PHI 16/15

This circular issued by the Private Health Insurance Branch contains information about Nursing Home Type Patient Contribution Rates

Page last updated: 20 March 2015

Printable version of 16-15 (PDF 411 KB)

20 March 2015

Nursing Home Type Patient Contribution Rates and Minimum Benefits as at 20 March 2015

The Private Health Insurance (Complying Product) Amendment Rules 2015 (No.1) (‘the Complying Product Amendment Rules’) and the Private Health Insurance (Benefit Requirements) Amendment Rules 2015 (No. 1) (‘the Benefit Requirements Amendment Rules’) have been registered with the Federal Register of Legislative Instruments (FRLI) and commence on 20 March 2015 (FRLI No: F2015L00325 and F2015L00324 respectively).

The Rules amend the Private Health Insurance (Complying Product) Rules 2010 (No. 2) and the Private Health Insurance (Benefit Requirements) Rules 2011.

The Complying Product Amendment Rules

Nursing-home type patient contribution rates have been updated to reflect the indexation applied to the Adult Pension Basic Rate and Maximum Daily Rate of Rental Assistance.

The amendments update the patient contribution rates for nursing-home type patients in Queensland, New South Wales, South Australia, Northern Territory, Tasmania, Victoria and Western Australia; and private hospitals nationally.
State/TerritoryContribution Rates
New South Walesfrom $56.50 to $56.90
Northern Territory from $56.50 to $56.90
Queenslandfrom $56.50 to $56.90
South Australiafrom $56.50 to $56.90
Tasmaniafrom $56.50 to $56.90
Victoriafrom $56.50 to $56.90
Western Australiafrom $56.50 to $56.90
Private hospitals nationallyfrom $56.50 to $56.90
The existing rates for other states and territories remain in force and are as follows:
State/TerritoryContribution Rates
Australian Capital Territory$55.80

The Benefit Requirements Amendment Rules

Nursing-Home Type Patients - Schedule 4

Nursing-home type patient minimum benefits have been updated to reflect the indexation applied to the Adult Pension Basic Rate and Maximum Daily Rate of Rental Assistance.

The amendments increase the minimum benefits payable for privately insured nursing-home type patients at public hospitals in New South Wales, Tasmania and Northern Territory, and decrease the minimum benefits payable at private hospitals nationally. The changes are as follows:
State/TerritoryMinimum benefit per night
New South Walesfrom $114.05 to $117.30
Tasmaniafrom $135.60 to $136.55
Northern TerritoryFrom $83.10 to $86.10
Private hospitals nationallyfrom $54.60 to $54.20
The existing rates for other states and territories remain in force and are as follows:
State/TerritoryMinimum benefit per night
Queensland$113.00
South Australia$114.00
ACT$111.20
Western Australia$133.20
Victoria$122.60
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 2015 Private Health Insurance (PHI) Circulars.

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