Prostheses List
How to apply for listing on the Prostheses List
Prostheses List Advisory Committee
Contact details
Under the Private Health Insurance Act 2007, private health insurers are required to pay benefits for a range of prostheses that are provided as part of an episode of hospital treatment or hospital substitute treatment for which a patient has cover and for which a Medicare benefit is payable for the associated professional service.
The type of products on the Prostheses List include cardiac pacemakers and defibrillators, cardiac stents, hip and knee replacements and intraocular lenses, as well as human tissues such as human heart valves, corneas, bones (part and whole) and muscle tissue. The list does not include external legs, external breast prostheses, wigs and other such devices.
The Prostheses List contains prostheses and human tissue prostheses and the benefit to be paid by the private health insurers. The Prostheses List is published bi-annually.
How to apply for listing on the Prostheses List
The Guide to listing and setting benefits for prostheses has been developed to provide information about the arrangements under which private health insurers provide benefits for surgically implanted prostheses for their insured persons and explains the process by which applications are assessed. The guide is divided into two partsPart 1 provides information on the prostheses arrangements.
Part 2 sets out the requirements for making an application to have products included in the Prostheses List, or to have existing product details amended.
Access the Prostheses Guide
Further information on the Prostheses List.
Prostheses List Advisory Committee
On 4 October 2010, the Minister for Health and Ageing approved the establishment of the Prostheses List Advisory Committee (PLAC) (to replace the Prostheses and Devices Committee (PDC)) with revised terms of reference and new membership. This Committee provides advice on the listing of products on the Prostheses List and the benefits payable for them.Further information on the Prostheses List Advisory Committee
Contact details
| Website | Prostheses List website |
| Contact details | Department of Health Private Health Insurance Branch (MDP 400) GPO Box 9848 CANBERRA ACT 2601 Phone: (02) 6289 9463 Fax: (02) 6289 9444 Email: prostheses@health.gov.au |
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