Private Health Insurance (Benefit Requirements) Amendment Rules 2013 (No. 2)

Link to law: https://www.comlaw.gov.au/Details/F2013L01190

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Private Health Insurance (Benefit Requirements) Amendment Rules 2013 (No. 2)
 
I, RICHARD BARTLETT, 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.
 
 
 
Dated  21 June 2013
 
 
 
 
____________________________________
 
Richard Bartlett
First Assistant Secretary
Medical Benefits Division
Department of Health and Ageing
 
 
 

Contents
 
 
PART 1            PRELIMINARY   3
 
1           Name of Rules  3
2.          Commencement 3
3.          Authority  3
4.          Schedule                                                                                                3
 
 
Schedule A – Amendments  4
Schedule B – Amendments  9
Schedule C – Amendments  10
Schedule D – Amendments  11
 
Part 1        Preliminary
 
1.               Name of Rules
 
These Rules are the Private Health Insurance (Benefit Requirements) Amendment Rules 2013 (No. 2).
 
2.               Commencement
 
These Rules commence on 1 July 2013, or if registered after 1 July 2013, the day after registration.
 
3.               Authority
 
These rules are made under item 3A of the table in section 333-20 of the Private Health Insurance Act 2007.
 
4.               Schedule
 
Each instrument that is specified in a Schedule to this instrument is amended or repealed as set out in the applicable items in the Schedule concerned, and any other item in a Schedule to this instrument has effect according to its terms.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 A – Amendments
 
Private Health Insurance (Benefit Requirements) Rules 2011
 
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
$394

- over 14 days
$273

Surgical patient or obstetric patient
 

- first 14 days
$365

- over 14 days
$273

Psychiatric patient
 

- first 42 days
$365

- 43 – 65 days
$317

- over 65 days
$273

Rehabilitation patient
 

- first 49 days
$365

- 50 - 65 days
$317

- over 65 days
$273

Other patients
 

- first 14 days
$317

- over 14 days
$273

 
 
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
$394

- over 14 days
$273

Surgical patient or obstetric patient
 

- first 14 days
$365

- over 14 days
$273

Psychiatric patient
 

- first 42 days
$365

- 43 – 65 days
$317

- over 65 days
$273

Rehabilitation patient
 

- first 49 days
$365

- 50 - 65 days
$317

- over 65 days
$273

Other patients
 

- first 14 days
$317

- over 14 days
$273

 
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
$394

- over 14 days
$273

Surgical patient or obstetric patient
 

- first 14 days
$365

- over 14 days
$273

Psychiatric patient
 

- first 42 days
$365

- 43 – 65 days
$317

- over 65 days
$273

Rehabilitation patient
 

- first 49 days
$365

- 50 - 65 days
$317

- over 65 days
$273

Other patients
 

- first 14 days
$317

- over 14 days
$273

 
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
$326

NSW
$326

Northern Territory
$318

Queensland
$331

South Australia
$326

Western Australia
$326

 
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
$236
$263
$290
$326

ACT
$236
$263
$290
$326

Northern Territory
$230
$262
$305
$318

Queensland
$241
$270
$297
$331

South Australia
$236
$269
$297
$326

Tasmania
$229
$272
$316
$365

Victoria
$231
$273
$318
$365

Western Australia
$267
$267
$267
$267

 
 
 
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
$204
$257
$313
$365

 
Schedule B ― Amendments
Private Health Insurance (Benefit Requirements) Rules 2011
1      Schedule 4, Clause 6 Minimum benefit, Table 1:
 
 
Delete:
             South Australia                            $108.00
 
Insert:
             South Australia                            $111.00
 
Delete:
             ACT                                             $107.40
 
Insert:
             ACT                                             $111.20
 
Delete:
             Western Australia                        $116.05
 
Insert:
             Western Australia                        $125.45
 
 
Schedule C ― Amendments
Private Health Insurance (Benefit Requirements) Rules 2011
1         Schedule 1, Part 2 Type A procedures, Clause 4 Advanced surgical patient, subclause (3)
 
After “30509” delete “30512”
 
2         Schedule 1, Part 2 Type A procedures, Clause 6 Surgical patient, subclause (3)
 
After “30505” delete “30511”
 
3         Schedule 3, Part 3 Type C procedures, Clause 8 Interpretation, Category 3 Therapeutic Procedures, T8
 
After “32522” insert “32523  32526”
 
 
 
Schedule D ― Amendments
Private Health Insurance (Benefit Requirements) Rules 2011
 
1           Schedule 5, Clause 4 Facilities, subclause (1)
 
Substitute
 
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 2013 (No. 2) commence.