The Department of Health administers the second-tier default benefits eligibility. Private hospitals apply directly to the Department for recognition that they are eligible for second-tier default benefits and categorisation.
The Department annually reviews, consults with private hospitals and publishes the list of all private hospitals grouped by second-tier hospital category by 1 August each year. This list is used by health insurers to calculate second-tier default benefits rates for each second-tier hospital category in each state and to determine the second-tier default benefits payable to individual hospitals.
Please note that inclusion on this list does not mean that a hospital has second-tier eligibility status, it only categorises all private hospitals.
To check a hospital’s second-tier eligibility status/category, including all ongoing updates, please refer to the Commonwealth declared list with second-tier on the Department's Hospital web page.