What are the eligibility criteria for the Scheme?
The incident that gives rise to the claim must be: • notified or have occurred during the operation of the Scheme. The Scheme will respond even if the claim is not made until many years after the Scheme ends; • notified under a contract of insurance provided by a general insurer with a contract limit to at least the level of the threshold; • the claim which relates to the incident must exceed the insurance contract limit (or be one of many claims that together exceed the contract limit); • within the scope of the contract, that is: if not for the cover limit the contract of insurance would have covered it; • occur in Australia or its territories or under certain circumstances (such as aid work) provided overseas; and • occur in part or whole in the treatment of a private patient (public patient treatment is the responsibility of States and Territories).
