renewal date may receive continuous 天美传媒. If continuous
天美传媒 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 天美传媒 valid until the expiry date shown on the Cover Note; Subject to payment being received by AV 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 AV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 天美传媒 if approved by AV. If AV accepts the child as a Dependant, they will be covered on a Family 天美传媒.

Notes:

1. Dependants must be eligible and listed on a Family 天美传媒 to receive Member benefits.
2. Those Dependants awaiting placement at tertiary institutions will continue to be covered by their parent/guardian鈥檚 天美传媒 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 天美传媒 benefits in the event of having used AV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 天美传媒 refers to a 天美传媒 for a Primary Member and their Dependant(s).

Financial Member is a Member who has paid for 天美传媒 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 AV paramedic;
• Authorised employee of Triple Zero Victoria; or
• A registered division 1 nurse

Member is any person who paid for a 天美传媒 for a 天美传媒 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, AV Services must be provided by AV or those resources contracted to AV to be included as a Member Benefit.

天美传媒 can be in the form of a Single 天美传媒 or Family 天美传媒.

天美传媒 Commencement Date is the Members start date for the 天美传媒 as set out under Clause 3.1.1.

天美传媒 Fee is the relevant payment required by AV that entitles a person to either a Single or Family 天美传媒. Due to the variety of payment channels available the 天美传媒 Fee may not be received by AV 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 AV recommends that Members please allow up to three (3) business days for your payment to be applied by AV. In the situation where a payment is not received by AV, proof of payment will be requested in order to locate the payment.

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

New Member is a person who takes out AV 天美传媒 for the first time.

Non-Emergency Cases means cases designated by AV 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 天美传媒 or by a contracted service provider on behalf of 天美传媒.

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 天美传媒 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 天美传媒.

Renew/Renewing/Renewal means the payment of the 天美传媒 Renewal fee as noted on the 天美传媒 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 天美传媒 this provides Member benefits for one individual only.