Private Health Insurance (Prostheses) Amendment Rules 2017 (No. 4)

I, Megan Keaney, delegate of the Minister for Health, make these Rules under item 4 of the table in section 333-20 of the Private Health Insurance Act 2007. 

Dated     6 October 2017

signed

Megan Keaney

Acting Assistant Secretary

Technology Assessment and Access Division

Department of Health

Contents

PART 1  PRELIMINARY

1. Name of Rules

2. Commencement

3. Authority 3

4. Schedules

SCHEDULE – AMENDMENTS               4

Part 1 Preliminary

1.                      Name of Rules

These Rules are the Private Health Insurance (Prostheses) Amendment Rules 2017 (No. 4).

2.                      Commencement

These Rules commence on 1 November 2017.

3.                      Authority

These Rules are made under item 4 of the table to section 333-20 of the Private Health Insurance Act 2007.

4.                      Schedules

Each instrument that is specified in a Schedule to this instrument is amended or repealed as set out in the applicable items in the Schedule concerned, and any other item in a Schedule to this instrument has effect according to its terms.  

Schedule – Amendments

Private Health Insurance (Prostheses) Rules 2017 (No. 2)

[1]             Schedule, Part A, Opthalmic, billing code AO038 (column headed Min benefit)

Omit 1198 and substitute 1078.

[2]             Schedule, Part A, Specialist Orthopaedic, billing code LV119 (column headed Min benefit)

Omit 465 and substitute 310.

[3]             Schedule, Part A, Specialist Orthopaedic, billing code LV124 (column headed Min benefit)

Omit 335 and substitute 310.

[4]             Schedule, Part A, Specialist Orthopaedic, billing code SK527 (column headed Min benefit)

Omit 353 and substitute 163.

[5]             Schedule, Part A, Specialist Orthopaedic, after subheading
06.03.03.07 - Mini (screw size ≤2.7mm)(including blade) ≤ 6 holes

Insert the contents of Item 1 of the table:

[6]             Schedule, Part A, Specialist Orthopaedic, after entry for billing code SN460

Insert the contents of Item 1 of the table:

[7]             Schedule, Part A, Cardiac, after entry for billing code WC295

Insert subheading 08.13.03 – Left Atrial Appendage Closure

under that subheading insert the contents of Item 1 of the table:

[8]             Schedule, Part A, Cardiac, billing code SJ390

Repeal the entry for billing code SJ390.

[9]             Schedule, Part A, Cardiac, after entry for billing code LH582

Insert subheading 08.17 – Catheter Delivery

under that subheading insert subheading 08.17.01 – Transcatheter Aortic Valve Implantation

under that subheading insert the contents of Items 1, 2 and 3 of the table:

[10]         Schedule, Part A, Hip, after entry for billing code MA496

Insert the contents of Item 1 of the table:

[11]         Schedule, Part C, Cardiac, after entry for billing code SJ152

Insert the contents of Item 1 of the table in the columns indicated: