Private Health Insurance Legislation Amendment Rules (No. 4) 2019
I, Brian Kelleher delegate of the Minister for Health, make the following rules.
Dated 29 October 2019
Brian Kelleher
Assistant Secretary
Private Health Insurance Branch
Medical Benefits Division
Department of Health
Contents
2 Commencement
3 Authority
4 Schedules
Schedule 1—Amendments
Private Health Insurance (Benefit Requirements) Rules 2011
Schedule 2—Amendments
Private Health Insurance (Complying Product) Rules 2015
This instrument is the Private Health Insurance Legislation Amendment Rules (No. 4) 2019.
(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. The whole of this instrument | 1 November 2019 | 1 November 2019 |
Note: This table relates only to the provisions of this instrument as originally made.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.
This instrument is made under section 333-20 of the Private Health Insurance Act 2007.
Each instrument that is specified in a Schedule to this instrument is amended or repealed as set out in the applicable items in the Schedule concerned, and any other item in a Schedule to this instrument has effect according to its terms.
Private Health Insurance (Benefit Requirements) Rules 2011
1 Subclause 4(3) of Schedule 1
After “30606”, insert “30608”.
2 Subclause 6(3) of Schedule 1
Omit “30608”, “32090” and “32093”.
3 Subclause 6(3) of Schedule 1
After “45626”, insert “45627”.
4 Paragraph 4(1)(a) of Schedule 3 (Items under the heading, “T8: Surgical Operations”)
Omit “32088” and “32090”.
5 Subclause 5(1) of Schedule 3
Omit “32089” and “32093”.
6 Subclause 5(1) of Schedule 3
After “32217”, insert: “32222”, “32223”, “32224”, “32225”, “32226”, 32227”, “32228” and “32229”.
7 Clause 8 of Schedule 3 (Category 3 – Therapeutic procedures, under the heading “T8”:)
Omit “41846”.
8 Clause 8 of Schedule 3 (Category 3 – Therapeutic procedures, under the heading “T8:”)
After “41500”, insert “41501”.
9 Clause 8 of Schedule 3 (Category 5 – Diagnostic Imaging Services, under the heading “I4:”)
After “61505”, insert “61524”.
10 Clause 8 of Schedule 3 (Category 5- Diagnostic Imaging Services, under the heading “I5:”)
After “63522”, insert: “63531”, “63532”, “63533” and “63534”.
Private Health Insurance (Complying Product) Rules 2015
1 Paragraph 14(4)(a)
Omit “14 days”, substitute “10 business days”
2 Clause 2 of Schedule 5 (cell at table item dealing with clinical category “Hospital psychiatric services”, column headed “Treatments that must be covered (MBS Items) (see Notes 1, 2 and 3)”)
After “80170”, insert: “90250”, “90251”, 90252”, “90253”, 90254”, “90255”, “90256”, “90257”, 90264”, “90265”, “90272”, 90274”, “90276” and “90278”.
3 Clause 2 of Schedule 5 (cell at table item dealing with clinical category “Ear, nose and throat”, column headed “Treatments that must be covered (MBS Items) (see Notes 1, 2 and 3)”)
Omit “41846”.
4 Clause 2 of Schedule 5 (cell at table item dealing with clinical category “Ear, nose and throat”, column headed “Treatments that must be covered (MBS Items) (see Notes 1, 2 and 3)”)
After “41500”, insert “41501”.
5 Clause 2 of Schedule 5 (cell at table item dealing with clinical category “Gastrointestinal endoscopy”, column headed “Treatments that must be covered (MBS Items) (see Notes 1, 2 and 3)”)
Omit “32088”, “32089”, “32090” and “32093”,
6 Clause 2 of Schedule 5 (cell at table item dealing with clinical category “Gastrointestinal endoscopy”, column headed “Treatments that must be covered (MBS Items) (see Notes 1, 2 and 3)”)
After “32095”, insert: “32222”, “32223”, “32224”, “32225”, “32226”, “32227”, “32228” and “32229”.
7 Clause 2 of Schedule 5 (cell at table item dealing with clinical category “Joint replacement”, column headed “Treatments that must be covered (MBS Items) (see Notes 1, 2 and 3)”)
Omit “46324”, “46325” and “50127”.
8 Clause 2 of Schedule 5 (cell at table item dealing with clinical category “Plastic and reconstructive surgery (medically necessary)”, column headed “Treatments that must be covered (MBS Items) (see Notes 1, 2 and 3)”)
After “45626”, insert “45627”.
9 Clause 1 of Schedule 6 (table titled “Common treatments list”)
Repeal the table, substitute:
Common treatments list |
3 4 23 24 36 37 44 47 52 53 54 57 58 59 60 65 104 105 106 107 108 109 110 111 115 116 117 119 120 122 128 131 132 133 135 137 141 143 145 147 160 161 162 163 164 173 188 193 195 197 199 214 215 218 219 220 221 222 223 224 225 226 227 228 229 230 231 232 233 235 236 237 238 239 240 243 244 253 255 257 260 262 264 266 269 271 272 276 277 279 281 282 285 287 291 293 296 299 300 302 304 306 308 310 312 314 316 318 319 330 332 334 336 338 353 355 356 357 358 359 361 385 386 387 388 410 411 412 413 414 415 416 417 501 503 507 511 515 519 520 530 532 534 536 585 588 591 594 599 600 701 703 705 707 715 721 723 729 731 732 733 735 737 739 743 747 750 758 820 822 823 825 826 828 830 832 834 835 837 838 871 872 880 900 903 2100 2497 2501 2503 2504 2506 2507 2509 2517 2518 2521 2522 2525 2526 2546 2547 2552 2553 2558 2559 2598 2600 2603 2606 2610 2613 2616 2620 2622 2624 2631 2633 2635 2664 2666 2668 2673 2675 2677 2801 2806 2814 2824 2832 2840 2946 2949 2954 2958 2972 2974 2978 2984 2988 2992 2996 3000 4001 5000 5003 5010 5020 5023 5028 5040 5043 5049 5060 5063 5067 5200 5203 5207 5208 5220 5223 5227 5228 5260 5263 5265 5267 6051 6052 6057 6058 6059 6060 6062 6063 6064 6065 6067 6068 6071 6072 6074 6075 10905 10907 10910 10911 10912 10913 10914 10915 10916 10918 10921 10922 10923 10924 10925 10926 10927 10928 10929 10930 10945 10946 10947 10948 11830 11833 12000 12001 12002 12003 12004 12005 13015 13020 13025 13030 13757 13870 13873 14200 14201 14202 14209 17615 17620 17625 17640 17645 17650 17655 18216 18219 18282 18284 18286 18288 18290 18292 18294 18296 18298 30058 30061 30068 30072 30075 30078 30081 30084 30087 30093 30094 30096 30097 30224 30225 30323 30329 30330 30332 30335 30336 30388 30390 30391 30394 30403 30405 30611 31350 31355 34538 36502 37607 37610 38456 39000 43915 44130 46324 46325 46519 46525 50127 51700 51703 52012 52015 52018 52144 75001 75004 75150 75153 82130 82135 82140 82205 82210 82215 |
10 Clause 1 of Schedule 7 (table titled “Table of MBS items”)
Repeal the table, substitute:
Table of MBS items |
6080 6081 10801 10802 10803 10804 10805 10806 10807 10808 10809 10816 10931 10932 10933 10940 10941 10942 10943 10944 10950 10951 10952 10953 10954 10956 10958 10960 10962 10964 10966 10968 10970 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 18297 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 20706 20730 20740 20745 20750 20752 20754 20756 20770 20790 20791 20792 20793 20794 20798 20799 20800 20802 20803 20804 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 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 21930 21935 21936 21939 21941 21942 21943 21945 21949 21952 21955 21959 21962 21965 21969 21970 21973 21976 21980 21990 21992 21997 22002 22007 22008 22012 22014 22015 22020 22025 22031 22036 22041 22042 22051 22055 22060 22065 22075 22900 22905 23010 23025 23035 23045 23055 23065 23075 23085 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 |
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