Private Health Insurance (Complying Product) Amendment Rules (No. 3) 2019

I, Nick Henderson, delegate of the Minister for Health, make the following rules.

Dated          29   March 2019

 

Nick Henderson
Assistant Secretary
Private Health Insurance Branch
Department of Health

 

 

 

1  Name

  This instrument is the Private Health Insurance (Complying Product) Amendment Rules (No. 3) 2019.

2  Commencement

 (1) Each provision of this instrument specified in column 1 of the table commences, or is taken to have commenced, in accordance with column 2 of the table. Any other statement in column 2 has effect according to its terms.

 

Commencement information

Column 1

Column 2

Column 3

Provisions

Commencement

Date/Details

1.  Sections 1 to 4 and anything in this instrument not elsewhere covered by this table

The day after this instrument is registered.

 

2.  Schedule 1

Immediately after the commencement of Part 1 of Schedule 3 to the Private Health Insurance (Reforms) Amendment Rules 2018.

 

Note: This table relates only to the provisions of this instrument as originally made. It will not be amended to deal with any later amendments of this instrument.

 (2) Any information in column 3 of the table is not part of this instrument. Information may be inserted in this column, or information in it may be edited, in any published version of this instrument.

3  Authority

  This instrument is made under section 33320 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  Each instrument that is specified in a Schedule to this instrument is amended or repealed as set out in the applicable items in the Schedule concerned, and any other item in a Schedule to this instrument has effect according to its terms.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 1Amendments

 

Private Health Insurance (Complying Product) Rules 2015

1  Rule 4 (definition of MBS item)

Repeal the definition, substitute:

MBS item means an item that is in, or which from time to time a determination under section 3C of the Health Insurance Act 1973 deems to be in, any of the following:

 (a) the general medical services table, made under section 4 of the Health Insurance Act 1973, as in force from time to time;

 (b) the diagnostic imaging services table, made under section 4AA of that Act, as in force from time to time;

 (c) the pathology services table, made under section 4A of that Act, as in force from time to time.

2  Clause 1 of Schedule 6 (Common treatments list table items)

Omit “20”, “35”, “43”, “51”, “92”, “93”, “95”, “96”, “183”, “202” and “212”, insert “115” in the appropriate position.

3  Schedule 7

Repeal the Schedule, substitute:

Schedule 7Support treatments list

Note: Rule 11F is the principal provision that deals with what hospital treatments must be covered by an insurance policy that covers hospital treatment. The operation of rule 11F relies on this Schedule, as well as Schedule 5 and Schedule 6.

1  Support treatments list

  For subsubparagraph 11F (5) (b) (ii) (B), the support treatments list is:

 (a) the MBS items set out in the following table; and

 (b) any MBS item that is not listed in the table or in Schedule 5 or 6 but is, at the time of the relevant treatment, listed in the diagnostic imaging services table or the pathology services table made under section 4AA or 4A of the Health Insurance Act 1973, including by reason of a determination under section 3C of that Act.
 

Table of MBS items

6080 6081 10801 10802 10803 10804 10805 10806 10807 10808 10809 10816              10931              10932              10933              10940              10941              10942              10943              10944              11000              11003              11004              11005              11006              11009              11012              11015              11018              11021              11024              11027              11200              11204              11205              11210              11211              11215              11218              11219              11220              11221              11224              11235              11237              11240              11241              11242              11243              11244              11303              11304              11306              11309              11312              11315              11318              11324              11327              11330              11332              11333              11336              11339              11503              11505              11506              11507              11508              11512              11600              11602              11604              11605              11610              11611              11612              11614              11615              11627              11700              11701              11702              11708              11709              11710              11711              11712              11713              11715              11718              11719              11720              11721              11722              11724              11725              11726              11727              11728              12200              12201              12306              12312              12315              12320              12321              12322              12325              12326              12500              12503              12506              12509              12512              12515              12518              12521              12530              12533              13300              13303              13306              13309              13312              13318              13319              13703              13706              13709              13750              13755              13815              13818              13830              13839              13842              13847              13848              13851              13854              13857              13876              13881              13882              13885              13888              17610              17680              17690              18213              18222              18225              18226              18227              18228              18230              18232              18233              18234              18236              18238              18240              18242              18244              18248              18250              18252              18254              18256              18258              18260              18262              18264              18266              18268              18270              18272              18274              18276              18278              18280              20100              20102              20104              20120              20124              20140              20142              20143              20144              20145              20146              20147              20148              20160              20162              20164              20170              20172              20174              20176              20190              20192              20210              20212              20214              20216              20220              20222              20225              20230              20300              20305              20320              20321              20330              20350              20352              20355              20400              20401              20402              20403              20404              20405              20406              20410              20420              20440              20450              20452              20470              20472              20474              20475              20500              20520              20522              20524              20526              20528              20540              20542              20546              20548              20560              20600              20604              20620              20622              20630              20632              20634              20670              20680              20690              20700              20702              20703              20704              20705              20706              20730              20740              20745              20750              20752              20754              20756              20770              20790              20791              20792              20793              20794              20798              20799              20800              20802              20803              20804              20805              20806              20810              20815              20820              20830              20832              20840              20841              20842              20844              20845              20846              20847              20848              20850              20855              20860              20862              20863              20864              20866              20867              20868              20880              20882              20884              20886              20900              20902              20904              20905              20906              20910              20911              20912              20914              20916              20920              20924              20926              20928              20930              20932              20934              20936              20938              20940              20942              20943              20944              20946              20948              20950              20952              20953              20954              20956              20958              20960              21100              21110              21112              21114              21116              21120              21130              21140              21150              21155              21160              21170              21195              21199              21200              21202              21210              21212              21214              21216              21220              21230              21232              21234              21260              21270              21272              21274              21275              21280              21300              21321              21340              21360              21380              21382              21390              21392              21400              21402              21403              21404              21420              21430              21432              21440              21445              21460              21461              21462              21464              21472              21474              21480              21482              21484              21486              21490              21500              21502              21520              21522              21530              21532              21535              21600              21610              21620              21622              21630              21632              21634              21636              21638              21650              21652              21654              21656              21670              21680              21682              21685              21700              21710              21712              21714              21716              21730              21732              21740              21756              21760              21770              21772              21780              21785              21790              21800              21810              21820              21830              21832              21834              21840              21842              21850              21860              21865              21870              21872              21878              21879              21880              21881              21882              21883              21884              21885              21886              21887              21900              21906              21908              21910              21912              21914              21915              21916              21918              21922              21925              21926              21927              21930              21935              21936              21939              21941              21942              21943              21945              21949              21952              21955              21959              21962              21965              21969              21970              21973              21976              21980              21990              21992              21997              22001              22002              22007              22008              22012              22014              22015              22018              22020              22025              22031              22036              22040              22045              22050              22051              22055              22060              22065              22070              22075              22900              22905              23010              23021              23022              23023              23031              23032              23033              23041              23042              23043              23051              23052              23053              23061              23062              23063              23071              23072              23073              23081              23082              23083              23091              23101              23111              23112              23113              23114              23115              23116              23117              23118              23119              23121              23170              23180              23190              23200              23210              23220              23230              23240              23250              23260              23270              23280              23290              23300              23310              23320              23330              23340              23350              23360              23370              23380              23390              23400              23410              23420              23430              23440              23450              23460              23470              23480              23490              23500              23510              23520              23530              23540              23550              23560              23570              23580              23590              23600              23610              23620              23630              23640              23650              23660              23670              23680              23690              23700              23710              23720              23730              23740              23750              23760              23770              23780              23790              23800              23810              23820              23830              23840              23850              23860              23870              23880              23890              23900              23910              23920              23930              23940              23950              23960              23970              23980              23990              24100              24101              24102              24103              24104              24105              24106              24107              24108              24109              24110              24111              24112              24113              24114              24115              24116              24117              24118              24119              24120              24121              24122              24123              24124              24125              24126              24127              24128              24129              24130              24131              24132              24133              24134              24135              24136              25000              25005              25010              25015              25020              25025              25030              25050              25200              25205              30001              51300              51303              51306              51309              51312              51315              51318              51800              51803              53700              53702              53704              53706              75009              75012              75015              75018              75021              75023              10950              10951              10952              10953              10954              10956              10958              10960              10962              10964              10966              10968              10970              10984              10987              10988              10989              10990              10991              10992              10997              81000              81005              81010              81110              81115              81120              81125              81300              81305              81310              81315              81320              81325              81330              81335              81340              81345              81350              81355              81360              82005              82010              82020              82025              82030              82035              82300              82306              82309              82312              82315              82318              82324              82327              82332