Publications
We have publications on different health topics for you to access. Filter by topic, publication type, audience, condition and disease.
Deed for the Provision of Overseas Student Health Cover
This legal document sets out the conditions that registered Australian health funds must comply with to provide Overseas Student Health Cover (OSHC) policies.
Part of a collection: Overseas Student Health Cover (OSHC) resourcesTranche 1 submitted evidence
Tranche 1 evidence submitted by the public as part of the calls for evidence in the Natural Therapies Review 2019–20.
Second-Tier Default Benefits Eligibility Application Form
This form is for private hospitals to apply for second-tier default benefits eligibility.
Prostheses List
This list sets out the prostheses that private health insurers must pay benefits for (if the patient is covered) and the benefit amount. The latest version is effective from 1 March 2021. Prostheses include surgically implanted prostheses, human tissue items and other medical devices.
Private health insurance assignment of MBS Items for hospital treatment
This spreadsheet lists the Medicare Benefits Schedule (MBS) items assigned to a clinical category or treatments list for private health insurance hospital policies. It provides a description, schedule fee, and benefit amount for each MBS item.
Average annual increases in private health insurance premiums
View the average annual increases in premiums from 1997 to 2021 for each insurer and the industry. Premium increases take effect from 1 April each year. Premium increases for some policies may be higher or lower than the industry or insurer’s average.
Review of the General Miscellaneous Category of the Prostheses List report
This document reports on the outcomes of the Review of the General Miscellaneous Category of the Prostheses List.
Options for a revised framework for setting and reviewing benefits for the Prostheses List report
This report describes the proceedings of the Revised Benefit Setting and Review Framework Industry Working Group (BSRIWG) over 8 meetings held between April 2018 and February 2020.
All declared hospitals (current as at 14 December 2020)
Current listing of Commonwealth declared hospitals.
Statistics – Private health insurance reform data April to June 2020
This report provides statistics and data on private health insurance reforms for the reporting period 1 April to 30 June 2020.
Part of a collection: Private health insurance reform data quarterly reportsStatistics – Private health insurance reform data July to September 2020
This report provides statistics and data on private health insurance reforms for the reporting period 1 July to 30 September 2020.
Part of a collection: Private health insurance reform data quarterly reportsCost Recovery Implementation Statement for Second-Tier Default Benefits
This statement describes how the Department of Health recovers the costs of administering private health insurance second-tier default benefits.
Cost Recovery Implementation Statement for Second-Tier Default Benefits
This statement describes how the Department of Health recovers the costs of administering private health insurance second-tier default benefits.
Cost Recovery Implementation Statement for the National Joint Replacement Registry
This statement describes how the Department of Health recovers the costs of administering the National Joint Replacement Registry.
NTREAP Meeting Outcomes 21 October 2020
Natural Therapies Review Expert Advisory Panel (NTREAP) meeting outcomes for 21 October 2020 meeting
Natural Therapies Review Expert Advisory Panel — Terms of Reference
The Terms of Reference for the Natural Therapies Review Expert Advisory Panel (NTREAP).
PHI 67/20 attachments – 2021 private health insurance premium application form and templates
These attachments to PHI circular 67/20 are the 2021 private health insurance premium application form and templates.
Private health insurance reforms campaign poster
This poster outlines the Government’s reforms to private health insurance.
Part of a collection: Private health insurance reforms – campaign materialsPrivate hospital second-tier category list
Private health insurers use this list to calculate the second-tier default benefits payable to individual hospitals. This list is updated every year by 1 August.
Hibernation of Agreement with the Medical Technology Association of Australia (MTAA)
Find out about the hibernation of all Prostheses List reform work covered under the Agreement with the MTAA. The work will pause for up to 12 months.
Understanding out of pocket costs - your role when making specialist referrals
This fact sheet for doctors can help you support your patients as they consider the costs of medical treatment.
Decide if your doctor's fees offer good value
This fact sheet helps you decide if your doctor's fees offer you value for money.
A guide to out of pocket medical costs – helping you plan for the cost of medical treatment
This brochure helps you understand out of pocket medical costs and plan for the cost of medical treatment.
Second-Tier Default Benefits Guidelines
These guidelines outline how private hospitals can apply for second-tier default benefits eligibility and the assessment criteria. It also explains how the Department of Health administers eligibility.
Prostheses List Cost Recovery Implementation Statement
This statement describes how the Department of Health recovers the costs of administering the Prostheses List.