Private Health Insurance (Prostheses) Amendment Rules 2013 (No. 3) (Cth)

Private Health Insurance (Prostheses) Amendment Rules 2013 (No. 3)ˡ

I, DOUG FAWNS, delegate of the Minister for Health, make these Rules under item 4 of the table in section 333-20 of the Private Health Insurance Act 2007.

Doug Fawns

Doug Fawns

Assistant Secretary

Private Health Insurance Branch

Medical Benefits Division

Department of Health and Ageing

2 April 2013

Contents

PART 1PRELIMINARY

SCHEDULE – AMENDMENTS3

Part 1Preliminary

1.Name of Rules

These Rules are the Private Health Insurance (Prostheses) Amendment Rules 2013

(No. 3).

2.Commencement

These Rules commence on 9 April 2013.

3.Amendment of the Private Health Insurance (Prostheses) Rules 2012 (No. 2)

The Schedule amends the Private Health Insurance (Prostheses) Rules 2012 (No. 2).

Schedule – Amendments

Part A of the Schedule to the Private Health Insurance (Prostheses) Rules 2012 (No. 2) is amended as follows:

[1]Subgroup 6.2.4.12, Standard humeral head, after entry for billing code MA448

delete the subheading “Orthotech Pty Ltd”

delete the contents of item 1 of the table from the columns indicated:

Item	Billing Code	Product Name	Description	Size	Minimum benefit
1	OH386	VAIOS Humeral Head	Humeral Head	42-54mm	$1,327.00

[2]Subgroup 6.2.4.14, Humeral cup, after entry for billing code EX048

delete the subheading “Orthotech Pty Ltd”

delete the contents of item 1 of the table from the columns indicated:

Item	Billing Code	Product Name	Description	Size	Minimum benefit
1	OH390	VAIOS Reverse Humeral Insert	Reverse Humeral Insert	+0/+6 mm	$815.00

[3]Subgroup 6.2.4.5, Modular humeral component – metaphyseal, uncemented, after entry for billing code MA481

delete the subheading “Orthotech Pty Ltd”

delete the contents of item 1 of the table from the columns indicated:

Item	Billing Code	Product Name	Description	Size	Minimum benefit
1	OH387	VAIOS humeral neck	Humeral Neck	One size	$2,580.00

[4]Subgroup 6.2.4.9, Modular component – diaphyseal, uncemented, short (≤220mm), after entry for billing code LC043

delete the subheading “Orthotech Pty Ltd”

delete the contents of item 1 of the table from the columns indicated:

Item	Billing Code	Product Name	Description	Size	Minimum benefit
1	OH388	VAIOS Humeral Stem	Humeral Stem	8-16 mm	$2,800.00

[5]Subgroup 6.2.5.1, Glenoid component, All poly, after entry for billing code MA450

delete the subheading “Orthotech Pty Ltd”

delete the contents of item 1 of the table from the columns indicated:

Item	Billing Code	Product Name	Description	Size	Minimum benefit
1	OH385	VAIOS Cemented Glenoid	Cemented Glenoid	Sm & Lg	$1,995.00

[6]Subgroup 6.2.5.2, Glenoid component, Metal backed, after entry for billing code LC038

delete the subheading “Orthotech Pty Ltd”

delete the contents of items 1 & 2 of the table from the columns indicated:

Item	Billing Code	Product Name	Description	Size	Minimum benefit
1	OH383	VAIOS Glenoid Metal Back	Glenoid Metal Back	Sm & Lg	$2,220.00
2	OH389	VAIOS Humeral Metal Back	Reverse Humeral Metal Back	One size	$2,220.00

[7]Subgroup 6.2.5.4, Glenoid insert, after entry for billing code LC039

delete the subheading “Orthotech Pty Ltd”

delete the contents of item 1 of the table from the columns indicated:

Item	Billing Code	Product Name	Description	Size	Minimum benefit
1	OH384	VAIOS Glenoid Insert	Glenoid Insert	Sm & Lg	$1,960.00

[8]Subgroup 6.2.5.6, Glenosphere, after entry for billing code MA533

delete the subheading “Orthotech Pty Ltd”

delete the contents of item 1 of the table from the columns indicated:

Item	Billing Code	Product Name	Description	Size	Minimum benefit
1	OH391	VAIOS Glenoid Dome	Glenoid Dome	0, 1.5 mm	$2,290.00

[9]Subgroup 6.3.4.2, Small (2.71 mm – 4.49 mm), after entry for billing code OU036

delete the subheading “Orthotech Pty Ltd”

delete the contents of item 1 of the table from the columns indicated:

Item	Billing Code	Product Name	Description	Size	Minimum benefit
1	OH392	VAIOS Locking screw	Locking screw	One size	$91.00

Note

1. All legislative instruments and compilations are registered on the Federal Register of Legislative Instruments kept under the Legislative Instruments Act 2003