Commonwealth Coat of Arms of Australia

 

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

1  Name

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

 

1  Name

  This instrument is the Private Health Insurance Legislation Amendment Rules (No. 6) 2020.

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.  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Note: This table relates only to the provisions of this instrument as originally made.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.

3  Authority

  This instrument is made under 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  Each instrument that is specified in a Schedule to this instrument is amended or repealed as set out in the applicable items in the Schedule concerned, and any other item in a Schedule to this instrument has effect according to its terms.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 1AmendmentsMinimum 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 Sameday 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 2Amendments—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 3Amendments—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”.