Private Health Insurance (Prostheses) Amendment Rules 2016 (No. 2) (Cth)

Private Health Insurance (Prostheses) Amendment Rules 2016 (No. 2)

I, Tracey Duffy, 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.

Dated 10 June 2016

Tracey Duffy

Assistant Secretary

Private Health Insurance Branch

Medical Benefits Division

Department of Health

Contents

PART 1PRELIMINARY

3. Authority 3

SCHEDULE – AMENDMENTS 4

Part 1Preliminary

1.Name of Rules

These Rules are the Private Health Insurance (Prostheses) Amendment Rules 2016 (No. 2).

2.Commencement

These Rules commence on the day after registration on the Federal Register of Legislation.

3.Authority

These Rules are made under item 4 of the table to section 333-20 of the Private Health Insurance Act 2007.

4.Schedules

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 Each instrument that is specified in a Schedule to this instrument is amended or repealed as set out in the applicable items in the Schedule concerned, and any other item in a Schedule to this instrument has effect according to its terms.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

Private Health Insurance (Prostheses) Rules 2016 (No. 2)

1. [1]

   Schedule, Part A, SubGroup 07.01.02.02 - <0.2mm thick, 11-25cm2, entry for billing code JJ687

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

Item	Maximum Benefit
1	$515.00

insert the contents of Item 1 of the table in the columns indicated:

Item	Minimum Benefit
1	$515.00

1. [2]

   Schedule, Part A, SubGroup 07.06.02.01 - <500cc, entry for billing code AW008

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

Item	Billing Code	Product	Description	Size	Minimum Benefit
1	AW008	Allergan Type SLD, SHD, SRL, SRM, SRF, SRX Smooth Silicone Gel-filled Mammary Implant	Low, Medium, High or Extra High Profile	100 - 800 grams	$610.00

insert the contents of Item 1 of the table in the columns indicated:

Item	Billing Code	Product	Description	Size	Minimum Benefit
1	AW008	Natrelle® INSPIRA® TruForm™ Smooth Mammary Implant	Round implants with smooth surface. Available in four projections: low, moderate, full and extra-full; and two cohesive gel types: TruForm™ 1 Responsive Gel and TruForm™ 2 Soft-Touch™ Gel	110 - 800 grams	$610.00

1. [3]

   Schedule, Part A, SubGroup 07.06.02.01 - <500cc, entry for billing code AW005

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

Item	Billing Code	Product	Description	Size	Minimum Benefit
1	AW005	Allergan Type MLP, MHP, TRL, TRM, TRF, TRX Low, Medium, High & Extra High Profile Gel-Filled Mammary Implant	Low, Medium, High & Extra High profile, textured surface	80 - 800 grams	$760.00

insert the contents of Item 1 of the table in the columns indicated:

Item	Billing Code	Product	Description	Size	Minimum Benefit
1	AW005	Natrelle® INSPIRA® TruForm Textured Mammary Implant	Round implants with textured surface. Available in four projections: low, moderate, full and extra-full; and two cohesive gel types: TruForm™ 1 Responsive Gel and TruForm™ 2 Soft-Touch™ Gel	110 – 800 grams	$760.00