Resources

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.

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.

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.

This document reports on the outcomes of the Review of the General Miscellaneous Category of the Prostheses List.

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.

Current listing of Commonwealth declared hospitals.

This report provides statistics and data on private health insurance reforms for the reporting period 1 April to 30 June 2020.

This report provides statistics and data on private health insurance reforms for the reporting period 1 July to 30 September 2020.

This statement describes how the Department of Health recovers the costs of administering private health insurance second-tier default benefits.

This statement describes how the Department of Health recovers the costs of administering private health insurance second-tier default benefits.

This statement describes how the Department of Health recovers the costs of administering the National Joint Replacement Registry.

Tranche 1 evidence submitted by the public as part of the calls for evidence in the Natural Therapies Review 2019–20.

Natural Therapies Review Expert Advisory Panel (NTREAP) meeting outcomes for 21 October 2020 meeting

The Terms of Reference for the Natural Therapies Review Expert Advisory Panel (NTREAP).

These attachments to PHI circular 67/20 are the 2021 private health insurance premium application form and templates.

This poster outlines the Government’s reforms to private health insurance.

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.

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.

This form is for private hospitals to apply for second-tier default benefits eligibility.