Private Health Insurance Legislation Amendment Rules (No. 6) 2020 (Cth)

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

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1Name

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

2Commencement

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Note: This table relates only to the provisions of this instrument as originally made.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

1. (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.

3Authority

This instrument is made under section 333-20 of the Private Health Insurance Act 2007.

4Schedules

Each instrument that is specified in a Schedule to this instrument is amended or repealed as set out in the applicable items in the Schedule concerned, and any other item in a Schedule to this instrument has effect according to its terms.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 1Amendments – 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 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. 1

   Clause 8 of Schedule 3 (Category 1 – Attendances, after the paragraph “A39:”)

After “91727”, insert:

“A41:

1. 93300

   93303 93306 93309”

2. 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”.