PHI 84/16- Private Health Insurance (Benefit Requirements) Amendment Rules 2016 (No.7) changes to the Private Health Insurance (Benefit Requirements) Rules 2011

Page last updated: 31 October 2016

PDF version: PHI 84/16 Private Health Insurance (Benefit Requirements) Amendment Rules 2016 (No.7) changes to the Private Health Insurance (Benefit Requirements) Rules 2011 (PDF 79 KB)

The Private Health Insurance (Benefit Requirements) Amended Rules 2016 (No.7) (the Amendment Rules) were registered with the Federal Register of Legislation (FRL) and commences on 1 November 2016
(FRL No. F2016L01665).

These Amendment Rules amend the Private Health Insurance (Benefit Requirements) Rules 2011.

Item 1 - Schedule 1, Part 2 – Type A Procedures, Clause 4 Advanced surgical patient, Subclause (3)

Item 1 amends Schedule 1, Part 2 – Type A Procedures, Clause 4 Advanced surgical Patient, Subclause (3) of the Principal Rules by inserting two new MBS items numbers (45201 and 45202). [

Item 2 - Schedule 3, Part 2 – Type B Procedures, Clause 5 Non-band specific Type B day procedures, Subclause (1)

Item 2 amends Schedule 3, Part 2 – Type B Procedures, Clause 5 Non-band specific Type B day procedures, Subclause (1) of the Principal Rules by inserting 16 new MBS item numbers (30658, 31356, 31358, 31359, 31360, 31361, 31363, 31364, 31367, 31369, 31371, 31372, 31373, 31374, 31375 and 31376) and deleting 48 items (30653, 30656, 30659, 30660, 31230, 31235, 31240, 31255, 31256, 31257, 31258, 31260, 31261, 31262, 31263, 31265, 31266, 31267, 31268, 31270, 31271, 31272, 31273, 31275, 31276, 31277, 31278, 31280, 31281, 31282, 31283, 31285, 31286, 31287, 31288, 31290, 31291, 31292, 31293, 31295, 31300, 31305, 31310, 31315, 31320, 31325, 31330, and 31335).

Item 3 - Schedule 3, Part 3 – Type C Procedures, Clause 8 Interpretation, Category 1, Attendance Subclause (A26)

Item 3 amends Schedule 3, Part 3 – Type C Procedures, Clause 8 Interpretation, Category 1, Attendance Subclause (A26) of the Principal Rules by inserting 31 new MBS item numbers (6018, 6019, 6023, 6024,
6025, 6026, 6028, 6029, 6031, 6032, 6034, 6035, 6037, 6038, 6042, 6051, 6052, 6057, 6058, 6059, 6060, 6062, 6063, 6064, 6065, 6067, 6068, 6071, 6072, 6074 and 6075).

Item 4 - Schedule 3, Part 3 – Type C Procedures, Clause 8 Interpretation, Category 2, Diagnostic procedures and investigations, Subclause (D1)

Item 4 amends Schedule 3, Part 3 – Type C Procedures, Clause 8 Interpretation, Category 2, Diagnostic procedures and investigations, Subclause (D1) of the Principal Rules by inserting five new MBS item numbers (12017, 12022, 12024, 12325 and 12326) and deleting two MBS item numbers (12015 and 12018).

Item 5 - Schedule 3, Part 3 – Type C Procedures, Clause 8 Interpretation, Category 3, Therapeutic procedures, Subclause (T8)

Item 5 amends Schedule 3, Part 3 – Type C Procedures, Clause 8 Interpretation, Category 3, Therapeutic procedures, Subclause (T8) of the Principal Rules by inserting 12 new MBS item numbers (30072, 30654, 31206, 31211, 31216, 31221, 31357, 31362, 31365, 31366, 31368 and 31370) and deleting four MBS item numbers (31200, 31205, 31210 and 31215).

Item 6 - Schedule 3, Part 3 – Type C Procedures, Clause 8 Interpretation, Category 5, Diagnostic Imaging Services, Subclause (I5)

Item 6 amends Schedule 3, Part 3 – Type C Procedures, Clause 8 Interpretation, Category 5, Diagnostic Imaging Services, Subclause (I5) of the Principal Rules by inserting four new MBS item numbers (63487, 63488, 63489 and 63490).

These new items included in the General Medical Services Table were registered on the Federal Register of Legislation website on 14 October 2016.