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Division 9: Australians dangerously ill scheme – within Australia

9.3.62 Principle

  1. The Australians dangerously ill scheme is activated when a member is hospitalised with a very serious or serious illness or injury.

  2. This scheme provides support to a hospitalised member by arranging a visit from an approved person at Commonwealth expense.

9.3.63 Purpose

The purpose of this Division is to provide the support of an approved visitor to a member who is hospitalised in Australia with a very serious or serious illness. The visit from an approved visitor is for the benefit of the member.

Note: Chapter 17 Part 4 sets out the provisions for members who are hospitalised overseas with a very serious or serious illness.

See: Chapter 17 Part 4, Australians dangerously ill scheme – overseas

9.3.64 Definitions

This table defines terms used in this Division.

Definitions
Term Definition in this Division
Approved period The period decided under section 9.3.68 for benefits to assist the approved visitor to visit the member under this Division.
Approved visitor A person who has been approved to visit a member at Commonwealth expense.
Hospital A military health care facility, public or private hospital or psychiatric facility.
Medical authority A person who is a qualified medical practitioner responsible for determining the medical condition of a member.
Serious illness Means the same as item 2 of the table in section 1.3.72, Serious illness.
See: Chapter 1 Part 3 Division 1 section 1.3.72, Serious illness
Very serious illness Has the meaning in section 1.3.78, Very serious illness.
See: Chapter 1 Part 3 Division 1 section 1.3.78, Very serious illness

9.3.65 Member this Division applies to

The CDF may approve a member as eligible for support under this Division when they meet both of the following conditions.

  1. The member is one of the following.

    1. A member of the Permanent Forces.

    2. A member of the Reserves on continuous full-time service.

    3. A member of the Reserves who falls ill or is injured while on duty or in uniform.

    Note: In the total workforce model, the following arrangments apply.

    1. A member of the Permanent Forces may be described as a member in Service category 6 or 7.

    2. A member of the Reserves on continuous full-time service may be described as a member in Service category 3, 4 or 5 and Service option C.

    3. A member of the Reserves may be described as a member in Service category 2, 3, 4 or 5.

  2. The medical authority has recommended that a visit will benefit the member in any of the following circumstances.

    1. The member has been classified as very seriously ill and is likely to remain so, or may not recover.

    2. The member has been classified as seriously ill.

    3. The member has been classified as suffering a serious medical condition and is hospitalised outside of the posting location to receive specialist treatment.

Persons who can make the decision under section 9.3.65 on behalf of the CDF:
Director General Defence Community Organisation
Director National Operations Defence Community Organisation

9.3.66 Members who this Division does not apply to

This Division does not provide a visit at Commonwealth expense when the visitor normally lives in the location where the member is in hospital.

Example 1: A member who is posted to Puckapunyal becomes seriously ill and is transferred to a hospital in Melbourne. The member's mother is identified and recorded on PMKeyS as the primary emergency contact. As the member's mother lives in Melbourne, support under this Division is not provided.

Example 2: A member is seriously injured and is hospitalised in their posting location. The member's partner lives with the member in the posting location, so support under this Division is not provided.

9.3.67 People who may be an approved visitor

  1. The CDF may approve one of the following persons as the approved visitor to visit the member at Commonwealth expense.

    1. A person identified by the member and recorded on PMKeyS as the primary emergency contact in the event of a casualty.

    2. The spouse or partner of the member.

    3. A dependant of the member.

    4. A parent of the member, if the member has no dependants under section 1.3.82.

      Note: A parent of an member may include, but is not limited to, any of the following people.

      1. A biological parent.

      2. An adoptive parent.

      3. A foster parent.

      4. A step-parent.

    5. A child of the eligible person.

      Note: This child is not necessarily a recognised 'dependent'.

      Example: The member has a child who lives with the member's former partner. The child has not been recognised as a dependent for pay and conditions purposes as the child does not live with the member.

    See: Chapter 1 Part 3 Division 2, Dependants and categorisation

  2. The approved visitor must meet both of the following conditions.

    1. They must normally live in Australia.

    2. They must be fit to travel.

      Note: An approved visitor who has a medical condition that may be affected by travel must obtain written certification from a qualified medical practitioner that they are fit to travel.

  3. If the approved visitor is incapable or unable to travel and provide support to the member, the approved visitor may nominate another person from one of the classes in subsection 1 to be considered.

  4. In exceptional circumstances, the CDF may approve any of the following people to accompany the approved visitor.

    1. A second parent of the member.

    2. One or more children of the member.

    3. An escort for the member's child.

    4. A carer of the approved visitor.

Persons who can make the decisions under subsection 9.3.67.1 and subsection 9.3.67.4 on behalf of the CDF:
Director General Defence Community Organisation
Director National Operations Defence Community Organisation

9.3.68 Approved period for visit

  1. The member may have a visit at Commonwealth expense from an approved visitor for a period of up to seven consecutive days.

    Note: The seven consecutive days is inclusive of the return travel time.

  2. The CDF may approve additional benefits in relation to a visit when both of the following apply.

    1. The medical authority recommends that a longer period will significantly benefit the member.

    2. One of the circumstances in the following table applies.

    Circumstances
    Item Length of recommended visit... when...
    1. up to 21 consecutive days the member has had major surgery and the post operative recovery is to last longer than seven consecutive days.
    the member is undergoing specialist treatment in hospital that will last longer than seven consecutive days.
    2. 21 or more consecutive days the member has been assessed by the medical authority as likely to remain very seriously ill or seriously ill for longer than 21 consecutive days.

    See also: Section 9.3.75, When the member's condition changes

Persons who can make the decision under subsection 9.3.68.2 on behalf of the CDF:
Director General Defence Community Organisation
Director National Operations Defence Community Organisation

9.3.69 Long term illness

A member ceases to be eligible for assistance under this Division from the day they are provided a sustainable welfare management plan. This does not affect the return travel benefit for any approved visitor.

See: Regulation 58E of the Defence Force Regulations 1952, Provision of medical and dental treatment.

Note: A sustainable welfare management plan to assist the member is normally developed if the member requires any of the following beyond 21 consecutive days.

  1. Long term specialist treatment.

  2. Palliative care.

  3. Long term rehabilitation as an inpatient.

9.3.70 Assistance for the approved visitor

The approved visitor may be provided with the following assistance under this Division.

  1. Domestic travel.

    See:
    Section 9.3.71, Assistance with domestic travel
    Section 9.3.72, Travel by private vehicle

  2. Accommodation.

    See: Section 9.3.73, Assistance with accommodation

  3. Meals.

    See: Section 9.3.74, Assistance with meals

9.3.71 Assistance with domestic travel

  1. The CDF may approve return economy class air travel within Australia at Commonwealth expense for the approved visitor.

  2. If air travel is not available to the location where the member is hospitalised, assistance with the cost of other modes of transport, such as rail or road, is provided at Commonwealth expense to the approved visitor.

    See: If the approved visitor chooses to travel by private vehicle to the member's hospital see section 9.3.72, Travel by private vehicle.

  3. Costs incurred by the approved visitor for public transport, including taxi fares, between any of the following locations may be reimbursed on the production of receipts.

    1. The member's hospital.

    2. The approved visitor's accommodation.

    3. The airport, bus or train terminal.

    4. The approved visitor's home.

  4. The CDF may approve the reimbursement of the lower of the following costs if the approved visitor arranged their own travel prior to the benefit being approved.

    1. The amount incurred by the approved visitor. The approved visitor must produce receipts for the travel to allow for reimbursement.

    2. The amount that would have been incurred if the travel had been taken by a member and the travel had been arranged by the Defence Community Organisation.

  5. Multiple visits to and from the approved visitor's home location during the approved period may not be reimbursed or paid by the Commonwealth.

    Example: An approved visitor is three days into an approved seven day visit. The approved visitor needs to return home to attend a meeting. They then return to the member's location. This return trip may not be reimbursed.

    Exception: In exceptional circumstances, the CDF may approve the reimbursement of travel costs incurred if the approved visitor is required to return to their home location during the approved period.

  6. The approved visitor may choose to stay beyond the approved period. The costs that may be reimbursed for travel after the approved period are limited. The CDF may only approve the lesser of the following costs.

    1. The cost of the return journey incurred by the approved visitor. The approved visitor must produce receipts for the travel to allow for reimbursement.

    2. The cost that would have been incurred if the travel had been taken by a member and if the return journey had been arranged by the Defence Community Organisation.

      See: Part 1 section 9.1.2, Travel overview

Persons who can make the decisions under subsection 9.3.71.1, subsection 9.3.71.4, subsection 9.3.71.5, exception, and subsection 9.3.71.6 on behalf of the CDF:
Director General Defence Community Organisation
Director National Operations Defence Community Organisation

9.3.72 Travel by private vehicle

  1. The CDF may approve travel by private vehicle when both the following conditions are met.

    1. The approved visitor wishes to travel by private vehicle.

    2. The duration of the journey is considered reasonable. To determine if the journey is reasonable the CDF must consider the following factors.

      1. The distance to be travelled.

      2. The time it would take to travel the distance.

      Example: A member posted to Newcastle is injured while on training. Due to the seriousness of the injury the member is sent to a hospital in Sydney. The member's partner chooses to drive to Sydney. The time it would take to travel between Newcastle and Sydney is considered reasonable for the purposes of this Division.

      Non-example: A member posted to Townsville is injured and is sent to hospital in Brisbane. The member's partner wishes to drive to Brisbane for the visit. The time it would take to travel between Townsville to Brisbane is not considered reasonable for the purposes of this Division.

    3. The CDF may approve the reimbursement of the lesser of the following costs when the approved visitor travels by private vehicle approved under subsection 1.

      1. The amount for fuel incurred by the approved visitor during the approved period. The approved visitor must produce receipts for the fuel to allow for reimbursement.

      2. The vehicle allowance costs which would have been incurred by the Commonwealth under section 9.6.25 for the distance travelled.

        See: Part 6 Division 5 section 9.6.25, Amount of allowance and calculation of distance

        Exception: The cost of tolls, parking fees, traffic fines or parking tickets is not reimbursed.

Persons who can make the decisions under subsection 9.3.72.1 and subsection 9.3.72.2 on behalf of the CDF:
Director General Defence Community Organisation
Director National Operations Defence Community Organisation

9.3.73 Assistance with accommodation

  1. The CDF may approve commercial accommodation at Commonwealth expense up to the relevant rate in Annex 9.5.A Part 2.

    See: Part 5 Annex 9.5.A Part 2, Amounts for accommodation, meals and incidentals

  2. The accommodation must be within a reasonable distance from the hospital where the member is located, having regard to the circumstances.

  3. The CDF may approve accommodation at a higher rate than set under subsection 1 when both the following criteria are met.

    1. The accommodation is located near the member's hospital.

    2. The cost of travel to and from the closest hotel within the allowable cost would exceed the savings of staying in that hotel.

      Example: The closest hotel within the allowable cost is located 20km from the hospital where the member is located. There is a hotel 2km away from the hospital which is $25 a night over the allowable cost. The cost of transport to and from the hotel 20km away would be greater than the $25 a night extra payable at the closer hotel.

      Non-example: The closest hotel within the allowable cost is located 10km away from the hospital where the member is located. There is a hotel 2km away from the hospital which is $150 a night over the allowable travel cost. The transport costs to and from the hotel 10km away would not exceed $150 a day so the cost of staying in the closer hotel is not reasonable.

  4. If the approved visitor arranges their own accommodation prior to the visit being approved, the CDF may approve the reimbursement of the lesser of the following costs.

    1. The cost of the accommodation incurred by the approved visitor. The approved visitor must produce receipts for the accommodation to allow for reimbursement.

    2. The cost of the accommodation that would have been incurred if the visit has been arranged by the Defence Community Organisation.

  5. The approved visitor may choose to stay beyond the approved period. However, the cost of accommodation occupied after the approved period will not be reimbursed.

    Exception: See subsection 9.3.75.2, When the member's condition changes

Persons who can make the decisions under subsection 9.3.73.1, subsection 9.3.73.3 and subsection 9.3.73.4 on behalf of the CDF:
Director General Defence Community Organisation
Director National Operations Defence Community Organisation

9.3.74 Assistance with meals

  1. The CDF may approve the reimbursement of the lesser of the following meal costs.

    1. The cost of meals incurred by the approved visitor. The approved visitor must produce receipts for the meals to allow for reimbursement.

      Exception: The approved visitor is not eligible for reimbursement for any alcoholic beverages purchased.

    2. The meal costs that would have been paid by the Commonwealth under Annex 9.5.A Part 2.

      See: Part 5 Annex 9.5.A Part 2, Amounts for accommodation, meals and incidentals

  2. The approved visitor may choose to stay beyond the approved period. However, the cost of meals consumed after the approved period will not be reimbursed.

    Exception: See subsection 9.3.75.2, When the member's condition changes

Persons who can make the decision under subsection 9.3.74.1 on behalf of the CDF:
Director General Defence Community Organisation
Director National Operations Defence Community Organisation

9.3.75 When the member's condition changes

  1. If the member's condition improves and their condition is no longer classified by a medical authority as very seriously ill or seriously ill, the benefits provided under this Division ceases 24 hours after the approved person is informed of the member's reclassification.

  2. The CDF may approve an extension of the period for which benefits provided under this Division when both of the following conditions are met.

    1. The approved visitor has made reasonable efforts to arrange return travel within the 24 hours.

    2. Return travel is unavailable due to circumstances beyond the approved visitor's control.

      Examples: Some circumstances beyond an approved visitor's control can include, but are not limited to, airline strikes, weather delays and sold out flights.

  3. The CDF may approve another visit for a member. The member must meet both of the following conditions.

    1. The member was previously classified by medical authority as no longer very seriously ill or seriously ill.

    2. The member is reclassified as very seriously or seriously ill.

Persons who can make the decisions under subsection 9.3.75.2 and subsection 9.3.75.3 on behalf of the CDF:
Director General Defence Community Organisation
Director National Operations Defence Community Organisation

Application to Reservists: Yes.



Forms

Copies of forms are available on the webforms system or through the Defence Service Centre.

  • AE505, Travel Request Form

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Further info

Contact

Intergrated Travel Solutions

1800 333 362

Travel.ITS@defence.gov.au

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