Private Health Insurance Legislation Amendment Rules (No. 6) 2020
I, Brian Kelleher, delegate of the Minister for Health, make the following Rules.
Dated 28 September 2020
Brian Kelleher
Assistant Secretary
Private Health Insurance Branch
Medical Benefits Division
Health Resourcing Group
Department of Health
Contents
2 Commencement
3 Authority
4 Schedules
Schedule 1—Amendments—Minimum Accommodation Benefits
Private Health Insurance (Benefit Requirements) Rules 2011
Schedule 2—Amendments—Clinical categories
Private Health Insurance (Complying Product) Rules 2015
Schedule 3—Amendments—Type C procedures
Private Health Insurance (Benefit Requirements) Rules 2011
This instrument is the Private Health Insurance Legislation Amendment Rules (No. 6) 2020.
(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 | 30 September 2020.
| 30 September 2020.
|
Note: This table relates only to the provisions of this instrument as originally made.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Each instrument that is specified in a Schedule to this instrument is amended or repealed as set out in the applicable items in the Schedule concerned, and any other item in a Schedule to this instrument has effect according to its terms.
Schedule 1—Amendments—Minimum Accommodation Benefits
Private Health Insurance (Benefit Requirements) Rules 2011
1 Clause 2 of Schedule 1 (Table 3)
Repeal the table (including the heading), substitute:
Table 3 – Tasmania - overnight shared ward accommodation for private patients at public hospitals
Class of patient | Minimum benefit payable per night |
Advanced surgical patient |
|
‑ first 14 days | $448 |
‑ over 14 days | $312 |
Surgical patient or obstetric patient |
|
‑ first 14 days | $415 |
‑ over 14 days | $312 |
Psychiatric patient |
|
‑ first 42 days | $415 |
‑ 43 – 65 days | $360 |
‑ over 65 days | $312 |
Rehabilitation patient |
|
‑ first 49 days | $415 |
‑ 50 ‑ 65 days | $360 |
‑ over 65 days | $312 |
Other patients |
|
‑ first 14 days | $360 |
‑ over 14 days | $312 |
2 Clause 2 of Schedule 3 (Table 1)
Repeal the table (including the heading), substitute:
Table 1 ‑ Same‑day accommodation for private patients at public hospitals in all States/Territories
Public hospitals | Band 1 | Band 2 | Band 3 | Band 4 |
|
|
|
|
|
NSW | $268 | $300 | $329 | $370 |
ACT | $268 | $300 | $329 | $370 |
Northern Territory | $268 | $308 | $355 | $370 |
Queensland | $274 | $310 | $339 | $379 |
South Australia | $268 | $308 | $338 | $370 |
Tasmania | $261 | $311 | $358 | $415 |
Victoria | $263 | $312 | $361 | $415 |
Western Australia | $305 | $305 | $305 | $305 |
Schedule 2—Amendments—Clinical categories
Private Health Insurance (Complying Product) Rules 2015
1 Clause 2 of Schedule 5 (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 “91727” insert “93300, 93303, 93306 and 93309”.
Schedule 3—Amendments—Type C procedures
Private Health Insurance (Benefit Requirements) Rules 2011
1 Clause 8 of Schedule 3 (Category 1 – Attendances, after the paragraph “A39:”)
After “91727”, insert:
“A41:
93300 93303 93306 93309”
2 Clause 8 of Schedule 3 (Category 5 – Diagnostic Imaging Services, under the heading “I4:”)
After “61393” insert “61394”.
After “61397” insert “61398”.
After “61402” insert “61406”.
After “61409” insert “61410”.
After “61413” insert “61414”.