Private Health Insurance (Prostheses) Amendment Rules 2013 (No. 3)

Link to law: https://www.comlaw.gov.au/Details/F2013L00614

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Private Health Insurance (Prostheses) Amendment Rules 2013 (No. 3)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. 
 
Doug Fawns
Doug Fawns
 
Assistant Secretary
Private Health Insurance Branch
Medical Benefits Division
Department of Health and Ageing
2 April 2013
 
 
 
 
 
 
 
 
 
 
 
 
 
 
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. 3).
2.               Commencement
These Rules commence on 9 April 2013.
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
delete the subheading “Orthotech Pty Ltd”
delete the contents of item 1 of the table from 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
delete the subheading “Orthotech Pty Ltd”
delete the contents of item 1 of the table from 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
delete the subheading “Orthotech Pty Ltd”
delete the contents of item 1 of the table from 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
delete the subheading “Orthotech Pty Ltd”
delete the contents of item 1 of  the table from 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
delete the subheading “Orthotech Pty Ltd”
delete the contents of item 1 of the table from 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
delete the subheading “Orthotech Pty Ltd”
delete the contents of items 1 & 2 of the table from 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
delete the subheading “Orthotech Pty Ltd”
delete the contents of item 1 of the table from 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
delete the subheading “Orthotech Pty Ltd”
delete the contents of item 1 of the table from 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
delete the subheading “Orthotech Pty Ltd”
delete the contents of item 1 of the table from 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.