Schedule A - Amendments
Private Health Insurance (Benefit Requirements) Rules 2011
[1] Schedule 1, Part 1 – General, 2. Subclause 2. Minimum benefit, Table 1
Omit:
Table 1 – Accommodation at private hospitals in all States/Territories
Substitute:
Table 1 – Accommodation at private hospitals in all States/Territories
| Class of patient | Minimum benefit payable per night |
| Advanced surgical patient | |
| - first 14 days | $432 |
| - over 14 days | $301 |
| Surgical patient or obstetric patient | |
| - first 14 days | $401 |
| - over 14 days | $301 |
| Psychiatric patient | |
| - first 42 days | $401 |
| - 43 – 65 days | $347 |
| - over 65 days | $301 |
| Rehabilitation patient | |
| - first 49 days | $401 |
| - 50 - 65 days | $347 |
| - over 65 days | $301 |
| Other patients | |
| - first 14 days | $347 |
| - over 14 days | $301 |
[2] Schedule 1, Part 1 – General, 2. Subclause 2. Minimum Benefit, Table 2
Omit:
Schedule 1, Subclause 2 Minimum benefit, Table 2 – Victoria: shared ward accommodation at a public hospital
Substitute:
Table 2 - Victoria: shared ward accommodation at a public hospital
| Class of patient | Minimum benefit payable per night |
| Advanced surgical patient | |
| - first 14 days | $432 |
| - over 14 days | $301 |
| Surgical patient or obstetric patient | |
| - first 14 days | $401 |
| - over 14 days | $301 |
| Psychiatric patient | |
| - first 42 days | $401 |
| - 43 – 65 days | $347 |
| - over 65 days | $301 |
| Rehabilitation patient | |
| - first 49 days | $401 |
| - 50 - 65 days | $347 |
| - over 65 days | $301 |
| Other patients | |
| - first 14 days | $347 |
| - over 14 days | $301 |
[3] Schedule 1, Part 1 – General, 2. Subclause 2. Minimum Benefit, Table 3
Omit:
Schedule 1, Subclause 2 Minimum benefit, Table 3 - Tasmania: shared ward accommodation at a public hospital
Substitute:
Table 3 - Tasmania: shared ward accommodation at a public hospital
| Class of patient | Minimum benefit payable per night |
| Advanced surgical patient | |
| - first 14 days | $432 |
| - over 14 days | $301 |
| Surgical patient or obstetric patient | |
| - first 14 days | $401 |
| - over 14 days | $301 |
| Psychiatric patient | |
| - first 42 days | $401 |
| - 43 – 65 days | $347 |
| - over 65 days | $301 |
| Rehabilitation patient | |
| - first 49 days | $401 |
| - 50 - 65 days | $347 |
| - over 65 days | $301 |
| Other patients | |
| - first 14 days | $347 |
| - over 14 days | $301 |
[4] Schedule 2, Clause 2 Minimum benefit, Table
Omit:
Schedule 2, Clause 2 Minimum benefit, Table
Substitute:
Table
| State/Territory | Minimum benefit payable per night |
| ACT | $357 |
| NSW | $357 |
| Northern Territory | $357 |
| Queensland | $366 |
| South Australia | $357 |
| Western Australia | $357 |
[5] Schedule 3, Part 1, Subclause 2 Minimum benefit, Table 1:
Omit:
Schedule 3, Part 1, Subclause 2 Minimum benefit, Table 1
Substitute:
Table 1
| Public hospitals | Band 1 | Band 2 | Band 3 | Band 4 |
| | | | | |
| NSW | $259 | $290 | $318 | $357 |
| ACT | $259 | $290 | $318 | $357 |
| Northern Territory | $259 | $297 | $343 | $357 |
| Queensland | $265 | $299 | $328 | $366 |
| South Australia | $259 | $297 | $327 | $357 |
| Tasmania | $252 | $300 | $346 | $401 |
| Victoria | $254 | $301 | $348 | $401 |
| Western Australia | $294 | $294 | $294 | $294 |
[6] Schedule 3, Part 1, Subclause 2 Minimum benefit, Table 2:
Omit:
Schedule 3, Part 1, Subclause 2 Minimum benefit, Table 2
Substitute:
Table 2
| | Band 1 | Band 2 | Band 3 | Band 4 |
| Private Hospitals | $224 | $282 | $343 | $401 |
Schedule B - Amendments
Private Health Insurance (Benefit Requirements) Rules 2011
[1] Schedule 1, Part 2 – Type A Procedures, Clause 4 Advanced Surgical Patient (3):
After ‘35562’ insert ‘35585’
[2] Schedule 1, Part 2 – Type A Procedures, Clause 6 Surgical Patient (3):
After ‘35578’ insert ‘35581’
After ‘35581’ insert ‘35582’
[3] Schedule 3, Part 3 – Type C Procedures, Clause 8 Interpretation, Category 5 – Diagnostic Imaging Services, I5:
After ‘63530’ insert ‘63541’
After ‘63541’ insert ‘63542’
After ‘63542’ insert ‘63543’
After ‘63543’ insert ‘63544’
[4] Schedule 3, Part 3 – Type C Procedures, Clause 8 Interpretation, Category 6 – Pathology services, P7:
After ‘73343’ insert ‘73345’
After ‘73345’ insert ‘73346’
After ‘73346’ insert ‘73347’
After ‘73347’ insert ‘73348’
After ‘73348’ insert ‘73349’
After ‘73349’ insert ‘73350’
Schedule C – Amendments
Private Health Insurance (Benefit Requirements) Rules 2011
[1] Schedule 4, Clause 6 Minimum benefit, Table 1
Omit:
Australian Capital Territory $121.95
Substitute:
Australian Capital Territory $125.00
Omit:
South Australia $118.00
Substitute:
South Australia $120.00
Schedule D - Amendments
Private Health Insurance (Benefit Requirements) Rules 2011
[1] Schedule 5 – Second-tier default benefits, Clause 4. Facilities, subclause (1)
Substitute
(1) A hospital is a facility for the purposes of this Schedule if it is included in the list of second-tier eligible facilities approved by the Second Tier Advisory Committee existing at the time that the Private Health Insurance (Benefit Requirements) Amendment Rules 2018 (No.3) commence.