Private health insurance resources
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Medical Costs Finder – 30 second video
The Medical Costs Finder shows the typical costs of common services across Australia to take the surprise out of private medical costs.
Surgical guides and biomodels – Condition for Prescribed List reimbursement – Frequently asked questions
This document from contains answers to Frequently Asked Questions on the intent and operation of the condition for Prescribed List reimbursement for surgical guides and biomodels.
Prescribed List of Medical Devices and Human Tissue Products Guide – Draft
The draft of the Prescribed List Guide will provide sponsors with assistance in preparing their applications for the July 2024 Prescribed List. Stakeholders should keep in mind that this is a draft only that will be further amended and edited.
Private Health Insurance classification of MBS items – 1 January 2024
This spreadsheet classifies MBS items by private health insurance clinical category or procedure type and includes MBS items effective 1 January 2024.
Private Health Insurance clinical category definitions – 1 January 2024
Standard clinical category definitions for private health insurance hospital policies, released on 20 December 2023 and effective at 1 January 2024.
Planning a private health procedure? – A3 poster
This A3 poster was developed to help promote the Medical Costs Finder Website.
Find typical costs for private health procedures – Social media tile A
This social tile was developed for use across social media channels to help promote the Medical Costs Finder Website.
No one likes surprises on medical bills – Social media tile
This social tile was developed for use across social media channels to help promote the Medical Costs Finder Website.
Planning a private health procedure? – Social media tile
This social tile was developed for use across social media channels to help promote the Medical Costs Finder Website.
Find typical costs for private health procedures – Social media tile B
This social tile was developed for use across social media channels to help promote the Medical Costs Finder Website.
Medical procedure coming up? – Social media tile
This social tile was developed for use across social media channels to help promote the Medical Costs Finder Website.
Cost Recovery Implementation Statement – Administration of the Prescribed List of Benefits for Medical Devices and Human Tissue Products
This cost recovery implementation statement describes how the Department of Health and Aged Care recovers the costs of administering the Prescribed List of Benefits for Medical Devices and Human Tissue Products.
Prescribed list application training
This presentation provides guidance on the requirements and assessment process for Prescribed List applications.
Private Health Insurance classification of MBS items – 1 November 2023
This spreadsheet classifies MBS items by private health insurance clinical category or procedure type and includes MBS items effective 1 November 2023.
Private Health Insurance clinical categories definitions – 1 November 2023
Standard clinical category definitions for private health insurance hospital policies, released on 24 October 2023 and effective at 1 November 2023.
Natural Therapies Review 2024 – Yoga evidence evaluation
This report outlines the evaluation of evidence on the clinical effectiveness of yoga as part of the Natural Therapies Review 2024.
PHI 62/23 attachments – 2024 private health insurance premium application form and templates
These attachments to PHI circular 62/23 are the 2024 private health insurance premium application form and templates.
Modernising and Improving Private Health Insurance – Prescribed List
This paper provides updated data for the General Miscellaneous (GM) category of the Prescribed List, and quantifies the revised approach to data collection and analysis.
Natural Therapies Review 2024 – Naturopathy evidence evaluation
This report outlines the evaluation of evidence on the clinical effectiveness of naturopathy as part of the Natural Therapies Review 2024.
Natural Therapies Review 2024 – Tai chi evidence evaluation
This report outlines the evaluation of evidence on the clinical effectiveness of tai chi as part of the Natural Therapies Review 2024.
NTREAP meeting outcomes – 2 August 2023
Natural Therapies Review Expert Advisory Panel (NTREAP) meeting outcomes for 2 August 2023 meeting.
Expert Clinical Advisory Groups Member Guidelines
These guidelines set out how the advisory groups will operate to deliver on their Terms of Reference.
Stakeholder Feedback Report – Consultation Paper 5 Bundling of Benefits for General Use Items
This report provides an analysis of stakeholder feedback received in response to the Prostheses List Reform Consultation Paper 6a – Listing Criteria.
Stakeholder Feedback Report - Prostheses List Reforms Consultation Paper 6(b) Proposed Cost Recovery Arrangements
This report provides an analysis of stakeholder feedback received in response to the Prostheses List Reform Consultation Paper 6b Cost Recovery Arrangements.
Stakeholder Feedback Report – Consultation Paper 6(a) Proposed Listing Criteria
This report provides an analysis of stakeholder feedback received in response to the Prostheses List Reform Consultation Paper 6a - Listing Criteria.
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