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(1) In these Regulation unless the context otherwise requires,

"Act" means the National Health Insurance Act, 2003 (Act 650);

 "accreditation" has the same meaning it has in the Act;

"beneficiary" has the same meaning it has in the Act;

"benefit package" means the healthcare services that are available to a contributor or member of a health insurance scheme;

"contribution" has the same meaning it has in the Act;

"Community Health Insurance and Planning Services" means an arrangement by which members of a community establish and manage health care facilities for the benefit of members of the community and for the purpose of improving the health status of the members;

"Council" means the National Health Insurance Council established under section 1 of the Act;

"fee-for-service” means in respect of out-patient (OPD), consultation fees, costs of drugs and cost of management; and in respect of admitted patients (in patients), admission fees, costs of drugs, cost of surgery and cost of management;

"healthcare facility" includes a hospital, a nursing home, laboratory, maternity, dental clinic, polyclinic, clinic, pharmacy and any other facility that the Council may determine;

"indigent" has the same meaning it has in the Act;

“means test" has the same meaning it has in the Act;

“monitoring performance" has the same meaning as performance monitoring in the Act;

“mutual health insurance scheme” has the same meaning it has in the Act; 

“peer review” means the process by which the treatment of a patient or the performance of a healthcare professional is reviewed by a professional colleague either within the professional organisation or healthcare facility;

“quality assurance" has the same meaning it has in the Act;

"resident" means a person who lives in this country for six months or more in any period of twelve months.

(2) The abbreviations found in these Regulations have the interpretation as set out in Schedule III