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 November 2021. Prostheses include surgically implanted prostheses, human tissue items and other medical devices.
Part A – Prostheses List
Note: The list includes changes made under the Private Health Insurance (Prostheses) Rules (No. 3) 2021.
Part A – New Prostheses Items
Part A – Deleted Prostheses Items
Part A – Changed Prostheses List Items
Part B – Human Tissue
Part B – New Human Tissue Items
No new items
Part B – Deleted Human Tissue Items
Part B – Changed Human Tissue Items
Part C – Other
Part C - New Other Items
Part C - Deleted Other Items
Part C - Changed Other Items
No changed items.
Prostheses List: XML file
Prostheses List: XML schema (version 1.2)
This document is the schema definition document for the Prostheses List XML file. It explains the XML file structure and each element.
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We update the Prostheses List 3 times a year. The latest version is effective from 1 November 2021.
We publish the list in these formats to help stakeholders update their claims and payments systems.
For the official version, see the latest Private Health Insurance (Prostheses) Rules on the Federal . We registered the latest version on 19 October 2021.