Private health insurance resources

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

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.

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.

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.

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.

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

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

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

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