Private health insurance resources
Private Health Insurance classification of MBS items 1 October 2022
This spreadsheet classifies MBS items by private health insurance clinical category or procedure type and includes MBS items commencing 1 October 2022.
PHI 62/22 attachments – 2023 Private health insurance premium application form and templates
These attachments to PHI circular 62/22 are the 2023 private health insurance premium application form and templates.
Consultation paper: Private health insurance reforms – second wave – December 2020
This consultation paper was intended to solicit information for the development and implementation of reforms to private health insurance.
CIRG outcome note – 17 June 2022
This document contains the outcomes of the sixth Clinical Implementation Reference Group (CIRG) meeting.
CIRG outcome note – 12 May 2022
This document contains the outcomes of the fifth Clinical Implementation Reference Group (CIRG) meeting.
COVID-19 oral treatments for people without a Medicare card
This fact sheet outlines information on how to access COVID-19 oral treatments for people without a Medicare card and potential costs.
Natural Therapies Review 2024 – Pilates evidence evaluation
This report outlines the evaluation of evidence on the clinical effectiveness of Pilates as part of the Natural Therapies Review 2024.
Private health insurance clinical category definitions 1 August 2022
Standard clinical category definitions for private health insurance hospital policies, effective 1 August 2022.
Private Health Insurance classification of MBS items 1 August 2022
This spreadsheet classifies MBS items by private health insurance clinical category or procedure type and includes MBS items commencing 1 August 2022.
Deed for the provision of Overseas Student Health Cover 1 July 2022
This legal document sets out the conditions that registered Australian health funds must comply with to provide Overseas Student Health Cover (OSHC) policies. The Deed end date has been extended to 30 June 2025.
Advice on the Prostheses List adjusted benefit amounts
This collection of document contains the advice on the Prostheses List adjusted benefit amounts resulting from the public benchmarking undertaken by the Independent Hospital Pricing Authority (IHPA). Each document shows the March 2022 benefits and the new benefits from 1 July 2022.
CIRG outcome note – 4 March 2022
This document contains the outcomes of the third Clinical Implementation Reference Group (CIRG) meeting.
Private Health Insurance classification of MBS items 11 April 2022
This spreadsheet classifies MBS items by private health insurance clinical category or procedure type and includes MBS items commencing 1 April 2022 and 11 April 2022.
Private Health Insurance classification of MBS items 6 July 2022
This spreadsheet classifies MBS items by private health insurance clinical category or procedure type and includes MBS items commencing 1 July 2022 and 6 July 2022.
Private health insurance clinical category definitions 11 April 2022
Standard clinical category definitions for private health insurance hospital policies, effective 11 April 2022.
Private health insurance clinical category definitions 6 July 2022
Standard clinical category definitions for private health insurance hospital policies, effective 1 July 2022 and 6 July 2022.
Benchmark Price for Prostheses in Australian Public Hospitals 2020–21
This report was prepared by the Independent Hospital Pricing Authority (IHPA) to establish a benchmark price for prostheses in Australian public hospitals.
General use items to be removed from the Prostheses List by group
Updated final list of general use items from part A to be removed from the Prostheses List which includes data from the published March 2022 PL.
NTREAP meeting outcomes – 10 February 2022
The Natural Therapies Review Expert Advisory Panel (NTREAP) met on 10 February 2022 for its 6th meeting. This document provides a record of the meeting.
Hospital Establishment – Type by Prostheses list product group
A list of all the items in the Prostheses list by private hospital type.
Historical background of the Prostheses list reform 2021–2025
This fact sheet lists reviews of the Prostheses List since we established it in 1985.
Memorandum of Understanding for the policy parameters of the Prostheses list reforms
This Memorandum of Understanding (MoU) between the Minister for Health and Aged care and the Medical Technology Association of Australia.
Prostheses list reforms – Consultation No. 1 – Executive summary
The executive summary shows the stakeholder views to improvements to the Protheses List (PL) as announced in the 2021–22 Federal Budget.
CIRG outcome note – 27 January 2022
This document contains the outcomes of the third Clinical Implementation Reference Group (CIRG) meeting.
Natural Therapies Review 2024 – Rolfing evidence evaluation
This report outlines the evaluation of evidence on the clinical effectiveness of Rolfing as part of the Natural Therapies Review 2024.
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