PHI 72/16 Nursing-Home Type Patient Contribution Rates and Minimum Benefits as at 20 September 2016

Page last updated: 02 September 2016

PHI 72/16 - Nursing-Home Type Patient Contribution Rates and Minimum Benefits as at 20 September 2016 (PDF 107 KB)

The Private Health Insurance (Complying Product) Amendment Rules 2016 (No. 5) (the Complying Product Amendment Rules) and the Private Health Insurance (Benefit Requirements) Amendment Rules 2016 (No. 6) (the Benefit Requirements Amendment Rules) were registered with the Federal Register of Legislation and commence on 20 September 2016 (FRL No: F2016L01464 and F2016L01463 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, Tasmania, Victoria and Western Australia; and increased the private hospitals nationally to $58.05.

State/TerritoryContribution Rate
Queenslandfrom $57.85 to $58.05
New South Wales
South Australia
Tasmania
Victoria
Western Australia
Private hospitals nationally

The existing rate for the Australian Capital Territory and the Northern Territory remains in force and is as follows:

State/TerritoryContribution Rate
Australian Capital Territory$57.85
Northern Territory$57.85

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 South Australia and Tasmania and decrease the minimum benefits payable at private hospitals nationally. The changes are as follows:

State/TerritoryMinimum benefit per night
QueenslandFrom $117.00 to $121.00
South AustraliaFrom $115.00 to $116.00
TasmaniaFrom $138.80 to $139.30
VictoriaFrom $127.00 to $130.00

The existing rates for other states and territories remain in force as follows:

State/TerritoryMinimum benefit per night
Western Australia$138.10
New South Wales$119.65
Australian Capital Territory$119.55
Northern Territory $90.69

The minimum benefit for nursing-home type patient accommodation in private hospitals in all states and territories has reduced from $53.25 to $53.05.