Private Health Insurance (Benefit Requirements) Amendment Rules 2010 (No. 7A) (Cth)

Private Health Insurance (Benefit Requirements) Amendment Rules 2010 (No. 7A)

I, PENNY SHAKESPEARE, delegate of the Minister for Health and Ageing, make these Rules under item 3A of the table in section 333-20 of the Private Health Insurance Act 2007.

____________________________________

Penny Shakespeare

Assistant Secretary

Private Health Insurance Branch

Medical Benefits Division

Department of Health and Ageing

29 October 2010

Contents

Part 1Preliminary

1Name of Rules

These Rules are the Private Health Insurance (Benefit Requirements) Amendment Rules 20 10 (No. 7A).

2.Commencement

These Rules commence on:

(a) 1 November 2010; or

(b) if registered after 1 November 2010, the day after registration.

3.Amendment of the Private Health Insurance (Benefit Requirements) Rules 2010

The Schedule amends the Private Health Insurance (Benefit Requirements) Rules 2010 as amended.

Schedule―Amendments

[1]Part 1, Preliminary, clause 3:

After ‘outreach service means a service referred to in subsection 16(1) of the Private Health Insurance (Transitional Provisions and Consequential Amendments) Act 2007, unless subsection 16(2) of that Act applies to the particular service’, insert:

participating midwife has the same meaning as in subsection 3(1) of the Health Insurance Act 1973.

[2]Schedule 1, Part 2, Subclause 4(3):

Delete $806.13, substitute:

$820.64

[3]Schedule 1, Part 2, Subclause 4(3):

Delete item number 13218

[4]Schedule 1, Part 2, Subclause 5(2)(a)(iii):

Delete Subclause 5(2), substitute:

(2) A patient shall be taken to be an obstetric patient during an admission to a hospital from and including:

(a) whichever is the earlier of:

(i) the day on which the patient commences labour leading to delivery in that hospital; or

(ii) the day on which a professional service with the item number 16406, 16515, 16518, 16519, 16522 (excluding caesarean), 16525, 16527 or 16528 is rendered to the patient in that hospital; or

(b) if the circumstances in paragraph (a) do not apply, the day before a professional service with the item number 16520 and 16522 (including caesarean) is rendered to the patient at that hospital, unless the particular obstetric procedure to be rendered is recognised as requiring a longer pre-operative period; or

(c) the day on which a professional service with the item number 82120 or 82125 is rendered to a patient by a participating midwife.

[5]Schedule 1, Part 2, Subclause 6(3):

Delete $240.05 to $806.13, substitute:

$244.37 to $820.64

[6]Schedule 1, Part 2, Subclause 6(3):

After item number 13212, insert:

13218

[7]Schedule 3, Part 3, Clause 8, Category 1 Attendances

Delete:

A14

[8]Schedule 3, Part 3, Clause 8, Category 1 Attendances

Delete:

‘Al6:

444 445 446 447 448 449’

[9]Schedule 3, Part 3, Clause 8, Category 1 Attendances

Delete the following item number from group M2:

10997

[10]Schedule 3, Part 3, Clause 8:

After item number 74999, insert:

Category 8 – Miscellaneous Services

The following items are items in the miscellaneous services table.

M13:

1. 82100

   82105 82110 82115 82130 82135 82140

Note

1. All legislative instruments and compilations are registered on the Federal Register of Legislative Instruments kept under the Legislative Instruments Act 2003.See These Rules amend the Private Health Insurance (Benefit Requirements) Rules 2010,