PHI circulars

This circular provides information on the amendment to private health insurance minimum accommodation benefit same day Band 3 amount.

Update on the plan to implement the new Prescribed List grouping structure.

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

This circular is to advise stakeholders of the commencement of a 4-week consultation on the proposed measures for compliance, assurance and information sharing (Consultation Paper 7).

Hospital update and second-tier benefits eligibility announcement.

This circular announces the release of the updated Hospital Casemix Protocol (HCP) and Private Hospital Data Bureau (PHDB) 2021–22 annual reports and also reminds hospitals and insurers of their hospital-in-the-home care reporting requirements.

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.

PHI 40/23 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.