Federal Register of Legislation - Australian Government

Primary content

Rules/Other as made
This instrument amends the Private Health Insurance (Benefits Requirements) Rules 2011 and the Private Health Insurance (Complying Products) Rules 2015 to adjust the minimum accommodation benefits according to indexation applicable from 1 July 2021 and the Nursing home-type patient contribution. It also amends the Private Health Insurance (Health Insurance Business) Rules 2018 to reflect changes to the second-tier application fee.
Administered by: Health
Registered 25 Jun 2021
Tabling HistoryDate
Tabled HR03-Aug-2021
Tabled Senate03-Aug-2021
Date of repeal 19 Oct 2021
Repealed by Division 1 of Part 3 of Chapter 3 of the Legislation Act 2003
Table of contents.

Commonwealth Coat of Arms of Australia

 

Private Health Insurance Legislation Amendment Rules (No. 3) 2021

I, Brian Kelleher, delegate of the Minister for Health and Aged Care, make the following Rules.

Dated   23 JUNE 2021

Brian Kelleher                                 

Assistant Secretary

Private Health Industry Branch

Medical Benefits Division
Health Resourcing Group

Department of Health

 


Contents

1  Name........................................................................................................................................ 1

2  Commencement........................................................................................................................ 1

3  Authority.................................................................................................................................. 1

4  Schedules................................................................................................................................. 1

Schedule 1—Amendments—Minimum accommodation benefits                             2

Private Health Insurance (Benefit Requirement) Rules 2011                                                       2

Schedule 2—Amendments—Nursing-home type patient contribution                    7

Private Health Insurance (Complying Products) Rules 2015                                                       7

Schedule 3—Amendments—Second-tier application fee                                          9

Private Health Insurance (Health Insurance Business) Rules 2018                                            9


1  Name

                   This instrument is the Private Health Insurance Legislation Amendment Rules (No. 3) 2021.

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 July 2021

1 July 2021

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.

             (2)  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 section 333-20 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 1Amendments—Minimum accommodation benefits

Private Health Insurance (Benefit Requirements) Rules 2011

1  Clause 2 of Schedule 1 (Table 1)

Repeal the table (including the heading), substitute:

 

Table 1 – Overnight accommodation for private patients at private hospitals in all States/Territories

 

Class of patient

Minimum benefit payable per night

Advanced surgical patient

 

‑ first 14 days

$453

‑ over 14 days

$315

Surgical patient or obstetric patient

 

‑ first 14 days

$420

‑ over 14 days

$315

Psychiatric patient

 

‑ first 42 days

$420

‑ 43 – 65 days

$364

‑ over 65 days

$315

Rehabilitation patient

 

‑ first 49 days

$420

‑ 50 ‑ 65 days

$364

‑ over 65 days

$315

Other patients

 

‑ first 14 days

$364

‑ over 14 days

$315

 


 

 

2  Clause 2 of Schedule 1 (Table 2)

Repeal the table (including the heading), substitute:

Table 2 – Victoria - overnight shared ward accommodation for private patients at public hospitals

 

Class of patient

Minimum benefit payable per night

Advanced surgical patient

 

‑ first 14 days

$453

‑ over 14 days

$315

Surgical patient or obstetric patient

 

‑ first 14 days

$420

‑ over 14 days

$315

Psychiatric patient

 

‑ first 42 days

$420

‑ 43 – 65 days

$364

‑ over 65 days

$315

Rehabilitation patient

 

‑ first 49 days

$420

‑ 50 ‑ 65 days

$364

‑ over 65 days

$315

Other patients

 

‑ first 14 days

$364

‑ over 14 days

$315

 


 

 

3  Clause 2 of Schedule 1 (Table 3)

Repeal the table (including the heading), substitute:

Table 3 – Tasmania - overnight shared ward accommodation for private patients at public hospitals

Class of patient

Minimum benefit payable per night

Advanced surgical patient

 

‑ first 14 days

$453

‑ over 14 days

$315

Surgical patient or obstetric patient

 

‑ first 14 days

$420

‑ over 14 days

$315

Psychiatric patient

 

‑ first 42 days

$420

‑ 43 – 65 days

$364

‑ over 65 days

$315

Rehabilitation patient

 

‑ first 49 days

$420

‑ 50 ‑ 65 days

$364

‑ over 65 days

$315

Other patients

 

‑ first 14 days

$364

‑ over 14 days

$315

 

4  Subclause 4(3) of Schedule 1

Omit “$879.60”, substitute “$887.50”.

5  Subclause 6(3) of Schedule 1

Omit“$261.90 to $879.60”, substitute “$264.25 to $887.50”


 

6  Clause 2 of Schedule 2 (Table)

Repeal the table (including the heading), substitute:

 

Table 1 - Overnight shared ward accommodation for private patients at public hospitals in the Australian Capital Territory, New South Wales, Northern Territory, Queensland, South Australia and Western Australia

 

State/Territory

Minimum benefit payable per night

Australian Capital Territory

$374

New South Wales

$374

Northern Territory

$374

Queensland

$383

South Australia

$374

Western Australia

$374

 

7  Clause 2 of Schedule 3 (Table 1)

Repeal the table (including the heading), substitute:

Table 1 - Same-day accommodation for private patients at public hospitals in all States/Territories

Public hospitals

Band 1

Band 2

Band 3

Band 4

 

 

 

 

 

NSW

$271

$303

$333

$374

ACT

$271

$303

$333

$374

Northern Territory

$271

$311

$359

$374

Queensland

$277

$313

$343

$383

South Australia

$271

$311

$342

$374

Tasmania

$264

$314

$362

$420

Victoria

$266

$315

$365

$420

Western Australia

$308

$308

$308

$308

 

8  Clause 2 of Schedule 3 (Table 2)

Repeal the table (including the heading), substitute:

Table 2 - Same-day accommodation for private patients at private hospitals in all States/Territories

 

Band 1

Band 2

Band 3

Band 4

Private Hospitals

$235

$295

$359

$420

 

9  Clause 6 of Schedule 4 (Table 1, table item dealing with Australian Capital Territory, column headed “Minimum benefit per night”)

Omit “$130.70”, substitute “$133.00”.

10  Clause 6 of Schedule 4 (Table 1, table item dealing with South Australia, column headed “Minimum benefit per night”)

Omit “$125.00”, substitute “$126.00”.


 

Schedule 2Amendments—Nursing-home type patient contribution

Private Health Insurance (Complying Product) Rules 2015

1  Subrule 8A(3) (paragraph (a) of the definition of patient contribution)

Repeal the paragraph, substitute:

(a) in relation to a nursing‑home type patient at a public hospital, the following amount for the State or Territory in which the hospital is located:

              (i)           Australian Capital Territory - $63.05;

              (ii)          New South Wales - $63.05;

              (iii)         Northern Territory - $63.05;

              (iv)         Queensland - $63.05;

              (v)          South Australia - $63.05;

              (vi)         Tasmania - $63.05;

              (vii)        Victoria - $63.05; and

              (viii)       Western Australia - $63.05.

Schedule 3Amendments—Second-tier application fee

Private Health Insurance (Health Insurance Business) Rules 2018

1  Subrule 7B

Repeal the subrule (not including the heading), substitute:

For the purposes of paragraph 121-8(2)(b) of the Act, the application fee is $900 for each hospital that the application seeks to have included in the second-tier eligible hospitals class.