PHI 11/17 Nursing home type patient contribution rates and minimum benefits

Page last updated: 20 March 2017

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The Private Health Insurance (Complying Product) Amendment Rules 2017 (No. 1) (the Complying Product Amendment Rules) and the Private Health Insurance (Benefit Requirements) Amendment Rules 2017 (No. 2) (the Benefit Requirements Amendment Rules) were registered with the Federal Register of Legislation and commence on 20 March 2017 (FRL No: F2017L00242 and FRL No: F2017L00243).

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

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 $58.80.

State/Territory Contribution Rate
Queensland
from $58.05 to $58.80
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/Territory Contribution Rate
Australian Capital Territory
$57.85
Northern Territory
$57.85

The minimum benefit for nursing home type patient accommodation in private hospitals in all states and territories has reduced from $53.05 to $52.30.

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 Tasmania and New South Wales. The changes are as follows:

State/Territory Minimum benefit per night
New South Wales
From $119.65 to $121.80
Tasmania
From $139.30 to $141.10

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

State/Territory Minimum benefit per night
Western Australia
$138.10
Australian Capital Territory
$119.55
South Australia
$116.00
Queensland
$121.00
Victoria
$130.00
Northern Territory
$90.69