Private Health Insurance (Benefit Requirements) Amendment Rules 2012 (No. 4)

Link to law: https://www.comlaw.gov.au/Details/F2012L01264

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Private Health Insurance (Benefit Requirements) Amendment Rules 2012 (No. 4)
 
I, RICHARD MAGOR, 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.
 
 
 
____________________________________
Richard Magor
Assistant Secretary
Private Health Insurance Branch
Medical Benefits Division
Department of Health and Ageing
15 June 2012
 
 
 

 
Contents
 
 
PART 1            PRELIMINARY                 
 
1.          Name of Rules           3
2.          Commencement         3
3.          Amendment of the Private Health Insurance (Benefit    Requirements) Rules 2011                                                        3
 
SCHEDULE A – AMENDMENTS              4
SCHEDULE B – AMENDMENTS                                                                        8
SCHEDULE C – Amendments                                                                        9
SCHEDULE D – AMENDMENTS                                                                        16
 
 
Part 1        Preliminary
1           Name of Rules
These Rules are the Private Health Insurance (Benefit Requirements) Amendment Rules 2012 (No. 4).
2.          Commencement
These Rules commence on:
(a) 1 July 2012; or
(b) if registered after 1 July 2012, the day after registration.
3.          Amendment of the Private Health Insurance (Benefit Requirements) Rules 2011
Schedules A, B, C and D amend the Private Health Insurance (Benefit Requirements) Rules 2011 as amended.
Schedule A - Amendments
 
[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
$384

- over 14 days
$266

Surgical patient or obstetric patient
 

- first 14 days
$356

- over 14 days
$266

Psychiatric patient
 

- first 42 days
$356

- 43 – 65 days
$309

- over 65 days
$266

Rehabilitation patient
 

- first 49 days
$356

- 50 - 65 days
$309

- over 65 days
$266

Other patients
 

- first 14 days
$309

- over 14 days
$266

 
[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
$384

- over 14 days
$266

Surgical patient or obstetric patient
 

- first 14 days
$356

- over 14 days
$266

Psychiatric patient
 

- first 42 days
$356

- 43 – 65 days
$309

- over 65 days
$266

Rehabilitation patient
 

- first 49 days
$356

- 50 - 65 days
$309

- over 65 days
$266

Other patients
 

- first 14 days
$309

- over 14 days
$266

 
[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
$384

- over 14 days
$266

Surgical patient or obstetric patient
 

- first 14 days
$356

- over 14 days
$266

Psychiatric patient
 

- first 42 days
$356

- 43 – 65 days
$309

- over 65 days
$266

Rehabilitation patient
 

- first 49 days
$356

- 50 - 65 days
$309

- over 65 days
$266

Other patients
 

- first 14 days
$309

- over 14 days
$266

 
 
[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
$318

NSW
$318

Northern Territory
$318

Queensland
$324

South Australia
$318

Western Australia
$318

 
 
[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
$230
$257
$283
$318

ACT
$230
$257
$283
$318

Northern Territory
$230
$262
$305
$318

Queensland
$236.50
$264
$291
$324

South Australia
$230
$262
$290
$318

Tasmania
$223
$265
$308
$356

Victoria
$225
$266
$310
$356

Western Aust ralia
$260
$260
$260
$260

 
[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
$199
$251
$305
$356

 
 
 
 
Schedule B - Amendments
 
[1]      Schedule 4, Clause 6 Minimum benefit, Table 1:
 
Delete:
South Australia                            $106.00
 
Insert:
South Australia                            $108.00
 
Delete:
ACT                                             $103.80
 
Insert:
ACT                                             $107.40
 
Delete:
Western Australia                        $106.80
 
Insert:
Western Australia                        $116.05
 
Schedule C ―Amendments
[1]         Schedule 5, Clause 4 Facilities, Table:
 
The table in Clause 4 of Schedule 5 of the Private Health Insurance (Benefit
Requirements) Rules 2011 is amended as set out below:
 
After:
 
Aesthetic Day Surgery
14 Kensington Street, KOGARAH  NSW  2217
 
Insert:
 
Albury Day Surgery
4 Baker Court, ALBURY  NSW  2640
 
After:
 
Cabrini Hopetoun Rehabilitation Hospital
2-6 Hopetoun Road, ELSTERNWICK  VIC  3185
 
Insert:
 
Cabrini Hospital - Malvern
181-183 Wattletree Road, MALVERN  VIC  3144
 
Insert:
 
Cabrini Hospital - Prahran
646 High Street, PRAHRAN EAST  VIC  3181
 
Delete:
 
Calvary Health Care Tasmania - St Luke’s Campus
24 Lyttleton Street, LAUNCESTON  TAS  7250
 
Substitute:
 
Calvary Health Care Tasmania – (Launceston)
24 Lyttleton Street, LAUNCESTON  TAS  7250
 
Delete:
 
Calvary Health Care Tasmania - St Vincent’s Campus
5 Frederick Street, LAUNCESTON  TAS  7250
 
Delete:
 
Cambridge Day Surgery
178 Cambridge Street, WEMBLEY WA 6014
 
 
After:
 
Campbelltown Private Hospital
42 Parkside Crescent, CAMPBELLTOWN  NSW  2560
 
Insert:
 
Canberra Specialist Surgical Centre
Level 3, Building 2, Equinox Business Park, 70 Kent Street, DEAKIN  ACT 2600
 
After:
 
Chesterville Day Hospital
28 Chesterville Road, CHELTENHAM  VIC  3192
 
Insert:
 
Churchill Day Surgery
136 Churchill Avenue, SUBIACO  WA  6008
 
Delete:
 
Colin Street Day Surgery
51 Colin Street, WEST PERTH  WA  6005
 
After:
 
Diaverum Diamond Valley Dialysis Clinic
15 Grimshaw Street, GREENSBOROUGH  VIC  3088
 
Insert:
 
Diaverum North Melbourne Dialysis Clinic
Level 1, 185-187 Boundary Road, NORTH MELBOURNE VIC 3051
 
After:
 
Geelong Private Hospital
cnr Ryrie & Bellarine Streets, GEELONG  VIC  3220
 
Insert:
 
Genea Day Surgery
Level 4, 321 Kent Street, SYDNEY  NSW  2000
 
Insert:
 
Genea IVF Liverpool
173-175 Bigge Street, LIVERPOOL  NSW  2170
 
 
 
 
Insert:
 
Genea IVF Northwest
Level 1, Suite 101, 10 Norbrik Drive, BELLA VISTA  NSW  2153
 
After:
 
Hawkesbury District Health Service
cnr Macquarie and Day Streets, WINDSOR  NSW  2756
 
Insert:
 
Healthbridge Hawthorn Private Hospital
50 Burwood Road, HAWTHORN  VIC  3122
 
Delete:
 
Kawana Private Hospital
Suite 14, Level 1, Innovation Parkway, BIRTINYA  QLD  4575
 
Substitute:
 
Kawana Private Hospital
Suite 14, Level 1, 5 Innovation Parkway, BIRTINYA  QLD  4575
 
Delete:
 
Lambton Road Day Surgery
163 Lambton Road, BROADMEADOW  NSW  2292
 
Delete:
 
Macquarie University Hospital
Talavera Road, MACQUARIE PARK  NSW  2113
 
Substitute:
 
Macquarie University Hospital
3 Technology Place,  MACQUARIE PARK  NSW 2109
 
Delete:
 
Maitland Private Hospital
173 Chisholm Road, EAST MAITLAND  NSW  2323
 
After:
 
Marie Stopes International Bowen Hills
8 Campbell Street, BOWEN HILLS  QLD  4006
 
 
Insert:
 
Marie Stopes International Broadmeadow
163 Lambton Road, BROADMEADOW  NSW  2292
 
After:
 
Marie Stopes International East St Kilda
338 Dandenong Road, EAST ST KILDA  VIC  3182
 
Insert:
 
Marie Stopes International Maroondah Centre
411-415 Dorset Road, CROYDON  VIC  3142
 
Delete:
 
Mercy Hospital Mount Lawley
Thirlmere Road, MOUNT LAWLEY  WA  6050
 
Delete:
 
Murdoch Surgicentre
100 Murdoch Drive, MURDOCH  WA  6150
 
Delete:
 
Nephrocare Bondi Dialysis Clinic
Suite G2, 19-23 Hollywood Avenue, BONDI JUNCTION  NSW  2022
 
Delete:
 
Nephrocare Newcastle Dialysis Clinic
Suite 402, Level 4, 670 Hunter Street, NEWCASTLE  NSW  2308
 
After:
 
North Eastern Rehabilitation Centre
134-144 Ford Street, IVANHOE  VIC  3079
 
Insert:
 
North Lakes Day Hospital
7 Endeavour Boulevard, NORTH LAKES  QLD  4509
 
Delete:
 
North Melbourne Dialysis Clinic
Level 1, 185-187 Boundary Road, NORTH MELBOURNE VIC 3051
 
After:
 
North Shore Specialist Day Surgery
176 Pacific Highway, GREENWICH  NSW  2065
 
Insert:
 
North Tas Urology
25-27 Canning Street, LAUNCESTON  TAS  7250
 
After:
 
Northside West Clinic
23-27 Lytton Street, WENTWORTHVILLE  NSW  2145
 
Insert:
 
Northwest Day Hospital
221 Maribyrnong Road, ASCOT VALE  VIC  3032
 
Delete:
 
Oromax Day Surgery
Level 3, 1 Hutt Street, ADELAIDE  SA  5000
 
Substitute:
 
Oromax Day Surgery Pty Ltd
Level 3, 1 Hutt Street, ADELAIDE  SA  5000
 
Delete:
 
Reservoir Private Hospital
73 – 75 Pine Street, RESERVOIR  VIC  3071
 
Delete:
 
Robina Procedure Centre
Robina Town Centre, ROBINA  QLD  4230
 
Substitute:
 
Robina Procedure Centre
Tenancy 4110, Level 3, Robina Town Centre Drive, ROBINA TOWN CENTRE QLD  4230
 
After:
 
Roderick Street Day Surgery
23 Roderick Street, IPSWICH  QLD  4305
 
Insert:
 
Rosebery Day Surgery
308 Gardeners Road, ROSEBERY  NSW  2018
 
Delete:
 
Skin Cancer Day Surgery
19 Cleveland Road, ASHWOOD VIC 3147
After:
 
Spring Hill Specialist Day Hospital
1st and 4th Floor  St Andrew's Place, 33 North Street, SPRING HILL  QLD  4000
 
Insert:
 
Springvale Endoscopy Centre and Day Hospital
20 Balmoral Avenue, Springvale  VIC  3171
 
Delete:
 
St Frances Xavier Cabrini Hospital – Malvern
181-183 Wattletree Road, MALVERN  VIC  3144
 
Delete:
 
St Francis Xavier Cabrini Hospital – Prahran
646 High Street, PRAHRAN EAST  VIC  3181
 
Delete:
 
Subiaco Private Hospital
Ground Floor, Suite F and Level 1, 1 Salvado Road, SUBIACO  WA  6008
 
Delete:
 
Sydney IVF Canberra
2 King Street - Suite 17B, DEAKIN  ACT  2600
 
Delete:
 
Sydney IVF Day Surgery
Level 4, 321 Kent Street, SYDNEY  NSW  2000
 
Delete:
 
Sydney IVF Liverpool
173-175 Bigge Street, LIVERPOOL  NSW  2170
 
Delete:
 
Sydney IVF Northwest
Level 1, Suite 101, 10 Norbrik Drive, BELLA VISTA  NSW  2153
 
Delete:
 
The Hornsby Sleep Disorder and Diagnostic Centre
104 Balmoral Street, WAITARA  NSW  2077
 
Delete:
 
The Marian Centre
187 Cambridge Street, WEMBLEY  WA 6014
 
Delete:
 
Victor Harbor Private Hospital
Bay Road, VICTOR HARBOR  SA  5211
 
Delete:
 
Vision Eye Institute
Levels 3 & 4, 270 Victoria Street, CHATSWOOD  NSW  2067
 
Substitute:
 
Vision Eye Institute, Chatswood
Levels 3 & 4, 270 Victoria Street, CHATSWOOD  NSW  2067
 
After:
 
Westmed Centre
27 Railway Parade, WESTMEAD  NSW  2145
 
Insert:
 
Westpoint Endoscopy Day Hospital
243 Heaths Road, HOPPERS CROSSING  VIC  3029
 
 
 
Schedule D - Amendments                
 
[1]         Schedule 1, Part 2, Type A procedures, Subclause 6(3) Surgical patient
 
             Delete:
 
                           37219
 
[2]         Schedule 3, Part 2, Type B procedures, Subclause 5(1) Non-band specific Type B day procedures
 
             After:
 
                           13292
 
Insert:
 
13318
            
             After:
 
                           13757
 
Insert:
 
13815
 
[3]         Schedule 3, Part 3, Type C procedures, Clause 8, Category 6 – Pathology services
 
             After:
 
                           73324
 
Insert:
 
73328  73330  73332
Notes
1.       All legislative instruments and compilations are registered on the Federal Register of Legislative Instruments kept under the Legislative Instruments Act 2003. See www.frli.gov.au
2.       These Rules amend the Private Health Insurance (Benefit Requirements) Rules 2011, which commenced on 1 November 2011.