Document ID: chunk:federal_register_of_legislation:F2025L00206:schedule:2:p1
Version: federal_register_of_legislation:F2025L00206
Segment Type: schedule
Provision Reference: sch 2 (pt 1/14)
Character Range: 814–4915

Schedule 2—Amendments—Procedure types 18
Private Health Insurance (Benefit Requirements) Rules 2011 18

       1  Name

       This instrument is the Private Health Insurance Legislation Amendment Rules (No. 3) 2025.

       2  Commencement

          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  1 March 2025  1 March 2025

            Note:, This table relates only to the provisions of this instrument as originally made.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

       3  Authority

       This instrument is made under subsection 333-20(1) of the Private Health Insurance Act 2007.

       4  Schedules

       Each instrument that is specified in a Schedule to this instrument is amended or repealed as set out in the applicable items in the Schedule concerned, and any other item in a Schedule to this instrument has effect according to its terms.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

       Private Health Insurance (Complying Product) Rules 2015

    1  Clause 2 of Schedule 5 (table dealing with Clinical categories)
    Repeal the table, substitute:

Clinical categories table
Column 1                                                 Column 2                                                                                                                                                                                           Column 3
Clinical category                                        Scope of cover                                                                                                                                                                                     Treatments to be covered (MBS Items)
                                                         (see Note 1)                                                                                                                                                                                       (see Notes 1, 2 and 3)

Rehabilitation                                           Hospital treatment for physical rehabilitation for a patient related to surgery or illness.
                                                         For example: inpatient and admitted day patient rehabilitation, stroke recovery, cardiac rehabilitation.

Hospital psychiatric services                            Hospital treatment for the treatment and care of patients with psychiatric, mental, addiction or behavioural disorders.                                                                            170, 171, 172, 289, 297, 320, 322, 324, 326, 328, 341, 342, 343, 344, 345, 346, 347, 349, 855, 857, 858, 861, 864, 866, 2700, 2701, 2712, 2713, 2715, 2717, 2721, 2723, 2725, 2727, 6018, 6019, 6023, 6024, 6028, 6029, 6031, 6032, 6034, 6035, 6037, 6038, 6042, 14216, 14217, 14219, 14220, 14224, 80005, 80015, 80105, 80115, 80130, 80140, 80155, 80165, 90250, 90251, 90252, 90253, 90254, 90255, 90256, 90257, 90264, 90265, 90272, 90274, 90276, 90278, 92478, 92479, 92480, 92481, 92482, 92483
                                                         For example: psychoses such as schizophrenia, mood disorders such as depression, eating disorders and addiction therapy.
Palliative care                                          Hospital treatment for care where the intent is primarily providing quality of life for a patient with a terminal illness, including treatment to alleviate and manage pain.                       3005, 3010, 3014, 3018, 3023,