Source: http://www6.health.gov.au/internet/main/publishing.nsf/Content/health-phicircular2018-39
Timestamp: 2020-08-11 04:56:26
Document Index: 211534903

Matched Legal Cases: ['art 2', 'art 2', 'art 2', 'art 2', 'art 3', 'art 3', 'art 3']

Department of Health | PHI 39/18 Private Health Insurance Legislation Changes
PHI 39/18 Private Health Insurance Legislation Changes
PHI 39/18 Private Health Insurance Legislation Changes (PDF 44 KB)
The Private Health Insurance (Benefit Requirements) Amendment Rules 2018 (No. 3) (the Benefit Requirements Amendment Rules) amend the Private Health Insurance (Benefit Requirements) Rules 2011 and were registered with the Federal Register of Legislation (FRL) and commenced on 1 July 2018.
Overnight and Same Day Accommodation Benefits at Private Hospitals and Public Hospitals
Increases to overnight accommodation benefits and same day accommodation benefits at private hospitals and public hospitals have been made to reflect the March 2017 to March 2018 Consumer Price Index (CPI) increase of 1.9%.
- first 14 days	$432
- over 14 days	$301
- first 14 days	$401
- first 42 days	$401
- 43 – 65 days	$347
- over 65 days	$301
- first 49 days	$401
- 50 – 65 days	$347
- first 14 days	$347
ACT	$357
NSW	$357
Northern Territory	$357
Queensland	$366
South Australia	$357
Western Australia	$357
$259 $290 $318 $357
$259 $297 $343 $357
$265 $299 $328 $366
$259 $297 $327 $357
$252 $300 $346 $401
$254 $301 $348 $401
$294 $294 $294 $294
$224 $282 $343 $401
Nursing-Home Type Patients
Increases were made to the minimum benefits for Nursing-Home Type patients (NHTP) in public hospitals in the ACT and South Australia to reflect the twice annual pension increase which occurred 20 March 2018. The following new rate will apply:
The purpose of the amendments to Schedule 5 is to insert a reference to the new list of Second-tier eligible facilities compiled by the Second Tier Advisory Committee. Further information about this is available in PHI Circular 38/18.
Medicare Benefit Schedule (MBS) Item Changes
The Benefit Requirements Amendment Rules amend MBS items in Schedule 1 and 3 of the Principal Rules to add 13 new MBS items.
Item 1 - Schedule 1, Part 2 Type A procedures, Clause 4 Advanced Surgical Patient (3)
Item 1 amends Schedule 1, Part 2 Type A procedures, Clause 4 Advanced Surgical Patient, subclause 3 of the Principal Rules by inserting one MBS item (35585).
Item 2 - Schedule 1, Part 2 Type A procedures, Clause 6 Surgical patient (3)
Item 2 amends Schedule 1, Part 2 Type A procedures, Clause 6 Surgical patient, subclause 3 of the Principal Rules by inserting two MBS items (35581 and 35582).
Item 3 - Schedule 3, Part 3 – Type C Procedures, Clause 8 Interpretation, Category 5 – Diagnostic Imaging Services, I5
Item 3 amends Schedule 3, Part 3 – Type C Procedures, Clause 8 Interpretation, Category 5 – Diagnostic Imaging Services, subclause I5 of the Principal Rules by inserting four MBS items (63541, 63542, 63543 and 63544).
Item 4 amends Schedule 3, Part 3 – Type C Procedures, Clause 8 Interpretation, Category 6 – Pathology Services, subclause P7of the Principal Rules by inserting six MBS items (73345, 73346, 73347, 73348, 73349 and 73350).
Details of the amendments are set out in the Benefit Requirements Amendment Rules, which are available on the Federal Register of Legislation website.
Changes to the Private Health Insurance (Complying Product) Rules 2015
The Private Health Insurance (Complying Product) (ACT Nursing Home Type Patient) Amendment Rules 2018 (Complying Product Amendment Rules) commence on 1 July 2018. These Rules amend the Private Health Insurance (Complying Product) Rules 2015. Details of the amendment are set out in the legislative instrument, which is available on the Federal Register of Legislation website.
These amendments update the patient contribution rates for Nursing-home type patients in the Australian Capital Territory to $60.05.
From $58.80 to $60.05
Private hospitals nationally
Enter the second, fifth and last digits of 124356