Private health insurance resources
Terms of reference for Clinical Implementation Reference Group
Terms of reference for Clinical Implementation Reference Group
Private health insurance clinical category definitions 1 March 2022
Standard clinical category definitions for private health insurance hospital policies, effective 1 March 2022.
Private Health Insurance classification of MBS items 1 March 2022
This spreadsheet classifies MBS items by private health insurance clinical category or procedure type and includes MBS items commencing 1 March 2022.
Hospital certification for MBS items for repetitive transcranial magnetic stimulation (rTMS)
A fact sheet has been developed to assist practitioners in preparing Type C certification, for submission to private health insurers, where rTMS treatment is provided in hospital. It also provides guidance on what to include when correctly completing Type C certificates.
Private health insurance clinical category definitions 1 January 2022
Standard clinical category definitions for private health insurance hospital policies, effective 1 January 2022.
Private Health Insurance classification of MBS items 1 January 2022
This spreadsheet classifies MBS items by private health insurance clinical category or procedure type and includes MBS items commencing 1 January 2022.
CIRG outcome note – 10 December 2021
The outcomes of the second Clinical Implementation Reference Group (CIRG) meeting
CIRG outcome note – 2 November 2021
The outcomes of the first Clinical Implementation Reference Group (CIRG) meeting
Clinical Categories Review Advisory Committee – meeting 4 summary – 6 September 2021
This document summarises the discussion for the 4th meeting of the Clinical Categories Review Advisory Committee held on 6 September 2021
Tranche 2 submitted evidence
Tranche 2 submitted evidence by the public as part of the calls for evidence in the Natural Therapies Review 2024.
Private Health Insurance classification of MBS items 1 November 2021
This spreadsheet classifies MBS items by private health insurance clinical category or procedure type and includes MBS items commencing 1 November 2021.
Private health insurance clinical category definitions 1 Nov 2021
Standard clinical category definitions for private health insurance hospital policies, effective 1 November 2021.
Natural Therapies Review 2024 process and governance infographic
This infographic provides a visual representation of the process and governance arrangements for the Natural Therapies Review 2024.
NTREAP meeting outcomes – 17 August 2021
Natural Therapies Review Expert Advisory Panel (NTREAP) meeting outcomes for 17 August 2021 meeting.
Prostheses List purpose definitions and scope – consultation paper
The purpose of this paper is to clarify details of the government’s decision to better define the PL purpose, definitions, and scope and explore how this might be implemented in delegated legislation and the guidance.
Prostheses List purpose definitions and scope – frequently asked questions
This document outlines frequently asked questions regarding the Consultation Paper No 1 – Prostheses List (PL) purpose, definitions and scope.
Prostheses List purpose, definitions and scope – webinar presentation
This webinar discussed the Prostheses List purpose, definitions and scope consultation paper and features a panel of experts who have answered questions regarding its content.
PHI 66/21 attachments – 2022 private health insurance premium application form and template
These attachments to PHI circular 66/21 are the 2022 private health insurance premium application form and template.
Working paper – Industry Working Group (IWG) on Cardiac Technical Support Services December 2020
This report provides an assessment of the clinical needs and impacts of technical services in association with CIEDs.
Modernising and Improving Private Health Insurance Prostheses List - General Use Items
The Australian Government is investing $22 million over 4 years to modernise and improve the Prostheses List (PL). This includes addressing issues raised by recent reviews of the scope and operation of PL.
MBS listing – general miscellaneous items by individual principal
This dataset provides general miscellaneous items by individual principal for Medicare Benefits Schedule (MBS) item listing.
Clinical Categories Review Advisory Committee – timeline
This timeline includes the proposed dates of committee meetings and outlines when the committee will submit its report.
Private Health Insurance age of dependants measure – questions and answers
This document provides answers to frequently asked questions for Private Health Insurance age of dependants measure.
Cost Recovery Implementation Statement – Administration of the Prostheses List – 1 July 2021 to 30 June 2022
This statement describes how the Department of Health recovers the costs of administering the Prostheses List.
National Joint Replacement Registry Cost Recovery Implementation Statement
This statement describes how the Department of Health recovers the costs of administering the National Joint Replacement Registry.
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