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Private Health Insurance (Benefit Requirements) Rules 2011
In force
Administered by
Department of Health and Aged Care
This item is authorised by the following title:
Private Health Insurance Act 2007
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F2024C01093 (C96)
01 November 2024
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Part 1 Preliminary
1. Name of Rules
3. Definitions
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Part 2 Minimum benefit requirements
4. Psychiatric care, rehabilitation and palliative care
5. Other hospital treatments
6. Benefit not to exceed hospital fees or charges
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Schedule 1―Overnight accommodation: private hospitals in all States/Territories and shared ward accommodation at public hospitals in Victoria and Tasmania
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Part 1 General
1. Circumstances
2. Minimum benefit
Part 2 Type A procedures
3. Interpretation
4. Advanced surgical patient
5. Obstetric patient
6. Surgical patient
7. Psychiatric patient
8. Rehabilitation patient
9. Other patient
Part 3 Certified Type B procedures and certified overnight Type C procedures
10. Certified Type B procedures
11. Certified overnight Type C procedures
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Schedule 2 Overnight shared ward accommodation for private patients at public hospitals in the Australian Capital Territory, New South Wales, Northern Territory, Queensland, South Australia and Western Australia
1. Circumstances
2. Minimum benefit
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Schedule 3―Same day accommodation: hospitals in all States/Territories
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Part 1 General
1. Circumstances
2. Minimum benefit
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Part 2 Type B procedures
3. Interpretation
4. Band 1
5. Non band specific Type B day procedures
6. Other bands
7. Certified Type C procedure
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Part 3 Type C procedures
8. Interpretation
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Schedule 4―Nursing home type patient accommodation: hospitals in all States/Territories
1. Circumstances
2. Interpretation
3. Application
4. Provision of acute care
5. Ceasing and resuming hospital treatment
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6. Minimum benefit
Table 1
Table 2
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Schedule 5―Second tier default benefits
1. Interpretation
1A. Categorisation of private hospitals
1B. Internal review of a categorisation determination
2. Circumstances
3. Minimum benefit
4. Transitional
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Endnotes
Endnote 1—About the endnotes
Endnote 2—Abbreviation key
Endnote 3—Legislation history
Endnote 4—Amendment history