Private health insurance resources
Cost Recovery Implementation Statement for Second-Tier Default Benefits
This statement describes how the Department of Health recovers the costs of administering private health insurance second-tier default benefits.
Private health insurance clinical category definitions 1 July 2021
Standard clinical category definitions for private health insurance hospital policies, effective 1 July 2021.
Private Health Insurance classification of MBS items 1 July 2021
The MBS items in this spreadsheet include private health insurance information for MBS items commencing 1 July 2021.
Clinical Categories Review Advisory Committee – meeting 3 summary – 24 May 2021
This document summarises the discussion for the 3rd meeting of the Clinical Categories Review Advisory Committee held on 24 May 2021.
Clinical Categories Review Advisory Committee – meeting 2 summary – 12 April 2021
This document summarises the discussion for the 2nd meeting of the Clinical Categories Review Advisory Committee held on 12 April 2021.
Clinical Categories Review Advisory Committee – meeting 1 summary – 15 March 2021
This document summarises the discussion for the first meeting of the Clinical Categories Review Advisory Committee held on 15 March 2021.
Clinical Categories Review Advisory Committee – terms of reference
These terms of reference set out the background, scope and membership of the Clinical Categories Review Advisory Committee.
Statistics – Private health insurance reform data July to September 2020
This report provides statistics and data on private health insurance reforms for the reporting period 1 July to 30 September 2020.
Options for a revised framework for setting and reviewing benefits for the Prostheses List report
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.
Review of the General Miscellaneous Category of the Prostheses List report
This document reports on the outcomes of the Review of the General Miscellaneous Category of the Prostheses List.
Cost Recovery Implementation Statement for the National Joint Replacement Registry
This statement describes how the Department of Health recovers the costs of administering the National Joint Replacement Registry.
NTREAP meeting outcomes – 21 October 2020
Natural Therapies Review Expert Advisory Panel (NTREAP) meeting outcomes for 21 October 2020 meeting
Tranche 1 submitted evidence
Tranche 1 evidence submitted by the public as part of the calls for evidence in the Natural Therapies Review 2024.
PHI 67/20 attachments – 2021 private health insurance premium application form and templates
These attachments to PHI circular 67/20 are the 2021 private health insurance premium application form and templates.
Statistics – Private health insurance reform data April to June 2020
This report provides statistics and data on private health insurance reforms for the reporting period 1 April to 30 June 2020.
Prostheses List Cost Recovery Implementation Statement – 1 July 2020 to 30 June 2021
This statement describes how the Department of Health recovers the costs of administering the Prostheses List.
Health technology assessment committees – conflicts of interest process guide
Committee secretariats can use this guide on assessing and managing conflicts of interest when they consider new member appointments and re-appointments.
Statistics – Private health insurance reform data January to March 2020
This report provides statistics and data on private health insurance reforms for the reporting period 1 January to 31 March 2020.
Hibernation of Agreement with the Medical Technology Association of Australia (MTAA)
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.
Overseas Student Health Cover (OSHC) – Explanatory guidelines for consumers
These guidelines provide information about OSHC including waiting periods, how to buy OSHC, benefit payments, and access to public and private hospitals. This is an accompanying document to the 1 July 2016 to 30 June 2022 deed.
Overseas Student Health Cover (OSHC) fact sheet
OSHC is private health insurance for overseas students and their dependants. It includes ambulance cover and limited pharmaceutical items.
Prostheses List Grouping Schemes
View the grouping schemes for each product category in the Prostheses List, effective from 1 March 2020. They include suffixes and definitions.
Statistics – Private health insurance reform data October to December 2019
This report provides statistics and data on private health insurance reforms for the reporting period 1 October to 31 December 2019.
NTREAP meeting outcomes – 16 January 2020
Natural Therapies Review Expert Advisory Panel (NTREAP) meeting outcomes for 16 January 2020 meeting.
NTREAP meeting outcomes – 28 November 2019
Natural Therapies Review Expert Advisory Panel (NTREAP) meeting outcomes for 28 November 2019 meeting.
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