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Rules/Other as made
These rules amend the Private Health Insurance (Benefit Requirements) Rules 2011 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 15 Jun 2012
Registered 20 Jun 2012
Tabled HR 21 Jun 2012
Tabled Senate 21 Jun 2012
Date of repeal 19 Mar 2014
Repealed by Health (Spent and Redundant Instruments) Repeal Regulation 2014
Table of contents.

Private Health Insurance (Benefit Requirements) Amendment Rules 2012 (No. 4)

 

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

 

 

 

____________________________________

Richard Magor

Assistant Secretary

Private Health Insurance Branch

Medical Benefits Division

Department of Health and Ageing

15 June 2012

 

 

 


 

Contents

 

 

PART 1            PRELIMINARY                 

 

1.          Name of Rules           3

2.          Commencement         3

3.          Amendment of the Private Health Insurance (Benefit    Requirements) Rules 2011                                                        3

 

SCHEDULE A – AMENDMENTS              4

SCHEDULE B AMENDMENTS                                                                        8

SCHEDULE C – Amendments                                                                        9

SCHEDULE D – AMENDMENTS                                                                        16

 

 

Part 1        Preliminary

1           Name of Rules

These Rules are the Private Health Insurance (Benefit Requirements) Amendment Rules 2012 (No. 4).

2.          Commencement

These Rules commence on:

(a) 1 July 2012; or

(b) if registered after 1 July 2012, the day after registration.

3.          Amendment of the Private Health Insurance (Benefit Requirements) Rules 2011

Schedules A, B, C and D amend the Private Health Insurance (Benefit Requirements) Rules 2011 as amended.


Schedule A - Amendments

 

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

 

             Delete:

                           Schedule 1, Subclause 2(2) Minimum benefits, 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

$384

- over 14 days

$266

Surgical patient or obstetric patient

 

- first 14 days

$356

- over 14 days

$266

Psychiatric patient

 

- first 42 days

$356

- 43 – 65 days

$309

- over 65 days

$266

Rehabilitation patient

 

- first 49 days

$356

- 50 - 65 days

$309

- over 65 days

$266

Other patients

 

- first 14 days

$309

- over 14 days

$266

 

[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

$384

- over 14 days

$266

Surgical patient or obstetric patient

 

- first 14 days

$356

- over 14 days

$266

Psychiatric patient

 

- first 42 days

$356

- 43 – 65 days

$309

- over 65 days

$266

Rehabilitation patient

 

- first 49 days

$356

- 50 - 65 days

$309

- over 65 days

$266

Other patients

 

- first 14 days

$309

- over 14 days

$266

 

[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

$384

- over 14 days

$266

Surgical patient or obstetric patient

 

- first 14 days

$356

- over 14 days

$266

Psychiatric patient

 

- first 42 days

$356

- 43 – 65 days

$309

- over 65 days

$266

Rehabilitation patient

 

- first 49 days

$356

- 50 - 65 days

$309

- over 65 days

$266

Other patients

 

- first 14 days

$309

- over 14 days

$266

 

 

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

            

Delete:

                           Schedule 2, Clause 2 Minimum benefit, Table      

 

             Insert:

 

Table

 

State/Territory

Minimum benefit payable per night

ACT

$318

NSW

$318

Northern Territory

$318

Queensland

$324

South Australia

$318

Western Australia

$318

 

 

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

 

Delete:

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

            

Insert:  


 

Table 1

Public hospitals

Band 1

Band 2

Band 3

Band 4

 

 

 

 

 

NSW

$230

$257

$283

$318

ACT

$230

$257

$283

$318

Northern Territory

$230

$262

$305

$318

Queensland

$236.50

$264

$291

$324

South Australia

$230

$262

$290

$318

Tasmania

$223

$265

$308

$356

Victoria

$225

$266

$310

$356

Western Aust ralia

$260

$260

$260

$260

 

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

 

Delete:

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

            

Insert:  

Table 2

 

Band 1

Band 2

Band 3

Band 4

Private Hospitals

$199

$251

$305

$356

 

 

 

 

Schedule B - Amendments

 

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

 

Delete:

South Australia                            $106.00

 

Insert:

South Australia                            $108.00

 

Delete:

ACT                                             $103.80

 

Insert:

ACT                                             $107.40

 

Delete:

Western Australia                        $106.80

 

Insert:

Western Australia                        $116.05

 

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 2011 is amended as set out below:

 

After:

 

Aesthetic Day Surgery

14 Kensington Street, KOGARAH  NSW  2217

 

Insert:

 

Albury Day Surgery

4 Baker Court, ALBURY  NSW  2640

 

After:

 

Cabrini Hopetoun Rehabilitation Hospital

2-6 Hopetoun Road, ELSTERNWICK  VIC  3185

 

Insert:

 

Cabrini Hospital - Malvern

181-183 Wattletree Road, MALVERN  VIC  3144

 

Insert:

 

Cabrini Hospital - Prahran

646 High Street, PRAHRAN EAST  VIC  3181

 

Delete:

 

Calvary Health Care Tasmania - St Luke’s Campus

24 Lyttleton Street, LAUNCESTON  TAS  7250

 

Substitute:

 

Calvary Health Care Tasmania – (Launceston)

24 Lyttleton Street, LAUNCESTON  TAS  7250

 

Delete:

 

Calvary Health Care Tasmania - St Vincent’s Campus

5 Frederick Street, LAUNCESTON  TAS  7250

 

Delete:

 

Cambridge Day Surgery

178 Cambridge Street, WEMBLEY WA 6014

 

 

After:

 

Campbelltown Private Hospital

42 Parkside Crescent, CAMPBELLTOWN  NSW  2560

 

Insert:

 

Canberra Specialist Surgical Centre

Level 3, Building 2, Equinox Business Park, 70 Kent Street, DEAKIN  ACT 2600

 

After:

 

Chesterville Day Hospital

28 Chesterville Road, CHELTENHAM  VIC  3192

 

Insert:

 

Churchill Day Surgery

136 Churchill Avenue, SUBIACO  WA  6008

 

Delete:

 

Colin Street Day Surgery

51 Colin Street, WEST PERTH  WA  6005

 

After:

 

Diaverum Diamond Valley Dialysis Clinic

15 Grimshaw Street, GREENSBOROUGH  VIC  3088

 

Insert:

 

Diaverum North Melbourne Dialysis Clinic

Level 1, 185-187 Boundary Road, NORTH MELBOURNE VIC 3051

 

After:

 

Geelong Private Hospital

cnr Ryrie & Bellarine Streets, GEELONG  VIC  3220

 

Insert:

 

Genea Day Surgery

Level 4, 321 Kent Street, SYDNEY  NSW  2000

 

Insert:

 

Genea IVF Liverpool

173-175 Bigge Street, LIVERPOOL  NSW  2170

 

 

 

 

Insert:

 

Genea IVF Northwest

Level 1, Suite 101, 10 Norbrik Drive, BELLA VISTA  NSW  2153

 

After:

 

Hawkesbury District Health Service

cnr Macquarie and Day Streets, WINDSOR  NSW  2756

 

Insert:

 

Healthbridge Hawthorn Private Hospital

50 Burwood Road, HAWTHORN  VIC  3122

 

Delete:

 

Kawana Private Hospital

Suite 14, Level 1, Innovation Parkway, BIRTINYA  QLD  4575

 

Substitute:

 

Kawana Private Hospital

Suite 14, Level 1, 5 Innovation Parkway, BIRTINYA  QLD  4575

 

Delete:

 

Lambton Road Day Surgery

163 Lambton Road, BROADMEADOW  NSW  2292

 

Delete:

 

Macquarie University Hospital

Talavera Road, MACQUARIE PARK  NSW  2113

 

Substitute:

 

Macquarie University Hospital

3 Technology Place,  MACQUARIE PARK  NSW 2109

 

Delete:

 

Maitland Private Hospital

173 Chisholm Road, EAST MAITLAND  NSW  2323

 

After:

 

Marie Stopes International Bowen Hills

8 Campbell Street, BOWEN HILLS  QLD  4006

 

 

Insert:

 

Marie Stopes International Broadmeadow

163 Lambton Road, BROADMEADOW  NSW  2292

 

After:

 

Marie Stopes International East St Kilda

338 Dandenong Road, EAST ST KILDA  VIC  3182

 

Insert:

 

Marie Stopes International Maroondah Centre

411-415 Dorset Road, CROYDON  VIC  3142

 

Delete:

 

Mercy Hospital Mount Lawley

Thirlmere Road, MOUNT LAWLEY  WA  6050

 

Delete:

 

Murdoch Surgicentre

100 Murdoch Drive, MURDOCH  WA  6150

 

Delete:

 

Nephrocare Bondi Dialysis Clinic

Suite G2, 19-23 Hollywood Avenue, BONDI JUNCTION  NSW  2022

 

Delete:

 

Nephrocare Newcastle Dialysis Clinic

Suite 402, Level 4, 670 Hunter Street, NEWCASTLE  NSW  2308

 

After:

 

North Eastern Rehabilitation Centre

134-144 Ford Street, IVANHOE  VIC  3079

 

Insert:

 

North Lakes Day Hospital

7 Endeavour Boulevard, NORTH LAKES  QLD  4509

 

Delete:

 

North Melbourne Dialysis Clinic

Level 1, 185-187 Boundary Road, NORTH MELBOURNE VIC 3051

 

After:

 

North Shore Specialist Day Surgery

176 Pacific Highway, GREENWICH  NSW  2065

 

Insert:

 

North Tas Urology

25-27 Canning Street, LAUNCESTON  TAS  7250

 

After:

 

Northside West Clinic

23-27 Lytton Street, WENTWORTHVILLE  NSW  2145

 

Insert:

 

Northwest Day Hospital

221 Maribyrnong Road, ASCOT VALE  VIC  3032

 

Delete:

 

Oromax Day Surgery

Level 3, 1 Hutt Street, ADELAIDE  SA  5000

 

Substitute:

 

Oromax Day Surgery Pty Ltd

Level 3, 1 Hutt Street, ADELAIDE  SA  5000

 

Delete:

 

Reservoir Private Hospital

73 – 75 Pine Street, RESERVOIR  VIC  3071

 

Delete:

 

Robina Procedure Centre

Robina Town Centre, ROBINA  QLD  4230

 

Substitute:

 

Robina Procedure Centre

Tenancy 4110, Level 3, Robina Town Centre Drive, ROBINA TOWN CENTRE QLD  4230

 

After:

 

Roderick Street Day Surgery

23 Roderick Street, IPSWICH  QLD  4305

 

Insert:

 

Rosebery Day Surgery

308 Gardeners Road, ROSEBERY  NSW  2018

 

Delete:

 

Skin Cancer Day Surgery

19 Cleveland Road, ASHWOOD VIC 3147

After:

 

Spring Hill Specialist Day Hospital

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

 

Insert:

 

Springvale Endoscopy Centre and Day Hospital

20 Balmoral Avenue, Springvale  VIC  3171

 

Delete:

 

St Frances Xavier Cabrini Hospital – Malvern

181-183 Wattletree Road, MALVERN  VIC  3144

 

Delete:

 

St Francis Xavier Cabrini Hospital – Prahran

646 High Street, PRAHRAN EAST  VIC  3181

 

Delete:

 

Subiaco Private Hospital

Ground Floor, Suite F and Level 1, 1 Salvado Road, SUBIACO  WA  6008

 

Delete:

 

Sydney IVF Canberra

2 King Street - Suite 17B, DEAKIN  ACT  2600

 

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:

 

Sydney IVF Northwest

Level 1, Suite 101, 10 Norbrik Drive, BELLA VISTA  NSW  2153

 

Delete:

 

The Hornsby Sleep Disorder and Diagnostic Centre

104 Balmoral Street, WAITARA  NSW  2077

 

Delete:

 

The Marian Centre

187 Cambridge Street, WEMBLEY  WA 6014

 

Delete:

 

Victor Harbor Private Hospital

Bay Road, VICTOR HARBOR  SA  5211

 

Delete:

 

Vision Eye Institute

Levels 3 & 4, 270 Victoria Street, CHATSWOOD  NSW  2067

 

Substitute:

 

Vision Eye Institute, Chatswood

Levels 3 & 4, 270 Victoria Street, CHATSWOOD  NSW  2067

 

After:

 

Westmed Centre

27 Railway Parade, WESTMEAD  NSW  2145

 

Insert:

 

Westpoint Endoscopy Day Hospital

243 Heaths Road, HOPPERS CROSSING  VIC  3029

 

 

 

Schedule D - Amendments                

 

[1]         Schedule 1, Part 2, Type A procedures, Subclause 6(3) Surgical patient

 

             Delete:

 

                           37219

 

[2]         Schedule 3, Part 2, Type B procedures, Subclause 5(1) Non-band specific Type B day procedures

 

             After:

 

                           13292

 

Insert:

 

13318

            

             After:

 

                           13757

 

Insert:

 

13815

 

[3]         Schedule 3, Part 3, Type C procedures, Clause 8, Category 6 – Pathology services

 

             After:

 

                           73324

 

Insert:

 

73328  73330  73332

Notes

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

2.       These Rules amend the Private Health Insurance (Benefit Requirements) Rules 2011, which commenced on 1 November 2011.