Private Health Insurance (Benefit Requirements) Amendment Rules 2012 (No. 4)
I, RICHARD MAGOR, delegate of the Minister for Health, make these Rules under item 3A of the table in section 333-20 of the Private Health Insurance Act 2007.
____________________________________
Richard Magor
Assistant Secretary
Private Health Insurance Branch
Medical Benefits Division
Department of Health and Ageing
15 June 2012
2. Commencement
3. Amendment of the Private Health Insurance (Benefit Requirements) Rules 2011 3
SCHEDULE B – AMENDMENTS 8
SCHEDULE C – Amendments 9
SCHEDULE D – AMENDMENTS 16
These Rules are the Private Health Insurance (Benefit Requirements) Amendment Rules 2012 (No. 4).
(a) 1 July 2012; or
(b) if registered after 1 July 2012, the day after registration.
Schedules A, B, C and D amend the Private Health Insurance (Benefit Requirements) Rules 2011 as amended.
[1] Schedule 1, Subclause 2(2) Minimum benefit, Table 1:
Delete:
Schedule 1, Subclause 2(2) Minimum benefits, Table 1 – Accommodation at private hospitals in all States/Territories
Insert:
Table 1―Accommodation at private hospitals in all States/Territories
Class of patient | Minimum benefit payable per night |
Advanced surgical patient |
|
- first 14 days | $384 |
- over 14 days | $266 |
Surgical patient or obstetric patient |
|
- first 14 days | $356 |
- over 14 days | $266 |
Psychiatric patient |
|
- first 42 days | $356 |
- 43 – 65 days | $309 |
- over 65 days | $266 |
Rehabilitation patient |
|
- first 49 days | $356 |
- 50 - 65 days | $309 |
- over 65 days | $266 |
Other patients |
|
- first 14 days | $309 |
- over 14 days | $266 |
[2] Schedule 1, Subclause 2(2) Minimum benefit, Table 2:
Delete:
Schedule 1, Subclause 2(2) Minimum benefit, Table 2 - Victoria: shared ward accommodation at a public hospital
Insert:
Table 2― Victoria: shared ward accommodation at a public hospital
Class of patient | Minimum benefit payable per night |
Advanced surgical patient |
|
- first 14 days | $384 |
- over 14 days | $266 |
Surgical patient or obstetric patient |
|
- first 14 days | $356 |
- over 14 days | $266 |
Psychiatric patient |
|
- first 42 days | $356 |
- 43 – 65 days | $309 |
- over 65 days | $266 |
Rehabilitation patient |
|
- first 49 days | $356 |
- 50 - 65 days | $309 |
- over 65 days | $266 |
Other patients |
|
- first 14 days | $309 |
- over 14 days | $266 |
[3] Schedule 1, Subclause 2(2) Minimum benefit, Table 3:
Delete:
Schedule 1, Subclause 2(2) Minimum benefit, Table 3 -Tasmania: shared ward accommodation at a public hospital
Insert:
Table 3― Tasmania: shared ward accommodation at a public hospital
Class of patient | Minimum benefit payable per night |
Advanced surgical patient |
|
- first 14 days | $384 |
- over 14 days | $266 |
Surgical patient or obstetric patient |
|
- first 14 days | $356 |
- over 14 days | $266 |
Psychiatric patient |
|
- first 42 days | $356 |
- 43 – 65 days | $309 |
- over 65 days | $266 |
Rehabilitation patient |
|
- first 49 days | $356 |
- 50 - 65 days | $309 |
- over 65 days | $266 |
Other patients |
|
- first 14 days | $309 |
- over 14 days | $266 |
[4] Schedule 2, Clause 2 Minimum benefit, Table:
Delete:
Schedule 2, Clause 2 Minimum benefit, Table
Insert:
Table
State/Territory | Minimum benefit payable per night |
ACT | $318 |
NSW | $318 |
Northern Territory | $318 |
Queensland | $324 |
South Australia | $318 |
Western Australia | $318 |
[5] Schedule 3, Part 1, Subclause 2(2) Minimum benefit, Table 1:
Delete:
Schedule 3, Part 1, Subclause 2(2) Minimum benefit, Table 1
Insert:
Table 1
Public hospitals | Band 1 | Band 2 | Band 3 | Band 4 |
|
|
|
|
|
NSW | $230 | $257 | $283 | $318 |
ACT | $230 | $257 | $283 | $318 |
Northern Territory | $230 | $262 | $305 | $318 |
Queensland | $236.50 | $264 | $291 | $324 |
South Australia | $230 | $262 | $290 | $318 |
Tasmania | $223 | $265 | $308 | $356 |
Victoria | $225 | $266 | $310 | $356 |
Western Australia | $260 | $260 | $260 | $260 |
[6] Schedule 3, Part 1, Subclause 2(2) Minimum benefit, Table 2:
Delete:
Schedule 3, Part 1, Subclause 2(2) Minimum benefit, Table 2
Insert:
Table 2
| Band 1 | Band 2 | Band 3 | Band 4 |
Private Hospitals | $199 | $251 | $305 | $356 |
Schedule B - Amendments
Delete:
South Australia $106.00
Insert:
South Australia $108.00
Delete:
ACT $103.80
Insert:
ACT $107.40
Delete:
Western Australia $106.80
Insert:
Western Australia $116.05
[1] Schedule 5, Clause 4 Facilities, Table:
The table in Clause 4 of Schedule 5 of the Private Health Insurance (Benefit
Requirements) Rules 2011 is amended as set out below:
Aesthetic Day Surgery | 14 Kensington Street, KOGARAH NSW 2217 |
Insert:
Albury Day Surgery | 4 Baker Court, ALBURY NSW 2640 |
After:
Cabrini Hopetoun Rehabilitation Hospital | 2-6 Hopetoun Road, ELSTERNWICK VIC 3185 |
Insert:
Cabrini Hospital - Malvern | 181-183 Wattletree Road, MALVERN VIC 3144 |
Insert:
Cabrini Hospital - Prahran | 646 High Street, PRAHRAN EAST VIC 3181 |
Delete:
Calvary Health Care Tasmania - St Luke’s Campus | 24 Lyttleton Street, LAUNCESTON TAS 7250 |
Substitute:
Calvary Health Care Tasmania – (Launceston) | 24 Lyttleton Street, LAUNCESTON TAS 7250 |
Delete:
5 Frederick Street, LAUNCESTON TAS 7250 |
Delete:
Cambridge Day Surgery | 178 Cambridge Street, WEMBLEY WA 6014 |
After:
Campbelltown Private Hospital | 42 Parkside Crescent, CAMPBELLTOWN NSW 2560 |
Insert:
Canberra Specialist Surgical Centre | Level 3, Building 2, Equinox Business Park, 70 Kent Street, DEAKIN ACT 2600 |
After:
Chesterville Day Hospital | 28 Chesterville Road, CHELTENHAM VIC 3192 |
Insert:
Churchill Day Surgery | 136 Churchill Avenue, SUBIACO WA 6008 |
Delete:
Colin Street Day Surgery | 51 Colin Street, WEST PERTH WA 6005 |
After:
Diaverum Diamond Valley Dialysis Clinic | 15 Grimshaw Street, GREENSBOROUGH VIC 3088 |
Insert:
Diaverum North Melbourne Dialysis Clinic | Level 1, 185-187 Boundary Road, NORTH MELBOURNE VIC 3051 |
After:
Geelong Private Hospital | cnr Ryrie & Bellarine Streets, GEELONG VIC 3220 |
Insert:
Genea Day Surgery | Level 4, 321 Kent Street, SYDNEY NSW 2000 |
Insert:
Genea IVF Liverpool | 173-175 Bigge Street, LIVERPOOL NSW 2170 |
Insert:
Genea IVF Northwest | Level 1, Suite 101, 10 Norbrik Drive, BELLA VISTA NSW 2153 |
After:
Hawkesbury District Health Service | cnr Macquarie and Day Streets, WINDSOR NSW 2756 |
Insert:
Healthbridge Hawthorn Private Hospital | 50 Burwood Road, HAWTHORN VIC 3122 |
Delete:
Kawana Private Hospital | Suite 14, Level 1, Innovation Parkway, BIRTINYA QLD 4575 |
Substitute:
Kawana Private Hospital | Suite 14, Level 1, 5 Innovation Parkway, BIRTINYA QLD 4575 |
Delete:
Lambton Road Day Surgery | 163 Lambton Road, BROADMEADOW NSW 2292 |
Delete:
Macquarie University Hospital | Talavera Road, MACQUARIE PARK NSW 2113 |
Substitute:
Macquarie University Hospital | 3 Technology Place, MACQUARIE PARK NSW 2109 |
Delete:
Maitland Private Hospital | 173 Chisholm Road, EAST MAITLAND NSW 2323 |
After:
Marie Stopes International Bowen Hills | 8 Campbell Street, BOWEN HILLS QLD 4006 |
Insert:
Marie Stopes International Broadmeadow | 163 Lambton Road, BROADMEADOW NSW 2292 |
After:
Marie Stopes International East St Kilda | 338 Dandenong Road, EAST ST KILDA VIC 3182 |
Insert:
Marie Stopes International Maroondah Centre | 411-415 Dorset Road, CROYDON VIC 3142 |
Delete:
Mercy Hospital Mount Lawley | Thirlmere Road, MOUNT LAWLEY WA 6050 |
Delete:
Murdoch Surgicentre | 100 Murdoch Drive, MURDOCH WA 6150 |
Delete:
Nephrocare Bondi Dialysis Clinic | Suite G2, 19-23 Hollywood Avenue, BONDI JUNCTION NSW 2022 |
Delete:
Nephrocare Newcastle Dialysis Clinic | Suite 402, Level 4, 670 Hunter Street, NEWCASTLE NSW 2308 |
After:
North Eastern Rehabilitation Centre | 134-144 Ford Street, IVANHOE VIC 3079 |
Insert:
North Lakes Day Hospital | 7 Endeavour Boulevard, NORTH LAKES QLD 4509 |
Delete:
North Melbourne Dialysis Clinic | Level 1, 185-187 Boundary Road, NORTH MELBOURNE VIC 3051 |
After:
North Shore Specialist Day Surgery | 176 Pacific Highway, GREENWICH NSW 2065 |
Insert:
North Tas Urology | 25-27 Canning Street, LAUNCESTON TAS 7250 |
After:
Northside West Clinic | 23-27 Lytton Street, WENTWORTHVILLE NSW 2145 |
Insert:
Northwest Day Hospital | 221 Maribyrnong Road, ASCOT VALE VIC 3032 |
Delete:
Oromax Day Surgery | Level 3, 1 Hutt Street, ADELAIDE SA 5000 |
Substitute:
Oromax Day Surgery Pty Ltd | Level 3, 1 Hutt Street, ADELAIDE SA 5000 |
Delete:
Reservoir Private Hospital | 73 – 75 Pine Street, RESERVOIR VIC 3071 |
Delete:
Robina Procedure Centre | Robina Town Centre, ROBINA QLD 4230 |
Substitute:
Robina Procedure Centre | Tenancy 4110, Level 3, Robina Town Centre Drive, ROBINA TOWN CENTRE QLD 4230 |
After:
Roderick Street Day Surgery | 23 Roderick Street, IPSWICH QLD 4305 |
Insert:
Rosebery Day Surgery | 308 Gardeners Road, ROSEBERY NSW 2018 |
Delete:
Skin Cancer Day Surgery | 19 Cleveland Road, ASHWOOD VIC 3147 |
After:
Spring Hill Specialist Day Hospital | 1st and 4th Floor St Andrew's Place, 33 North Street, SPRING HILL QLD 4000 |
Insert:
Springvale Endoscopy Centre and Day Hospital | 20 Balmoral Avenue, Springvale VIC 3171 |
Delete:
St Frances Xavier Cabrini Hospital – Malvern | 181-183 Wattletree Road, MALVERN VIC 3144 |
Delete:
St Francis Xavier Cabrini Hospital – Prahran | 646 High Street, PRAHRAN EAST VIC 3181 |
Delete:
Subiaco Private Hospital | Ground Floor, Suite F and Level 1, 1 Salvado Road, SUBIACO WA 6008 |
Delete:
Sydney IVF Canberra | 2 King Street - Suite 17B, DEAKIN ACT 2600 |
Delete:
Sydney IVF Day Surgery | Level 4, 321 Kent Street, SYDNEY NSW 2000 |
Delete:
Sydney IVF Liverpool | 173-175 Bigge Street, LIVERPOOL NSW 2170 |
Delete:
Sydney IVF Northwest | Level 1, Suite 101, 10 Norbrik Drive, BELLA VISTA NSW 2153 |
Delete:
The Hornsby Sleep Disorder and Diagnostic Centre | 104 Balmoral Street, WAITARA NSW 2077 |
Delete:
The Marian Centre | 187 Cambridge Street, WEMBLEY WA 6014 |
Delete:
Victor Harbor Private Hospital | Bay Road, VICTOR HARBOR SA 5211 |
Delete:
Vision Eye Institute | Levels 3 & 4, 270 Victoria Street, CHATSWOOD NSW 2067 |
Substitute:
Vision Eye Institute, Chatswood | Levels 3 & 4, 270 Victoria Street, CHATSWOOD NSW 2067 |
After:
Westmed Centre | 27 Railway Parade, WESTMEAD NSW 2145 |
Insert:
Westpoint Endoscopy Day Hospital | 243 Heaths Road, HOPPERS CROSSING VIC 3029 |
Schedule D - Amendments
[1] Schedule 1, Part 2, Type A procedures, Subclause 6(3) Surgical patient
Delete:
37219
[2] Schedule 3, Part 2, Type B procedures, Subclause 5(1) Non-band specific Type B day procedures
After:
13292
Insert:
13318
After:
13757
Insert:
13815
[3] Schedule 3, Part 3, Type C procedures, Clause 8, Category 6 – Pathology services
After:
73324
Insert:
73328 73330 73332
Notes
1. All legislative instruments and compilations are registered on the Federal Register of Legislative Instruments kept under the Legislative Instruments Act 2003. See www.frli.gov.au
2. These Rules amend the Private Health Insurance (Benefit Requirements) Rules 2011, which commenced on 1 November 2011.