PHI circulars

This circular describes the benefits for prescribed List products undergoing a post-listing review.

Private health insurance clinical category and procedure type updates following Medicare Benefits Schedule (MBS) item changes from 1 July 2023.

This circular provides information about accommodation benefits, nursing home type patient contribution and second-tier application fee increase from 1 July.

We invite stakeholders to provide feedback on the Guide by Friday 28 July 2023.

For Consultation Papers: 5, 6a and 6b.

This circular releases 2023–24 data specifications for the following Hospital Casemix Protocol and Private Hospital Data Bureau data collections.

Private hospital declaration.

Notice of new private hospital declaration and second-tier categorisation

This circular provides information about the Private Health Insurance (Medical Devices and Human Tissue Products) Rules (No. 1) 2023, commencing on 1 July 2023.

Update on implementation and other changes.

For Cardiac Implantable Electronic Devices with suffix Remote Monitoring Services.

Notice of new private hospital declaration and second-tier categorisation.

Hospital update and second-tier benefits eligibility announcement.

Notice of new private hospital declaration and second-tier categorisation.

Hospital update and second-tier benefits eligibility announcement.

Release of the finalised Prostheses List Compliance Strategy and stakeholder feedback report.

For administration of the Prescribed List of Benefits for Medical Devices and Human Tissue Products and the National Joint Replacement Registry.

Cardiac electronic implantable devices on the Prostheses List will have a proportion of their benefits reduced by 40% of the gap on 1 July 2023.

Release of the Independent Health and Aged Care Pricing Authority (IHACPA)’s supplementary advice on bundling arrangements for General Use Items.

Notice of new private hospital declaration and second-tier categorisation.

Notice of new private hospital declaration and second-tier categorisation.

Notice of new private hospital declaration and second-tier categorisation

Private health insurance clinical category and procedure type updates following Medicare Benefits Schedule (MBS) item changes from 1 March 2023.

Hospital update and second-tier benefits eligibility announcement.

This circular provides information for stakeholders about incoming changes to Part C of the Prostheses List concerning cardiac and vascular drug eluting balloon catheters, and deletion of 3 billing codes for human tissue items from Part B.