Private Health Insurance (Benefit Requirements) Amendment Rules 2011 (No. 3)

Administered by Department of Health, Disability and Ageing

Legislation au F2011L01145 Rules Not in force Legislative Instrument

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EXPLANATORY STATEMENT

 

 

Issued by the Authority of the Minister for Health and Ageing

 

Private Health Insurance Act 2007

 

Private Health Insurance (Benefit Requirements) Amendment Rules 2011 (No. 3)

 

Section 333-20 of the Private Health Insurance Act 2007 (the Act) provides that the Minister may make Private Health Insurance (Benefit Requirements) Rules providing for matters required or permitted by Part 3-3 of the Act, or necessary or convenient to be provided in order to carry out or give effect to Part 3-3 of the Act.

 

The Private Health Insurance (Benefit Requirements) Rules 2010 (the Principal Rules), which commenced on 29 January 2010, provide for the minimum benefit requirements for psychiatric, rehabilitation and palliative care and other hospital treatment. Schedules 1 to 5 of the Rules set out the minimum levels of benefit, which are payable for hospital treatment. These are benefits for overnight accommodation (Schedules 1 and 2), same day accommodation (Schedule 3), nursing-home type patients (Schedule 4) and second tier default benefits (Schedule 5).

 

The Private Health Insurance (Benefit Requirements) Amendment Rules 2011 (No. 3) (the Amendment Rules) consists of three schedules (A, B and C) which amend Schedules 1, 2, 3, 4 and 5 of the Principal Rules.

 

Schedule A of Amendment Rules

The purpose of Schedule A to the Amendment Rules is to amend Schedule 1 and 3 of the Principal Rules to update the listing of Medicare Benefits Schedule (MBS) item numbers to ensure that they reflect the changes made by the Health Insurance (General Medical Services Table) Amendment Regulations 2010 (commencing 1 July 2011).  In addition, some minor changes are made to ensure that the listings in Schedules 1 and 3 reflect:

  • the renumbering of existing MBS items
  • the removal of non-current MBS items
  • the movement of MBS items to align them with the current categories and sub-groupings

 

Schedule 1 of Principal Rules

Schedule 1 categorises MBS item numbers into patient classifications, comprising ‘Advanced surgical patient’, ‘Obstetric patient’, ‘Surgical Patient’, ‘Psychiatric patient’, ‘Rehabilitation patient’ and ‘Other patient’.  Schedule 1 specifies that ‘Advanced surgical patients’ are those patients undergoing procedures with a MBS fee greater than $820.64, ‘Surgical patients’ are those patients undergoing procedures with a MBS fee within the range of $244.37 to $820.64. 

 

Schedule 1, Part 2 of the Principal Rules is amended to reflect the removal of seven MBS item numbers (15360, 15363, 15541, 38321, 38324, 38327 and 38330) relating to intravascular brachytherapy for coronary artery restenoses.

 

Schedule 3 of Principal Rules

The purpose of the amendments to Schedule 3 is to add MBS item numbers relating to facial injections of poly-L-lactic acid for HIV positive patients (14201 and 14202), botox injections for focal spasticity in juvenile cerebral palsy patients (18361) and  implantation of markers for radio-therapy (37217).

 

 

Additional amendments include the insertion of a re-numbered MBS item (732), the removal of  nine non-current MBS item numbers (725, 727 10975, 10976, 10977, 50124, 50125, 65139 and 65140), the re-categorisation of fifteen items from the T7 subgroup into the new T11 group and a transfer of one MBS item number (73324) to reflect its current subgrouping in the MBS.

 

Schedule B of Amendment Rules

The purpose of Schedule B to the Amendment Rules is to make changes to the minimum benefits for hospital accommodation in Schedule 1, 2 and 3 of the Principal Rules to reflect increases in the Consumer Price Index (CPI) from March 2010 to March 2011.  The accommodation components in Schedule 1, 2 and 3 are subject to annual review and are amended with reference to the CPI movements from March to March each year. In the year from March 2010 to March 2011, there was an increase of 3.3% in the Australian CPI.

 

In addition, the purpose of the amendments to Schedule 4 of the Principal Rules is to reflect the changes in the minimum benefits for hospital treatment for patients who are classified as “nursing-home type patients” at public hospitals in the ACT and Western Australia to reflect the indexation applied to the Adult Pension Basic Rate and the maximum daily rate of rental assistance that came into effect from 20 March 2011.

 

Schedule C of Amendment Rules

The purpose of the amendments provided in Schedule C is to update the table at Clause 4 of Schedule 5 of the Principal Rules to:

  •    add 10 additional facilities that are eligible for second tier default benefits;
  •    remove 24 facilities that have not reapplied for second tier default benefits; and
  •    update the addresses and/or names of 34 facilities.

 

These changes have reduced the table of listed facilities from 359 to 345.

 

Details of the Amendment Rules are set out in the Attachment.

 

Consultation

 

Schedule 1, 2 and 3

Changes made to the minimum benefits for hospital accommodation in Schedule 1, 2, and 3 of the Principal Rules reflect the increase in minimum benefits due to the CPI change from March 2010 to March 2011.  The increases to the minimum benefits in public hospitals were made with the agreement of the relevant State/Territory health authority.  On 4 May 2011, the Department advised States and Territories of its intention to increase minimum private health insurance benefits for private and public hospital accommodation as a consequence of CPI movements for the period March 2010- March 2011.  New South Wales, Victoria, Western Australia, South Australia, Tasmania, and the ACT responded to the Department confirming the new rates that would apply in their jurisdictions from 1 July 2011.  Queensland and the Northern Territory did not increase their accommodation benefits in public hospitals due to a delay in their State’s government gazettal process.

 

The changes to the MBS item numbers in Schedule 1 and 3 resulted from amendments to the Health Insurance (General Medical Services Table) Regulations 2010 and the Health Insurance Regulations 1975, which were made on the recommendation of the Pharmaceutical Benefits or Medical Services Advisory Committees where appropriate, whose members are drawn from the relevant craft groups. 

 

The subsequent changes to Schedule 1 and 3 are necessary to ensure that private health insurers, at a minimum, pay the ‘minimum benefit’ for persons they insure where insured persons receive hospital treatment corresponding to one of the new MBS item numbers, in a hospital where that private health insurer does not have a contractual arrangement with that hospital. These amendments to Schedules 1 and 3 are machinery in nature and do not substantially alter existing arrangements.

 

Schedule 4

On 28 February 2011, the Department consulted with States and Territories and invited them to advise of their intention to adjust NHTP default benefits in line with twice annual changes to the Adult Basic Pension Rate and maximum daily rate of rental assistance.  NSW, Tasmania and Victoria provided responses to the Department in March 2011 and the NHTP minimum benefits in those jurisdictions were increased effective 20 March 2011.  ACT and WA provided responses to the Department in May 2011 in relation to the NHTP minimum benefits and the increases in these jurisdictions will be effective from 1 July 2011.

 

Schedule 5

Consultation for changes to Schedule 5 occurred with industry through the Second Tier Advisory Committee (STAC), which includes equal representation from both the private hospital and private health insurance sectors.  Facilities wishing to be considered for inclusion in Schedule 5 are individually assessed by the STAC which then makes a recommendation to the Minister as to whether or not the hospital meets the eligibility criteria.  This arrangement was negotiated with the private health industry and has been in place since 2004.

 

PRIVATE HEALTH INSURANCE BRANCH

DEPARTMENT OF HEALTH AND AGEING

JUNE 2011

ATTACHMENT

 

DETAILS OF THE PRIVATE HEALTH INSURANCE (BENEFIT REQUIREMENTS) AMENDMENT RULES 2011 (No. 3)

 

1. Name of Rules

 

Rule 1 provides that the title of the Rules is the Private Health Insurance (Benefit Requirements) Amendment Rules 2011 (No. 3) (the Amendment Rules).

 

2. Commencement

 

Rule 2 provides that the Amendment Rules are to commence on 1 July 2011 or, if registered on a later date, the day after registration.

 

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

 

Rule 3 provides that the Schedules A, B and C to the Amendment Rules amends the Rules which commenced on 29 January 2010.

 

Schedule A – Amendments

 

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

 

Clause 4 of Schedule 1, Part 2 of the Principal Rules sets out the definition of advanced surgical patient.  Subclause 4(3) sets out the item numbers for professional services and the minimum fee, currently $820.64, that are required for treatment to be regarded as advanced surgical patient treatment.

 

Item 1 amends Schedule 1, Part 2, subclause 4(3) of the Principal Rules by deleting three MBS item numbers (38324, 38327 and 38330) to reflect their removal from the Health Insurance (General Medical Services Table) Regulations 2010. These deletions reflect the removal of these items from the MBS effective 1 July 2011.

 

 

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

 

Patients are taken to be surgical type patients if they meet the criteria of Schedule 1, Part 2, subclause 6(2) and are receiving the items listed in subclause 6(3), within the fee range of $244.37 to $820.64. Subclause 6(3) of the Principal Rules sets out the MBS item numbers for the purposes of this clause of the Principal Rules, but indicates that a listing in subclause 6(3) only applies where an item has a fee in the MBS within the specified range.

 

Item 2 removes the four MBS item numbers (15360, 15363, 15541 and 38321) currently listed in Schedule 1 to reflect their removal from the Health Insurance (General Medical Services Table) Regulations 2010. These deletions reflect the removal of these items from the MBS effective 1 July 2011.

 

 

 

 

 

 

Item [3.1] Schedule 3, Part 3, Subclause 8 Items in the general medical services table, Category 1 – Attendances

 

Item 3.1 updates the listing of two specified MBS items (725 and727) listed in Schedule 3 and replaces them with the new MBS item number (732) which commenced on 1 May 2010.

 

Item [3.2] Schedule 3, Part 3, Subclause 8 Items in the general medical services table, Category 1 – Attendances

 

Item 3.2 removes the listing of three MBS item numbers (10975, 10976 and 10977) listed in Schedule 3 which ceased after 31 December 2007.

 

Item [3.3] Schedule 3, Part 3, Subclause 8 Items in the general medical services table, Category 3 - Therapeutic Procedures

 

Item 3.3 adds the new MBS items numbers (14201 and 14202) relating to the treatment of severe facial lipatrophy caused by antiretroviral therapy in HIV positive patients to reflect their commencement provided in the Health Insurance (General Medical Services Table) Amendment Regulations 2010.

 

Item [3.4] Schedule 3, Part 3, Subclause 8 Items in the general medical services table, Category 3 - Therapeutic Procedures

 

The purpose of item 3.4 is to give effect to a transfer of fifteen MBS items to the correct subgrouping in the MBS, the specified MBS items in the T7 group are transferred to a new T11 group and the insertion of the MBS items deleted from T7. New MBS item (18361) for botox injections for focal spasticity in juvenile cerebral palsy patients has also been inserted into the new T11 group.

 

Item [3.5] Schedule 3, Part 3, Subclause 8 Items in the general medical services table, Category 3 - Therapeutic Procedures

 

Item 3.5 inserts new MBS item 37217 adjacent to existing 37218 to reflect the new MBS item relating to implantation of markers for radio-therapy.

 

Item [3.6] Schedule 3, Part 3, Subclause 8 Items in the general medical services table, Category 3 - Therapeutic Procedures

 

Item 3.6 removes the listing of two specified MBS items (50124 and 50125) listed in Schedule 3 which ceased after 31 October 2009.

 

Item [3.7] Schedule 3, Part 3, Subclause 8 Items in the general medical services table, Category 3 - Therapeutic Procedures

 

Item 3.7 relates to item 3.4 above and inserts fifteen MBS items deleted from the T7 grouping to the new T11 grouping. New MBS item 18361 has also been added to reflect changes to the MBS from 1 July 2011.

 

 

 

 

 

 

 

Item [4.1] Schedule 3, Part 3, Subclause 8 Items in the pathology services table, Category 6 - Pathology services

 

Item 4.1 removes the listing of two specified MBS items (65139 and 65140) listed in Schedule 3 which ceased after 30 April 2002.

 

Item [4.2] and [4.3] Schedule 3, Part 3, Subclause 8 Items in the pathology services table, Category 6 - Pathology services

 

Item 4.2 removes the listing of an existing MBS item number (73324) listed in Schedule 3 in the P5 group and item 4.3 inserts it into the appropriate P7 grouping.

 

 

Schedule BAmendments

Item 1 – Schedule 1, Subclause 2(2) Minimum benefit, Table 1

 

Schedule 1 of the Rules sets out the minimum benefit payable per night for patients in private hospitals in all States/Territories and shared ward accommodation at public hospitals in Victoria and Tasmania, providing that the patient is not classified as a nursing-home type patient.

 

Item 1 of the Schedule to the Amendment Rules increases the minimum benefit per night for private hospitals in all States/Territories in subclause 2(2), Table 1:

 

Advanced surgical patient

- first 14 days  From: $366 to $378

- over 14 days  From: $254 to $262

 

Surgical patient or obstetric patient

- first 14 days  From: $339 to $350

- over 14 days  From: $254 to $262

 

Psychiatric patient

- first 42 days  From: $339 to $350

- 43 – 65 days  From: $294 to $304

- over 65 days  From: $254 to $262

 

Rehabilitation patient

- first 49 days  From: $339 to $350

- 50 – 65 days  From: $294 to $304

- over 65 days  From: $254 to $262

 

Other patients

- first 14 days  From: $294 to $304

- over 14 days  From: $254 to $262

 

 

Item 2 – Schedule 1, Subclause 2(2) Minimum benefit, Table 2

 

Schedule 1 of the Rules sets out the minimum benefit payable per night for patients in private hospitals in all States/Territories and shared ward accommodation at public hospitals in

 

 

Victoria and Tasmania, providing that the patient is not classified as a nursing-home type patient.

 

Item 2 of the Schedule to the Amendment Rules increases the minimum benefit per night for shared ward accommodation at Victorian public hospitals in subclause 2(2), Table 2:

 

Advanced surgical patient

- first 14 days  From: $366 to $378

- over 14 days  From: $254 to $262

 

Surgical patient or obstetric patient

- first 14 days  From: $339 to $350

- over 14 days  From: $254 to $262

 

Psychiatric patient

- first 42 days  From: $339 to $350

- 43 – 65 days  From: $294 to $304

- over 65 days  From: $254 to $262

 

Rehabilitation patient

- first 49 days  From: $339 to $350

- 50 – 65 days  From: $294 to $304

- over 65 days  From: $254 to $262

 

Other patients

- first 14 days  From: $294 to $304

- over 14 days  From: $254 to $262

 

Item 3 – Schedule 1, Subclause 2(2) Minimum benefit, Table 3

 

Schedule 1 of the Rules sets out the minimum benefit payable per night for patients in private hospitals in all States/Territories and shared ward accommodation at public hospitals in Victoria and Tasmania, providing that the patient is not classified as a nursing-home type patient.

 

Item 3 of the Schedule to the Amendment Rules increases the minimum benefit per night for shared ward accommodation at Tasmanian public hospitals in subclause 2(2), Table 3:

 

Advanced surgical patient

- first 14 days  From: $366 to $378

- over 14 days  From: $254 to $262

 

Surgical patient or obstetric patient

- first 14 days  From: $339 to $350

- over 14 days  From: $254 to $262

 

Psychiatric patient

- first 42 days  From: $339 to $350

- 43 – 65 days  From: $294 to $304

- over 65 days  From: $254 to $262

 

Rehabilitation patient

- first 49 days  From: $339 to $350

- 50 – 65 days  From: $294 to $304

- over 65 days  From: $254 to $262

 

Other patients

- first 14 days  From: $294 to $304

- over 14 days  From: $254 to $262

 

 

Item 4 – Schedule 2, Clause 2 Minimum benefit, Table

Schedule 2 of the Rules sets out the minimum benefit payable per night for patients in shared ward accommodation at public hospitals in the ACT, NSW, Northern Territory, Queensland, South Australia and Western Australia, providing that the patient is not classified as a nursing-home type patient.

 

Item 4 of the Schedule to the Amendment Rules increases the minimum benefit per night for shared ward accommodation at ACT, NSW, South Australia and Western Australian public hospitals in clause 2, Table:

 

  • ACT   From: $303 to $313;
  • NSW   From: $303 to $313;
  • South Australia  From: $303 to $313. and
  • Western Australia From: $303 to $313.

 

Item 5 – Schedule 3, Subclause 2(2) Minimum benefit, Table 1

Schedule 3 of the Rules set out the minimum benefit payable for same-day accommodation patients in all the State/Territory hospitals, providing that:

  1. hospital treatment is classified as a type B procedure; and
  2. the patient is not classified as a nursing-home type patient.

 

Item 5 of the Schedule to the Amendment Rules increases the minimum benefit for same-day accommodation in public hospitals in NSW, ACT, South Australia, Tasmania, Victoria and Western Australia in subclause 2(2), Table 1:

 

Public hospitals

Band 1

Band 2

Band 3

Band 4

 

 

 

 

 

NSW

From: $219 to $226

From: $245to $253

From: $270 to $279

From: $303 to $313

ACT

From: $219 to $226

From: $246 to $254

From: $270 to $279

From: $303 to $313

South Australia

From: $219 to $226

From: $250 to $258

From: $276 to $285

From: $303 to $313

Tasmania

From: $212 to $219

From: $253 to $261

From: $293 to $303

From: $339 to $350

Victoria

From: $214 to $221

From: $254 to $262

From: $295 to $305

From: $339 to $350

Western Australia

From: $236 to $243

From: $236 to $243

From: $236 to $243

From: $236 to $243

 

 

Item 6 – Schedule 3, Subclause 2(2) Minimum benefit, Table 2

 

Item 6 of the Schedule to the Amendment Rules  increases the minimum benefit per night for same-day accommodation in all State/Territory private hospitals in subclause 2(2), Table 2:

 

Private hospitals

Band 1

Band 2

Band 3

Band 4

 

 

 

 

 

 

From: $190 to $196

From: $239 to $247

From: $290 to $300

From: $339 to $350

 

 

Item 7– Schedule 4, Clause 6 Minimum benefit, Table 1

 

Schedule 4 of the Rules sets out the minimum benefit payable per night for patients that are classified as nursing-home type patients in hospitals. 

 

Item 7 of the Schedule to the Amendment Rules increases the minimum benefit per night for public hospitals in the following State and Territories in clause 6, Table 1:

 

  • ACT    From: $99.80 to $103.80
  • Western Australia From: $102.65 to $106.80

 

 

Schedule C – Amendments

 

Item 1 – Schedule 5, Clause 4 Facilities, Table

 

Schedule 5 of the Principal Rules requires a health insurer to pay second tier default benefits for most episodes of hospital treatment provided in private hospital facilities that are specified in Schedule 5 if the health insurer does not have a negotiated agreement with the hospital.  Schedule 5 sets a higher minimum level of benefit (for overnight treatment and day only treatment provided in specified facilities) than the minimum benefit set for such treatment by Schedules 1, 2 and 3 of the Principal Rules.

 

Item 1 provides that the table in Schedule 5, Clause 4 of the Principal Rules is amended to insert the following 10 new facilities:

 

Name

Address

Bendigo Day Surgery

1-7 Chum Street, BENDIGO  VIC  3550

Delmar Private Hospital

58 Quirk Street, DEE WHY  NSW  2099

Diagnostic Endoscopy Centre

601/438 Victoria Street, DARLINGHURST  NSW  2010

Healthwoods Specialist Centre

53 Cowper Street, GRANVILLE  NSW  2142

Liverpool Eye Surgery

Ground Floor, 1 Moore Street, LIVERPOOL  NSW  2170

Mildura Base Hospital

Ontario Avenue, MILDURA  IC  3500

Oxford Day Surgery Centre

54 Oxford Terrace, UNLEY  SA  5061

Southport Day Hospital

98a Marine Parade, SOUTHPORT  QLD  4215

The Hills Clinic

15 Memorial Avenue, KELLYVILLE  NSW  2155

The Oculoplastics Centre Sydney

Suite 25, 20-24 Gibbs Street, MIRANDA  NSW  2228

 

Item 1 provides that the table in Schedule 5, Clause 4 of the Principal Rules is amended to remove the following 24 facilities:

 

Name

Address

Adelaide Surgicentre

89 King William Street, KENT TOWN  SA  5067

Albury Day Surgery

4 Baker Court, WEST ALBURY  NSW  2640

Bankstown Primary Health Care Day Surgery

67 Rickard Road, BANKSTOWN  NSW  2200

Capital Day Surgical Centre

1/9 Sydney Avenue, BARTON  ACT  2600

Castle Hill Hospital

72-74 Cecil Avenue, CASTLE HILL  NSW  2154

Dandenong Eye Clinic

1-3 Falkiner Crescent, DANDENONG  VIC  3175

La Trobe Private Hospital

cnr Plenty Road and Kingsbury Drive, BUNDOORA  VIC  3083

Lingard Private Hospital

23 Merewether Street, MEREWETHER  NSW  2291

Marie Stopes International - Canberra

Level 1, Cnr Moore & Alinga Streets, CANBERRA CITY  ACT  2601

Marie Stopes International - Salisbury

11 Hayling Street, SALISBURY   QLD 4107

Mater Private Hospital

Raymond Terrace, SOUTH BRISBANE  QLD  4101

North West Private Hospital

21 Brickport Road, BURNIE  TAS  7320

Northwest Day Hospital

221 Maribyrnong Road, ASCOT VALE  VIC  3032

Queensland Eye Hospital

55 Little Edward Street, SPRING HILL  QLD  4004

Springvale Endoscopy Centre and Day Hospital

20 Balmoral Avenue, SPRINGVALE  VIC  3171

Sydney Day Surgery

213-219 Darlinghurst Road, DARLINGHURST  NSW  2010

Sydney IVF Day Surgery

Level 4, 321 Kent Street, SYDNEY  NSW  2000

Sydney IVF Liverpool

173-175 Bigge Street, LIVERPOOL  NSW  2170

Tarietta Day Surgery

73 Kooyong Road, CAULFIELD NORTH  VIC  3161

Tennyson Centre Day Hospital

520 South Road, KURRALTA PARK  SA  5037

The Double Bay Day Surgery

20 Manning Road, DOUBLE BAY  NSW  2028

Western Plains Day Surgery

62 Windsor Parade, DUBBO  NSW  2830

Westmed Centre

27 Railway Parade, WESTMEAD  NSW  2145

Westpoint Endoscopy Day Hospital

243 Heaths Road, HOPPERS CROSSING  VIC  3029

 

Item 1 provides that the table in Schedule 5, Clause 4 of the Principal Rules is amended to change the addresses and/or names of the following 34 facilities:

 

From

Armidale Private Hospital

Rusden Street, ARMIDALE  NSW  2350

To

 

New England Regional Hospital, Armidale Campus, Rusden St, ARMIDALE  NSW  2350

 

 

 

From

Baringa Private Hospital

Mackay Road, COFFS HARBOUR  NSW  2450

To

 

Mackays Road, COFFS HARBOUR  NSW  2450

 

 

 

From

Bentleigh Surgicenter

157 Jasper Road, BENTLEIGH  VIC  3204

To

Bentleigh Surgicentre

 

 

 

 

From

Cairns Day Surgery

1st Floor, cnr Florence & Grafton Streets, CAIRNS  QLD  4870

To

 

156-160 Grafton Street, CAIRNS  QLD  4870

 

 

 

From

Calvary Private Hospital Wagga Wagga

Hardy Avenue, WAGGA WAGGA  NSW  2650

To

Calvary Private Hospital

 

 

 

 

From

Epworth Hospital

89 Bridge Road, RICHMOND  VIC  3121

To

Epworth Richmond

 

 

 

 

From

Frances Perry House

285 Cardigan Street, CARLTON  VIC  3122

To

 

Levels 6 and 7, cnr Grattan Street and Flemington Road, PARKVILLE  VIC  3052

 

 

 

From

Frankston Private Day Surgery

24-28 Frankston-Flinders Road, FRANKSTON  VIC  3199

To

 

Lot T5, Levels 1 and 2, 24-28 Frankston-Flinders Road, FRANKSTON  VIC  3199

 

 

 

From

Glenferrie Private Hospital

25 Linda Crescent, HAWTHORN  VIC  3122

To

 

29 Hilda Crescent, HAWTHORN  VIC  3122

 

 

 

From

Joondalup Health Campus

cnr Grand Boulevard and Shenton Avenue, JOONDALUP  WA  6027

To

 

Shenton Avenue, JOONDALUP  WA  6027

 

 

 

From

Logan Endoscopy Services

Unit 2 32 76 Beaudesert Road, BROWNS PLAINS  QLD  4118

To

 

Unit 2 3276 Beaudesert Road, BROWNS PLAINS  QLD  4118

 

 

 

From

Maryvale Private Hospital

McDonald Street, MORWELL  VIC  3840

To

 

286 Maryvale Road, MORWELL  VIC  3840

 

 

 

From

Mayo Private Hospital

Lot 1, Potoroo Drive, KOLODONG via TAREE  NSW  2430

To

 

Lot 1, Potoroo Drive, TAREE  NSW  2430

 

 

 

From

Melbourne Medibrain and Medisleep Centre

631 Inkerman Road, NORTH CAULFIELD  VIC  3161

To

Melbourne MediBrain Centre and MediSleep

631 Inkerman Road, CAULFIELD NORTH  VIC  3161

 

 

 

From

Mercy Private Hospital

159 Grey Street, MELBOURNE EAST  VIC  3002

To

St Vincent's & Mercy Private Hospital (Mercy Campus)

 

 

 

 

From

Montserrat Day Hospital (Gaythorne)

383-391 Samford Road, GAYTHORNE  QLD  4051

To

Montserrat Day Hospitals (Gaythorne)

 

 

 

 

From

Montserrat Day Hospital (Indooroopilly)

12 Riverview Terrace, INDOOROOPILLY  QLD  4068

To

Montserrat Day Hospitals (Indooroopilly)

 

 

 

 

From

Montserrat Day Hospital (Spring Hill)

Level 2, 35 Astor Terrace, BRISBANE  QLD  4000

To

Montserrat Day Hospitals (Spring Hill)

 

 

 

 

From

Northside Clinic

2 Greenwich Road, GREENWICH  NSW  2065

To

Northside Clinic Private Hospital

 

 

 

 

From

Oxford Day Surgery & Dermatology

416-418 Oxford Street, MOUNT HAWTHORN  WA  6016

To

Oxford Day Surgery and Dermatology

Suite 4, 1st Floor, 416-418 Oxford Street, MOUNT HAWTHORN  WA  6016

 

 

 

From

Randwick Day Surgery

2 Eurimble Avenue, RANDWICK  NSW  2031

To

 

2 Eurimbla Avenue, RANDWICK  NSW  2031

 

 

 

From

Shellharbour Private Hospital

Captain Cook Drive, BARRACK HEIGHTS  NSW  2528

To

 

27 Captain Cook Drive, BARRACK HEIGHTS  NSW  2528

 

 

 

From

Skin Cancer Day Surgery Pty Ltd

19 Cleveland Road, ASHWOOD  VIC  3147

To

Skin Cancer Day Surgery

 

 

 

 

From

Spring Hill Specialist Day Hospital

4th Floor St Andrew’s Place, 33 North Street, SPRING HILL  QLD  4000

To

 

1st and 4th Floor St Andrew’s Place, 33 North Street, SPRING HILL  QLD  4000

 

 

 

From

St John of God Hospital, Burwood

13 Grantham Street, BURWOOD  NSW  2135

To

St John of God Private Hospital

 

 

 

 

From

St John of God Hospital, Geelong

80 Myers Street, GEELONG  VIC  3220

To

 

80 and 83 Myers Street, GEELONG  VIC  3220

 

 

 

From

St John of God Hospital, Richmond

177 Grose Vale Road, NORTH RICHMOND  NSW  2754

To

St John of God Private Hospital (Richmond)

 

 

 

 

From

St John of God Hospital (Warrnambool)

136 Botanic Road, WARRNAMBOOL  VIC  3280

To

St John of God Hospital Warrnambool

 

 

 

 

From

St John of God Health Care, Berwick

Gibb Street, BERWICK  VIC  3806

To

St John of God Hospital, Berwick

 

 

 

 

From

The Albert Road Clinic

31-33 Albert Road, SOUTH MELBOURNE  VIC  3004

To

 

31 Albert Road, MELBOURNE  VIC  3000

 

 

 

From

The Burnside War Memorial Hospital

120 Kensington Road, TOORAK GARDENS  SA  50658

To

The Burnside War Memorial Hospital Inc.

 

 

 

 

From

The CAPS Clinic

Strickland Crescent, DEAKIN  ACT  2600

To

 

7 Phipps Close, DEAKIN  ACT  2600

 

 

 

From

The Surgery Centre – Hurtsville

Level 1, 31 Dora Street, HURTSVILLE  NSW  2220

To

The Surgery Centre - Hurstville

Level 1, 31 Dora Street, HURSTVILLE  NSW  2220

 

 

 

From

Vimy House Private Hospital

5 Studley Avenue, KEW  VIC  3101

To

Vimy Private Hospital

 

 

 

PRIVATE HEALTH INSURANCE BRANCH

DEPARTMENT OF HEALTH AND AGEING

JUNE 2011

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Sourced from the Federal Register of Legislation at 26 August 2026. For the latest information on Australian Government law please go to https://www.legislation.gov.au.