Federal Register of Legislation - Australian Government

Primary content

Rules/Other as made
These Rules amend the Private Health Insurance (Benefit Requirements) Rules 2010 to change hospital accommodation and nursing home type patient minimum benefits and makes changes to add, remove and update the address and/or names of Second Tier facilities.
Administered by: Health
Made 17 Jun 2011
Registered 22 Jun 2011
Tabled HR 23 Jun 2011
Tabled Senate 23 Jun 2011
Date of repeal 01 Nov 2011
Repealed by
Table of contents.

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

 

I, PETER WOODLEY, delegate of the Minister for Health and Ageing, make these Rules under item 3A of the table in section 333-20 of the Private Health Insurance Act 2007.

 

 

 

____________________________________

Peter Woodley

Assistant Secretary

Private Health Insurance Branch

Medical Benefits Division

Department of Health and Ageing

17 June 2011

 

 

 


Contents

 

 

Part 1           Preliminary   3

1       Name of Rules  3

2.      Commencement  3

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

Schedule A ―Amendments  4

Schedule B ―Amendments  7

Schedule C ―Amendments  11

 

Part 1        Preliminary

1           Name of Rules

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

2.          Commencement

These Rules commence on:

(a) 1 July 2011; or

(b) if registered after 1 July 2011, the day after registration.

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

Schedules A, B and C amend the Private Health Insurance (Benefit Requirements) Rules 2010 as amended.

 


Schedule A ―Amendments

 

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

 

delete

 

38324, 38327 and 38330

 

 

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

 

delete

 

15360, 15363, 15541 and 38321

 

[3.1]     Schedule 3, Part 3, Subclause 8 Items in the general medical services table, Category 1 – Attendances - A15

 

delete

 

725  727

 

             substitute

            

             732

 

[3.2]     Schedule 3, Part 3, Subclause 8 Items in the general medical services table, Category 1 – Attendances – M4

            

delete

 

‘M4

 

10975  10976  10977’

 

[3.3]     Schedule 3, Part 3, Subclause 8 Items in the general medical services table, Category 3 - Therapeutic Procedures – T1

 

             after

 

             14200

 

             insert

 

             14201  14202

 

 

 

 

[3.4]     Schedule 3, Part 3, Subclause 8 Items in the general medical services table, Category 3 - Therapeutic Procedures - T7

 

delete

 

18350  18351  18352  18354  18356  18358  18360  18362  18364  18366  18368  18370 18371  18372  18373

 

 

[3.5]     Schedule 3, Part 3, Subclause 8 Items in the general medical services table, Category 3 - Therapeutic Procedures – T8

 

after

 

37041

 

insert

 

37217

 

 

[3.6]     Schedule 3, Part 3, Subclause 8 Items in the general medical services table, Category 3 - Therapeutic Procedures – T8

 

delete

 

50124  50125

 

[3.7]     Schedule 3, Part 3, Subclause 8 Items in the general medical services table, Category 3 - Therapeutic Procedures – T8

 

after

 

47924

 

insert

 

‘T11:

 

18350  18351  18352  18354  18356  18358  18360  18361  18362  18364  18366  18368  18370 18371  18372  18373’

 

 

[4.1]     Schedule 3, Part 3, Subclause 8 Items in the pathology services table, Category 6 - Pathology services – P1

 

delete:

 

             65139  65140 

 

 

[4.2]     Schedule 3, Part 3, Subclause 8 Items in the pathology services table, Category 6 - Pathology services – P5

 

delete

 

             73324

 

[4.3]     Schedule 3, Part 3, Subclause 8 Items in the pathology services table, Category 6 - Pathology services – P7

 

             after

 

73323

 

insert

            

             73324

Schedule B ―Amendments

 

[1]         Schedule 1, Subclause 2(2) Minimum benefit, Table 1:

            

Delete:

Schedule 1, Subclause 2(2) Minimum benefit, Table 1 - Accommodation at private hospitals in all States/Territories                                      

            

Insert:                                                                    

Table 1―Accommodation at private hospitals in all States/Territories

Class of patient

Minimum benefit payable per night

Advanced surgical patient

 

- first 14 days

$378

- over 14 days

$262

Surgical patient or obstetric patient

 

- first 14 days

$350

- over 14 days

$262

Psychiatric patient

 

- first 42 days

$350

- 43 – 65 days

$304

- over 65 days

$262

Rehabilitation patient

 

- first 49 days

$350

- 50 - 65 days

$304

- over 65 days

$262

Other patients

 

- first 14 days

$304

- over 14 days

$262

 

[2]         Schedule 1, Subclause 2(2) Minimum benefit, Table 2:

            

             Delete:

Schedule 1, Subclause 2(2) Minimum benefit, Table 2 - Victoria:  shared ward accommodation at a public hospital

 

 

            

Insert:  

Table 2― Victoria:  shared ward accommodation at a public hospital

Class of patient

Minimum benefit payable per night

Advanced surgical patient

 

- first 14 days

$378

- over 14 days

$262

Surgical patient or obstetric patient

 

- first 14 days

$350

- over 14 days

$262

Psychiatric patient

 

- first 42 days

$350

- 43 – 65 days

$304

- over 65 days

$262

Rehabilitation patient

 

- first 49 days

$350

- 50 - 65 days

$304

- over 65 days

$262

Other patients

 

- first 14 days

$304

- over 14 days

$262

 

[3]         Schedule 1, Subclause 2(2) Minimum benefit, Table 3:

            

Delete:

Schedule 1, Subclause 2(2) Minimum benefit, Table 3 -Tasmania:  shared ward accommodation at a public hospital                             

            

Insert:  

Table 3― Tasmania:  shared ward accommodation at a public hospital

Class of patient

Minimum benefit payable per night

Advanced surgical patient

 

- first 14 days

$378

- over 14 days

$262

Surgical patient or obstetric patient

 

- first 14 days

$350

- over 14 days

$262

Psychiatric patient

 

- first 42 days

$350

- 43 – 65 days

$304

- over 65 days

$262

Rehabilitation patient

 

- first 49 days

$350

- 50 - 65 days

$304

- over 65 days

$262

Other patients

 

- first 14 days

$304

- over 14 days

$262

 

 

[4]         Schedule 2, Clause 2 Minimum benefit, Table:

            

Delete:

                           ACT                                             $303

            

Insert:

                           ACT                                             $313

 

 

Delete:

                           NSW                                            $303

            

Insert:

                           NSW                                            $313

 

Delete:

                           South Australia                            $303

            

Insert:

                           South Australia                            $313

 

 

Delete:

                           Western Australia                        $303

            

 

Insert:

                           Western Australia                        $313

 

 

[5]         Schedule 3, Subclause 2(2) Minimum benefit, Table 1:

 

Delete:

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

            

Insert:  

Table 1

Public hospitals

Band 1

Band 2

Band 3

Band 4

 

 

 

 

 

NSW

$226

$253

$279

$313

ACT

$226

$254

$279

$313

Northern Territory

$219

$250

$290

$303

Queensland

$225.50

$252

$277

$309

South Australia

$226

$258

$285

$313

Tasmania

$219

$261

$303

$350

Victoria

$221

$262

$305

$350

Western Australia

$243

$243

$243

$243

 

 

[6]         Schedule 3, Subclause 2(2) Minimum benefit, Table 2:

 

Delete:

Schedule 3, Subclause 2(2) Minimum benefit, Table 2

            

Insert:  

 

Table 2

Private hospitals

$196

$247

$300

$350

 

 

[7]         Schedule 4, Clause 6 Minimum benefit, Table 1:

            

Delete:

                           ACT                                                                        $99.80

            

Insert:

                           ACT                                                                        $103.80

 

Delete:

                           Western Australia                                                   $102.65

            

Insert:

                           Western Australia                                                   $106.80

Schedule C ―Amendments

[1]         Schedule 5, Clause 4 Facilities, Table:

 

             The table in Clause 4 of Schedule 5 of the Private Health Insurance (Benefit Requirements) Rules 2010 is amended as set out below:

 

Delete:

 

Adelaide Surgicentre

89 King William Street, KENT TOWN  SA  5067

 

Delete:

 

Albury Day Surgery

4 Baker Court, WEST ALBURY  NSW  2640

 

Delete:

 

Armidale Private Hospital

Rusden Street, ARMIDALE  NSW  2350

 

Insert:

 

Armidale Private Hospital

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

 

Delete:

 

Bankstown Primary Health Care Day Surgery

67 Rickard Road, BANKSTOWN  NSW  2200

 

Delete:

 

Baringa Private Hospital

Mackay Road, COFFS HARBOUR  NSW  2450

 

Insert:

 

Baringa Private Hospital

Mackays Road, COFFS HARBOUR  NSW  2450

 

After:

 

Belmont Private Hospital

1220 Creek Road, CARINA  QLD  4152

 

 

 

Insert:

 

Bendigo Day Surgery

1-7 Chum Street, BENDIGO  VIC  3550

 

Delete:

 

Bentleigh Surgicenter

157 Jasper Road, BENTLEIGH  VIC  3204

 

Insert:

 

Bentleigh Surgicentre

157 Jasper Road, BENTLEIGH  VIC  3204

 

Delete:

 

Cairns Day Surgery

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

 

Insert:

 

Cairns Day Surgery

156-160 Grafton Street, CAIRNS  QLD  4870

 

Delete:

 

Calvary Private Hospital Wagga Wagga

Hardy Avenue, WAGGA WAGGA  NSW  2650

 

Insert:

 

Calvary Private Hospital

Hardy Avenue, WAGGA WAGGA  NSW  2650

 

Delete:

 

Capital Day Surgical Centre

1/9 Sydney Avenue, BARTON  ACT  2600

 

Delete:

 

Castle Hill Hospital

72-74 Cecil Avenue, CASTLE HILL  NSW  2154

 

Delete:

 

Dandenong Eye Clinic

1-3 Falkiner Crescent, DANDENONG  VIC  3175

 

 

 

After:

 

Dee Why Endoscopy Unit

21/818 Pittwater Road, DEE WHY  NSW  2099

 

Insert:

 

Delmar Private Hospital

58 Quirk Street, DEE WHY  NSW  2099

 

After:

 

Delmont Private Hospital

298 Warrigal Road, GLEN IRIS  VIC  3146

 

Insert:

 

Diagnostic Endoscopy Centre

601/438 Victoria Street, DARLINGHURST  NSW  2010

 

Delete:

 

Epworth Hospital

89 Bridge Road, RICHMOND  VIC  3121

 

After:

 

Epworth Rehabilitation Camberwell

888 Toorak Road, CAMBERWELL  VIC  3184

 

Insert:

 

Epworth Richmond

89 Bridge Road, RICHMOND  VIC  3121

 

Delete:

 

Frances Perry House

285 Cardigan Street, CARLTON  VIC  3122

 

Insert:

 

Frances Perry House

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

 

Delete:

 

Frankston Private Day Surgery

24-28 Frankston-Flinders Road, FRANKSTON  VIC  3199

 

 

 

Insert:

 

Frankston Private Day Surgery

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

 

Delete:

 

Glenferrie Private Hospital

25 Linda Crescent, HAWTHORN  VIC  3122

 

Insert:

 

Glenferrie Private Hospital

29 Hilda Crescent, HAWTHORN  VIC  3122

 

After:

 

Hawkesbury District Health Service

cnr Macquarie and Day Streets, WINDSOR  NSW  2756

 

Insert:

 

Healthwoods Specialist Centre

53 Cowper Street, GRANVILLE  NSW  2142

 

Delete:

 

Joondalup Health Campus

cnr Grand Boulevard and Shenton Avenue , JOONDALUP  WA  6027

 

Insert:

 

Joondalup Health Campus

Shenton Avenue, JOONDALUP  WA  6027

 

Delete:

 

La Trobe Private Hospital

cnr Plenty Road and Kingsbury Drive, BUNDOORA  VIC  3083

 

Delete:

 

Lingard Private Hospital

23 Merewether Street, MEREWETHER  NSW  2291

 

After:

 

Lindfield Dialysis Clinic

280 Pacific Highway, LINDFIELD  NSW  2070

 

 

Insert:

 

Liverpool Eye Surgery

Ground Floor, 1 Moore Street, LIVERPOOL  NSW  2170

 

Delete:

 

Logan Endoscopy Services

Unit 2 32 76 Beaudesert Road, BROWNS PLAINS  QLD  4118

 

Insert:

 

Logan Endoscopy Services

Unit 2 3276 Beaudesert Road, BROWNS PLAINS  QLD  4118

 

Delete:

 

Marie Stopes International – Canberra

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

 

Delete:

 

Marie Stopes International – Salisbury

11 Hayling Street, SALISBURY  QLD  4107

 

Delete:

 

Maryvale Private Hospital

McDonald Street, MORWELL VIC  3840

 

Insert:

 

Maryvale Private Hospital

286 Maryvale Road, MORWELL  VIC  3840

 

Delete:

 

Mater Private Hospital

Raymond Terrace, SOUTH BRISBANE  QLD  4101

 

Delete:

 

Mayo Private Hospital

Lot 1, Potoroo Drive, KOLODONG via TAREE  NSW  2430

 

Insert:

 

Mayo Private Hospital

Lot 1, Potoroo Drive, TAREE  NSW  2430

 

 

 

Delete:

 

Melbourne Medibrain and Medisleep Centre

631 Inkerman Road, NORTH CAULFIELD  VIC  3161

 

Insert:

 

Melbourne MediBrain Centre and MediSleep

631 Inkerman Road, CAULFIELD NORTH  VIC  3161

 

Delete:

 

Mercy Private Hospital

159 Grey Street, MELBOURNE EAST  VIC  3002

 

After:

 

Metropolitan Rehabilitation Hospital

275 Addison Road, PETERSHAM  NSW  2049

 

Insert:

 

Mildura Base Hospital

Ontario Avenue, MILDURA  VIC  3500

 

Delete:

 

Montserrat Day Hospital (Gaythorne)

383-391 Samford Road, GAYTHORNE  QLD  4051

 

Insert:

 

Montserrat Day Hospitals (Gaythorne)

383-391 Samford Road, GAYTHORNE  QLD  4051

 

Delete:

 

Montserrat Day Hospital (Indooroopilly)

12 Riverview Terrace, INDOOROOPILLY  QLD  4068

 

Insert:

 

Montserrat Day Hospitals (Indooroopilly)

12 Riverview Terrace, INDOOROOPILLY  QLD  4068

 

Delete:

 

Montserrat Day Hospital (Spring Hill)

Level 2, 35 Astor Terrace, BRISBANE  QLD  4000

 

 

 

Insert:

 

Montserrat Day Hospitals (Spring Hill)

Level 2, 35 Astor Terrace, BRISBANE  QLD  4000

 

Delete:

 

North West Private Hospital

21 Brickport Road, BURNIE  TAS  7320

 

Delete:

 

Northside Clinic

2 Greenwich Road, GREENWICH  NSW  2065

 

Insert:

 

Northside Clinic Private Hospital

2 Greenwich Road, GREENWICH  NSW  2065

 

Delete:

 

Northwest Day Hospital

221 Maribyrnong Road, ASCOT VALE  VIC  3032

 

Delete:

 

Oxford Day Surgery & Dermatology

416-418 Oxford Street, MOUNT HAWTHORN  WA  6016

 

Insert:

 

Oxford Day Surgery and Dermatology

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

 

After:

 

Oxford Day Surgery and Dermatology

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

 

Insert:

 

Oxford Day Surgery Centre

54 Oxford Terrace, UNLEY  SA  5061

 

Delete:

 

Queensland Eye Hospital

55 Little Edward Street , SPRING HILL  QLD  4004

 

 

 

Delete:

 

Randwick Day Surgery

2 Eurimble Avenue, RANDWICK  NSW  2031

 

Insert:

 

Randwick Day Surgery

2 Eurimbla Avenue, RANDWICK  NSW  2031

 

Delete:

 

Shellharbour Private Hospital

Captain Cook Drive, BARRACK HEIGHTS  NSW  2528

 

Insert:

 

Shellharbour Private Hospital

27 Captain Cook Drive, BARRACK HEIGHTS  NSW  2528

 

Delete:

 

Skin Cancer Day Surgery Pty Ltd

19 Cleveland Road, ASHWOOD  VIC  3147

 

Insert:

 

Skin Cancer Day Surgery

19 Cleveland Road, ASHWOOD  VIC  3147

 

After:

 

Southern Respiratory and Sleep Disorders Centre

Level 2, Sutherland Hospital, The Kingsway, CARINGBAH  NSW  2229

 

Insert:

 

Southport Day Hospital

98a Marine Parade, SOUTHPORT  QLD  4215

 

Delete:

 

Spring Hill Specialist Day Hospital

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

 

Insert:

 

Spring Hill Specialist Day Hospital

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

 

 

Delete:

 

Springvale Endoscopy Centre and Day Hospital

20 Balmoral Avenue, SPRINVALE  VIC  3171

 

Delete:

 

St John of God Health Care, Berwick

Gibb Street, BERWICK  VIC  3806

 

Insert:

 

St John of God Hospital, Berwick

Gibb Street, BERWICK  VIC  3806

 

Delete:

 

St John of God Hospital, Burwood

13 Grantham Street, BURWOOD  NSW  2135

 

Delete:

 

St John of God Hospital, Geelong

80 Myers Street, GEELONG  VIC  3220

 

Insert:

 

St John of God Hospital, Geelong

80 and 83 Myers Street, GEELONG  VIC  3220

 

Delete:

 

St John of God Hospital, Richmond

177 Grose Vale Road, NORTH RICHMOND  VIC  2754

 

Delete:

 

St John of God Hospital (Warrnambool)

136 Botanic Road, WARRNAMBOOL  VIC  3280

 

Insert:

 

St John of God Hospital Warrnambool

136 Botanic Road, WARRNAMBOOL  VIC  3280

 

After:

 

St John of God Pinelodge Clinic

1480 Heatherton Road, DANDENONG  VIC  3175

 

 

 

 

Insert:

 

St John of God Private Hospital

13 Grantham Street, BURWOOD  NSW  2135

 

After:

 

St John of God Private Hospital

13 Grantham Street, BURWOOD  NSW  2135

 

Insert:

 

St John of God Private Hospital (Richmond)

177 Grose Vale Road, NORTH RICHMOND  VIC  2754

 

After:

 

St Luke’s Hospital

18 Roslyn Street, POTTS POINT  NSW  2011

 

Insert:

 

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

159 Grey Street, MELBOURNE EAST  VIC  3002

 

Delete:

 

Sydney Day Surgery

213-219 Darlinghurst Road, DARLINGHURST  NSW  2010

 

Delete:

 

Sydney IVF Day Surgery

Level 4, 321 Kent Street, SYDNEY  NSW  2000

 

Delete:

 

Sydney IVF Liverpool

173-175 Bigge Street, LIVERPOOL  NSW  2170

 

Delete:

 

Tarietta Day Surgery

73 Kooyong Road, CAULFIELD NORTH  VIC  3161

 

Delete:

 

Tennyson Centre Day Hospital

520 South Road, KURRALTA PARK  SA  5037

 

 

Delete:

 

The Albert Road Clinic

31-33 Albert Road, SOUTH MELBOURNE  VIC  3004

 

Insert:

 

The Albert Road Clinic

31 Albert Road, MELBOURNE  VIC  3000

 

Delete:

 

The Burnside War Memorial Hospital

120 Kensington Road, TOORAK GARDENS  SA  5065

 

Insert:

 

The Burnside War Memorial Hospital Inc.

120 Kensington Road, TOORAK GARDENS  SA  5065

 

Delete:

 

The CAPS Clinic

Strickland Crescent, DEAKIN  ACT  2600

 

Insert:

 

The CAPS Clinic

7 Phipps Close, DEAKIN  ACT  2600

 

Delete:

 

The Double Bay Day Surgery

20 Manning Road, DOUBLE BAY  NSW  2028

 

After:

 

The Glen Endoscopy Centre

302 Springvale Road, GLEN WAVERLEY  VIC  3150

 

Insert:

 

The Hills Clinic

15-17 Memorial Avenue, KELLYVILLE  NSW  2155

 

After:

 

The Melbourne Eastern Private Hospital

157 Scoresby Road, BORONIA  VIC  3155

 

 

 

Insert:

 

The Oculoplastics Centre Sydney

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

 

Delete:

 

The Surgery Centre – Hurtsville

Level 3, 31 Dora Street , HURTSVILLE  NSW  2220

 

Insert:

 

The Surgery Centre – Hurstville

Level 3, 31 Dora Street , HURSTVILLE  NSW  2220

 

Delete:

 

Vimy House Private Hospital

5 Studley Avenue, KEW  VIC  3101

 

Insert:

 

Vimy Private Hospital

5 Studley Avenue, KEW  VIC  3101

 

Delete:

 

Western Plains Day Surgery

62 Windsor Parade, DUBBO  NSW  2830

 

Delete:

 

Westmed Centre

27 Railway Parade, WESTMEAD  NSW  2145

 

Delete:

 

Westpoint Endoscopy Day Hospital

243 Heaths Road, HOPPERS CROSSING  VIC  3029

 

 

 

 

 

 

 

 

Note

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