PHI 26/20 Private Health Insurance (Prostheses) Amendment Rules (No. 2) 2020

Private health insurance announcement about the Prostheses List.

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

The delegate of the Minister for Health has made the Private Health Insurance (Prostheses) Amendment Rules (No. 2) 2020 (the Amendment Rules), to correct the minimum benefits applicable to the Prostheses List billing codes WR003 and WR004, and to remove the duplicate entry for the code WR004.

There have been no other changes included in the Prostheses Amendment Rules.

Billing code
Sponsor
Product name
Description
Size
Benefit

WR003
Wright Medical Australia
ProDense / Osteoset XR
Composite injectable bone void filler
10cc
$1,449.00

WR004
Wright Medical Australia
ProDense/Osteoset XR
Composite injectable bone void filler
20cc
$2,043.00

The Private Health Insurance (Prostheses) Amendment Rules (No. 2) 2020 will have retrospective effect, with the date the same as the commencement date of the Private Health Insurance (Prostheses) Rules (No. 1) 2020.