PHI 19/16

Page last updated: 24 March 2016

PDF version: PHI 19/16 - Nursing-home type patient contribution rates and minimum benefits as at 20 March 2016 (PDF 108 KB)

PHI 19/16 - Nursing-home type patient contribution rates and minimum benefits as at 20 March 2016

20 March 2016 (amended 24 March 2016)

The Private Health Insurance (Complying Product) Amendment Rules 2016 (No.1) (the Complying Product Amendment Rules) and the Private Health Insurance (Benefit Requirements) Amendment Rules 2016 (No. 1) (the Benefit Requirements Amendment Rules) were registered with the Federal Register of Legislation and commence on 20 March 2016 (FRL No: F2016L00353 and F2016L00352 respectively).

The Rules amend the Private Health Insurance (Complying Product) Rules 2015 and the Private Health Insurance (Benefit Requirements) Rules 2011.

The Complying Product Amendment Rules

Nursing-home type patient contribution rates have been updated to reflect the indexation applied to the Adult Pension Basic Rate and Maximum Daily Rate of Rental Assistance.

The amendments update the patient contribution rate for nursing-home type patients in Queensland, New South Wales, South Australia, Northern Territory, Tasmania, Victoria and Western Australia; and increased the private hospitals nationally to $57.85.

State/Territory
Contribution Rate
Queensland
from $57.35 to $57.85
New South Wales
from $57.35 to $57.85
Northern Territory
from $57.35 to $57.85
South Australia
from $57.35 to $57.85
Tasmania
from $57.35 to $57.85
Victoria
from $57.35 to $57.85
Western Australia
from $57.35 to $57.85
Private hospitals nationally
from $57.35 to $57.85
The existing rate for the Australian Capital Territory remains in force and is as follows:

State/Territory
Contribution Rate
Australian Capital Territory
$56.90

The Benefit Requirements Amendment Rules

Nursing-Home Type Patients - Schedule 4

Nursing-home type patient minimum benefits have been updated to reflect the indexation applied to the Adult Pension Basic Rate and Maximum Daily Rate of Rental Assistance.

The amendments increase the minimum benefits payable for privately insured nursing-home type patients at public hospitals in New South Wales, Northern Territory and Tasmania and decrease the minimum benefits payable at private hospitals nationally. The changes are as follows:

State/Territory
Minimum benefit per night
New South Wales
From $117.30 to $119.65
Northern Territory
From $90.15 to $90.69
Tasmania
From $137.65 to $138.80
The existing rates for other states and territories remain in force as follows:

State/Territory
Minimum benefit per night
Australian Capital Territory
$117.65
South Australia
$115.00
Western Australia
$138.10
Queensland
$117.00
Victoria
$127.00
The minimum benefit for Nursing-home type patient accommodation in private hospitals in all states and territories has reduced from $53.75 to $53.25.