PHI 53/10

This circular issued by the Private Health Insurance Branch contains information regarding second tier default benefits - annual audit

Page last updated: 14 February 2013

Printable version of 53/10 (PDF 39 KB)

20 August 2010

Second Tier Default Benefits - Annual Audit

Further to Private Health Insurance Circular PHI 43/10, health insurers are reminded that annual lists of un-audited Second Tier Default Benefit rates should be provided to the Department by 31 August 2010.

Audited rates, together with a statement from the auditor stating that the rates have been calculated in accordance with Schedule 5, are due to the Department and the Private Health Insurance Administration Council (PHIAC) by 30 September 2010.

Private Health Insurance (Benefit Requirements) Amendment Rules 2010 (NO.5)

Changes to the Benefit Requirements Rules

The Private Health Insurance (Benefit Requirements) Amendment Rules 2010 (No.5) (the Benefit Requirements Amendment Rules) were registered with the Federal Register of Legislative Instruments (FRLI) on 19 August 2010 (FRLI No: F2010L02320) and took effect on 20 August 2010. These Rules amended the Private Health Insurance (Benefit Requirements) Rules 2010 (the Benefit Requirements Rules).

The following amendments have been made:
  • Schedule 2 – Overnight accommodation and Schedule 3 – Same-day accommodation: increases to minimum benefits resulting from Consumer Price Indexes (CPI) in Queensland and Western Australia
  • Schedule 3 – Same-day accommodation: deletions/inclusions of Medicare Benefits Schedule (MBS) items
  • Schedule 5 – Second tier default benefits: change to the name of a Second Tier eligible private hospital.
These amendments can be located in the Benefit Requirements Rules on the ComLaw website.

Private Health Insurance (Complying Product) Amendment Rules 2010 (NO.3)

Changes to the Complying Product Rules

The Private Health Insurance (Complying Product) Amendment Rules 2010 (No.3) (the Complying Product Amendment Rules) were registered with the Federal Register of Legislative Instruments (FRLI) on 19 August 2010 (FRLI No: F2010L02340) and took effect on 20 August 2010.

An amendment made to Part 2, Subparagraph 8A(3)(a)(viii) increased the minimum benefit payable by Nursing-Home Type Patients (NHTP) at public hospitals in Western Australia.

This amendment can be located in the Complying Product Amendment Rules on the ComLaw website.

If you require further information please telephone: (02) 6289 9853/24 hr answering machine or email the enquiry to Private Health Insurance Branch

For more information visit 2010 Private Health Insurance (PHI) Circulars.

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