PHI 02/20 PHI Prostheses Amendment Rules No. 8 2019

Private health insurance announcement about the Prostheses List.

Date published:
PHI circular
PHI circular type:
Prostheses announcement
Health sector

The delegate of the Minister for Health has made the Private Health Insurance (Prostheses) Amendment Rules (No. 8) 2019 (the Amendment Rules), to amend the Private Health Insurance (Prostheses) Rules (No. 4) 2019. Schedule 1 to the Prostheses Rules is generally known as the February 2020 Prostheses List.

The Amendment Rules correct errors in the benefits for three prostheses listed on Part A, as below:

Billing code
Product nName
Listed benefit
Correct benefit

TYRX Absorbable Antibacterial Envelope

Medtronic Vent Tubes

Medtronic Ventilation Tubes

The Amendment also correct the conditions of listing on cardiac ablation prostheses listed in Part C. The conditions of listing on surgical and catheter based cardiac ablation devices currently make reference to the Health Insurance (General Medical Services Table) Regulations 2018. These regulations were repealed and are no longer in effect. The Health Insurance (General Medical Services Table) Regulations 2019 came into effect from 1 July 2019. The conditions of listing for these prostheses have been amended to reflect this change.

The Amendment Rules have been registered on the Federal Register of Legislation and commence immediately after the commencement of the Private Health Insurance (Prostheses) Rules (No. 4) 2019.

Additional information on the benefit reductions can be found at: