Private health insurance resources

A list of resources – including apps, audio and video resources and other publications – about private health insurance.

Private health insurance resources

Prescribed List of Medical Devices and Human Tissue Products

This page lists the medical devices and human tissue products private health insurers must pay benefits for to the patients who have appropriate insurance policies. The latest version of the Prescribed List is effective from 1 July 2024.

List of declared hospitals

The Minister for Health and Aged Care must declare a facility to be a hospital under section 121–5(6) of the Private Health Insurance Act 2007. View the current list of declared hospitals.

HCP data specifications – HCP1 – Insurer to department – 2024–25

The Hospital Casemix Protocol (HCP) data specification for HCP1 files for 2024–25 details the financial, clinical and demographic data that hospitals must provide private health insurers. Private health insurers must then provide this data to us. Effective from 1 July 2024.

GT-Dental data specification – Insurer to department – 2024–25

The Hospital Casemix Protocol (HCP) data specification for General Treatment-Dental files for 2024–25 details the financial, clinical and demographic data that hospitals must provide private health insurers. Private health insurers must then provide this data to us. Effective from 1 July 2024.

Changes in HCP and PHDB data specifications – 2024–25

This fact sheet outlines changes in the data specifications for Hospital Casemix Protocol (HCP) and Private Hospital Data Bureau (PHDB) data for the 2024–25 financial year. They take effect on 1 July 2024.

HCP data specifications – HCP2 – Insurer to department – 2024–25

The Hospital Casemix Protocol (HCP) data specification for HCP2 files for 2024–25 details the financial, clinical and demographic data that hospitals must provide private health insurers. Private health insurers must then provide this data to us. Effective from 1 July 2024.

HCP data specifications – Hospital to insurer – 2024–25

The Hospital Casemix Protocol (HCP) data specifications for HCP files details the financial, clinical and demographic data that hospitals must provide to private health insurers. Private health insurers must then provide this data to us. Effective from 1 July 2024.

Advice on the Prescribed List adjusted benefit amounts

These documents contain advice on the Prescribed List (PL) adjusted benefits, resulting from the public benchmarking undertaken by the Independent Health and Aged Care Pricing Authority (IHACPA). The documents outline the November 2023 PL benefits, and the adjusted benefits effective 1 July 2024.

Medical Costs Finder – Digital sessions privacy notice

This privacy notice is for anyone accessing digital information sessions for about the Medical Costs Finder. This document outlines the privacy notice related to these online events as we are collecting registrations for the webinars.
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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.

HCP annual report 2022-23 – Preliminary

This preliminary annual report of Hospital Casemix Protocol (HCP) data outlines health statistics received from private health insurers detailing information relating to patient, medical and financial data for the 2022–23 financial year.

PHDB annual report 2022-23 – Preliminary

This preliminary annual report of Private Hospital Data Bureau (PHDB) data outlines health statistics received from private hospitals detailing information relating to patient data for the 2022–23 financial year.
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