Private Health Insurance (Benefit Requirements) Amendment Rules 2014 (No. 2) (Cth)
Private Health Insurance (Benefit Requirements) Amendment Rules 2014 (No. 2) 1
I, SHANE PORTER, delegate of the Minister for Health, make these Rules under item 3A of the table in section 333-20 of the Private Health Insurance Act 2007.
____________________________________
Shane Porter
Assistant Secretary
Private Health Insurance Branch
Medical Benefits Division
Department of Health
19 June 2014
Contents
PART 1 PRELIMINARY3
1 Name of Rules3
2. Commencement3
3. Authority3
4. Schedule 3
SCHEDULE A – AMENDMENTS4
SCHEDULE B – AMENDMENTS
SCHEDULE C – AMENDMENTS
SCHEDULE D – AMENDMENTS
Part 1 Preliminary
Name of Rules
These Rules are the Private Health Insurance (Benefit Requirements) Amendment Rules 2014 (No. 2).
Commencement
These Rules commence on 1 July 2014, or if registered after 1 July 2014, the day after registration.
Authority
These Rules are made under item 3A of the table in section 333-20 of the Private Health Insurance Act 2007.
Schedule
Each instrument that is specified in a Schedule to this instrument is amended or repealed as set out in the applicable items in the Schedule concerned, and any other item in a Schedule to this instrument has effect according to its terms.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 A – Amendments
Private Health Insurance (Benefit Requirements) Rules 2011
1 Schedule 1, Subclause 2 Minimum benefit, Table 1
Delete:
Schedule 1, Subclause 2 Minimum benefits, Table 1 – Accommodation at private hospitals in all States/Territories
Insert:
Table 1―Accommodation at private hospitals in all States/Territories
| Class of patient | Minimum benefit payable per night |
| Advanced surgical patient | |
| - first 14 days | $405 |
| - over 14 days | $281 |
| Surgical patient or obstetric patient | |
| - first 14 days | $376 |
| - over 14 days | $281 |
| Psychiatric patient | |
| - first 42 days | $376 |
| - 43 – 65 days | $326 |
| - over 65 days | $281 |
| Rehabilitation patient | |
| - first 49 days | $376 |
| - 50 - 65 days | $326 |
| - over 65 days | $281 |
| Other patients | |
| - first 14 days | $326 |
| - over 14 days | $281 |
2 Schedule 1, Subclause 2 Minimum benefit, Table 2
Delete:
Schedule 1, Subclause 2 Minimum benefit, Table 2 - Victoria: shared ward accommodation at a public hospital
Insert:
Table 2― Victoria: shared ward accommodation at a public hospital
| Class of patient | Minimum benefit payable per night |
| Advanced surgical patient | |
| - first 14 days | $405 |
| - over 14 days | $281 |
| Surgical patient or obstetric patient | |
| - first 14 days | $376 |
| - over 14 days | $281 |
| Psychiatric patient | |
| - first 42 days | $376 |
| - 43 – 65 days | $326 |
| - over 65 days | $281 |
| Rehabilitation patient | |
| - first 49 days | $376 |
| - 50 - 65 days | $326 |
| - over 65 days | $281 |
| Other patients | |
| - first 14 days | $326 |
| - over 14 days | $281 |
3 Schedule 1, Subclause 2 Minimum benefit, Table 3
Delete:
Schedule 1, Subclause 2 Minimum benefit, Table 3 - Tasmania: shared ward accommodation at a public hospital
Insert:
Table 3― Tasmania: shared ward accommodation at a public hospital
| Class of patient | Minimum benefit payable per night |
| Advanced surgical patient | |
| - first 14 days | $405 |
| - over 14 days | $281 |
| Surgical patient or obstetric patient | |
| - first 14 days | $376 |
| - over 14 days | $281 |
| Psychiatric patient | |
| - first 42 days | $376 |
| - 43 – 65 days | $326 |
| - over 65 days | $281 |
| Rehabilitation patient | |
| - first 49 days | $376 |
| - 50 - 65 days | $326 |
| - over 65 days | $281 |
| Other patients | |
| - first 14 days | $326 |
| - over 14 days | $281 |
4 Schedule 2, Clause 2 Minimum benefit, Table
Delete:
Schedule 2, Clause 2 Minimum benefit, Table
Insert:
Table
| State/Territory | Minimum benefit payable per night |
| ACT | $335 |
| NSW | $335 |
| Northern Territory | $335 |
| Queensland | $341 |
| South Australia | $335 |
| Western Australia | $335 |
5 Schedule 3, Part 1, Subclause 2 Minimum benefit, Table 1:
Delete:
Schedule 3, Part 1, Subclause 2 Minimum benefit, Table 1
Insert:
Table 1
Public hospitals Band 1 Band 2 Band 3 Band 4 NSW $243 $271 $298 $335 ACT $243 $271 $298 $335 Northern Territory $243 $277 $322 $335 Queensland $248 $278 $306 $341 South Australia $243 $277 $306 $335 Tasmania $236 $280 $325 $376 Victoria $238 $281 $327 $376 Western Australia $275 $275 $275 $275
6 Schedule 3, Part 1, Subclause 2 Minimum benefit, Table 2:
Delete:
Schedule 3, Part 1, Subclause 2 Minimum benefit, Table 2
Insert:
Table 2
Band 1 Band 2 Band 3 Band 4 Private Hospitals $210 $264 $322 $376
Schedule B ― Amendments
Private Health Insurance (Benefit Requirements) Rules 2011
1 Schedule 4, Clause 6 Minimum benefit, Table 1:
Delete:
South Australia $111.00
Insert:
South Australia $114.00
Delete:
Western Australia $125.45
Insert:
Western Australia $133.20
Schedule C ― Amendments
Private Health Insurance (Benefit Requirements) Rules 2011
1 Schedule 1, Part 2 Type A procedures, Clause 4 Advanced surgical patient, subclause (3)
After “38272” insert “38273 38274”
After “42656” delete “42659”
After “42734” delete “42737”
2 Schedule 1, Part 2 Type A procedures, Clause 6 Surgical patient, subclause (3)
After “31515” delete “31518 31521 31527”
After “31515” insert “31519 31525”
3 Schedule 3, Part 3 Type C procedures, Clause 8 Interpretation, Category 3 Therapeutic Procedures, T8
After “42794” delete “42797”
4 Schedule 3, Part 3 Type C procedures, Clause 8 Interpretation, Category 5 Diagnostic Imaging Services, I1
After “55039” delete “55044 55045”
After “55054” insert “55065 55067 55068 55069”
After “55729” delete “55731 55733”
Schedule D ― Amendments
Private Health Insurance (Benefit Requirements) Rules 2011
Schedule 5, Clause 4 Facilities, subclause (1)
Substitute
A hospital is a facility for the purposes of this Schedule if it is included in the list of second-tier eligible facilities approved by the Second Tier Advisory Committee existing at the time that the Private Health Insurance (Benefit Requirements) Amendment Rules 2014 (No. 2) commence.
Notes
1. All legislative instruments and compilations are registered on the Federal Register of Legislative Instruments kept under the Legislative Instruments Act 2003. See
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