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

Private health insurance clinical category definitions 1 March 2023

Standard clinical category definitions for private health insurance hospital policies, as of 23 February 2023 and effective 1 March 2023.

Changes to the Prostheses List timeframes (2023/24)

This webinar recording provides an overview of the timing and impact of bypassing the March 2024 update and information on the Prostheses List reforms planned for 2023.

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.

Review of the Prostheses List advisory committee and associated subcommittees

This review provides options and recommendations for the future governance of the Prostheses List. It was developed by Ernst & Young under the Department’s Prostheses List Reform program.

Prostheses List Reforms – Pre-listing Assessment framework and Governance structure

This report outlines the pre-listing assessment framework and governance structure for the Prostheses List. It also addresses Ernst & Young, and Adelaide Health Technology Assessment options and recommendations.

Options for a reformed Prostheses List pre-listing assessment framework and governance structure

This report provides a framework and proposes options for governance that would align the Prostheses List processes with those of other health technology assessment processes within the Government. It was developed by Adelaide Health Technology Assessment, under the Prostheses List Reform program.

Private Health Insurance classification of MBS items 1 March 2023

This spreadsheet classifies MBS items by private health insurance clinical category and procedure type and includes MBS items commencing 1 March 2023.

Outcomes of the hospital treatment certification and dual listed MBS items meeting – September 2022

This fact sheet provides our position on the hospital treatment certification.

CIRG outcome note – 26 August 2022

The outcomes of the Clinical Implementation Reference Group (CIRG) Meeting 7.

Private Health Insurer pandemic commitment monitoring

A summary of funds returned from private health insurers to policyholders in response to the COVID-19 pandemic.
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