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Private Health Insurance (Prostheses) Amendment Rules 2013 (No. 2)

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Private Health Insurance (Prostheses) Amendment Rules 2013 (No. 2)ˡ
I, DOUG FAWNS, delegate of the Minister for Health, make these Rules under item 4 of the table in section 333-20 of the Private Health Insurance Act 2007. 
Dated   20th February                       2013
Doug Fawns
Doug Fawns
 
Assistant Secretary
Private Health Insurance Branch
Medical Benefits Division
Department of Health and Ageing
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Contents
 
PART 1                  PRELIMINARY
 
1.                             Name of Rules  3
2.                             Commencement 3
3.                             Amendment of the Private Health Insurance (Prostheses) Rules 2012 (No. 2) 3
 
SCHEDULE – AMENDMENTS                                                                                     3
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Part 1        Preliminary
1.               Name of Rules
                 These Rules are the Private Health Insurance (Prostheses) Amendment Rules 2013
       (No. 2).
2.               Commencement
These Rules commence immediately after the commencement of the Private Health Insurance (Prostheses) Amendment Rules 2013 (No.1).
3.               Amendment of the Private Health Insurance (Prostheses) Rules 2012 (No. 2)
The Schedule amends the Private Health Insurance (Prostheses) Rules 2012 (No. 2).
 
 
Schedule – Amendments
Part A of the Schedule to the Private Health Insurance (Prostheses) Rules 2012 (No. 2) is amended as follows:
 
[1]     Subgroup 6.2.4.12, Standard humeral head, after entry for billing code MA448
insert the subheading “Orthotech Pty Ltd”
under that subheading, insert the contents of item 1 of the Table in the columns indicated:
Item
Billing Code
Product Name
Description
Size
Minimum benefit

1
OH386
VAIOS Humeral Head
Humeral Head
42-54mm
$1,327.00

 
[2]     Subgroup 6.2.4.14, Humeral cup, after entry for billing code EX048
insert the subheading “Orthotech Pty Ltd”
under that subheading, insert the contents of item 1 of the table in the columns indicated:
Item
Billing Code
Product Name
Description
Size
Minimum benefit

1
OH390
VAIOS Reverse Humeral Insert
Reverse Humeral Insert
+0/+6 mm
$815.00

 
 
 
 
 
[3]     Subgroup 6.2.4.5, Modular humeral component – metaphyseal, uncemented, after entry for billing code MA481
insert the subheading “Orthotech Pty Ltd”
under that subheading, insert the contents of item 1 of the table in the columns indicated:
Item
Billing Code
Product Name
Description
Size
Minimum benefit

1
OH387
VAIOS humeral neck
Humeral Neck
One size
$2,580.00

 
[4]     Subgroup 6.2.4.9, Modular component – diaphyseal, uncemented, short (≤220mm), after entry for billing code LC043
insert the subheading “Orthotech Pty Ltd”
under that subheading, insert the contents of item 1 of the table in the columns indicated:
Item
Billing Code
Product Name
Description
Size
Minimum benefit

1
OH388
VAIOS Humeral Stem
Humeral Stem
8-16 mm
$2,800.00

 
[5]     Subgroup 6.2.5.1, Glenoid component, All poly, after entry for billing code MA450
insert the subheading “Orthotech Pty Ltd”
under that subheading, insert the contents of item 1 of the table in the columns indicated:
Item
Billing Code
Product Name
Description
Size
Minimum benefit

1
OH385
VAIOS Cemented Glenoid
Cemented Glenoid
Sm & Lg
$1,995.00

 
[6]     Subgroup 6.2.5.2, Glenoid component, Metal backed, after entry for billing code LC038
insert the subheading “Orthotech Pty Ltd”
under that subheading, insert the contents of items 1 & 2 of the table, in that order, in the columns indicated:
Item
Billing Code
Product Name
Description
Size
Minimum benefit

1
OH383
VAIOS Glenoid Metal Back
Glenoid Metal Back
Sm & Lg
$2,220.00

2
OH389
VAIOS Humeral Metal Back
Reverse Humeral Metal Back
One size
$2,220.00

 
 
 
 
[7]     Subgroup 6.2.5.4, Glenoid insert, after entry for billing code LC039
insert the subheading “Orthotech Pty Ltd”
under that subheading, insert the contents of item 1 of the table in the columns indicated:
Item
Billing Code
Product Name
Description
Size
Minimum benefit

1
OH384
VAIOS Glenoid Insert
Glenoid Insert
Sm & Lg
$1,960.00

 
[8]     Subgroup 6.2.5.6, Glenosphere, after entry for billing code MA533
insert the subheading “Orthotech Pty Ltd”
under that subheading, insert the contents of item 1 of the table in the columns indicated:
Item
Billing Code
Product Name
Description
Size
Minimum benefit

1
OH391
VAIOS Glenoid Dome
Glenoid Dome
0, 1.5 mm
$2,290.00

 
[9]     Subgroup 6.3.4.2, Small (2.71 mm – 4.49 mm), after entry for billing code OU036
insert the subheading “Orthotech Pty Ltd”
under that subheading, insert the contents of item 1 of the table in the columns indicated:
Item
Billing Code
Product Name
Description
Size
Minimum benefit

1
OH392
VAIOS Locking screw
Locking screw
One size
$91.00

 
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.comlaw.gov.au.