PHI 64/15

This circular issued by the Private Health Insurance Branch contains information about Second-Tier Eligible Hospitals

Page last updated: 18 September 2015

Printable version of 64/15 (PDF 137 KB)

18 September 2015

Changes to Second-Tier Eligible Hospitals

The Private Health Insurance (Benefit Requirements) Amendment Rules 2015 (No. 4) (Amendment Rules) update the reference to the latest Second Tier Advisory Committee (STAC) approved list of second tier eligible facilities published in this circular.

24 additional facilities have been added to the previously approved STAC list. A list of the additional facilities has been provided at Attachment A (PDF 54 KB) Attachment A (Excel 11 KB).

The Amendment Rules have been registered with the Federal Register of Legislative Instruments (FRLI) and commence on 20 September 2015 (FRLI Number: F2015L01451).

As advised in PHI 07/13, the Rules no longer contain a list of facilities eligible for second tier default benefits. Rather, the Rules reference a list of eligible facilities maintained by the STAC.

The complete STAC-approved list of second tier eligible facilities as of 20 September 2015 is at Attachment B (PDF 111 KB) Attachment B (Excel 37 KB).

Next Second Tier Advisory Committee Meeting

The next STAC meeting will be held on Friday 13 November, 2015.

The closing date for applications is Friday 23 October, 2015.

Please note that applicants are required to submit copies of their applications on the Second Tier Default Benefits Application Submission Portal.

Information which must be included in applications is outlined in the Sample application 2014 (updated) located on the Australian Private Hospitals Association Website. Select Industry Resources.

For any enquiries regarding the STAC-approved list of second tier eligible facilities, or for any further information, please email APHA.

Please note the Administrative Arrangements for the Second Tier Default Benefits for Overnight and Day Only Treatment have been updated to remove reference to the Private Health Insurance Administration Council (PHIAC) and to remove the requirement for insurers to provide audited second-tier rates to the Australian Prudential Regulation Authority (APRA) (Attachment C).

NB: Please note that information contained within this circular is provided as a courtesy notification only. It is the responsibility of industry members to ensure they are operating in compliance with the Private Health Insurance Act 2007 and all other relevant Commonwealth legislation.

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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