PHI 16/18 Nursing Home Type Patient Contribution Rates and Minimum Benefits as at 20 March 2018

The Private Health Insurance (Complying Product) Amendment Rules 2018 (No. 1) (the Complying Product Amendment Rules) and the Private Health Insurance (Benefit Requirements) Amendment Rules 2018 (No. 1) (the Benefit Requirements Amendment Rules) were registered with the Federal Register of Legislation and commence on 20 March 2018.

Page last updated: 20 March 2018

PDF version of PHI 16/18Nursing Home Type Patient Contribution Rates and Minimum Benefits as at 20 March 2018 (PDF 54 KB)

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 private hospitals nationally to $60.05.

Public State/Territory hospitals
Contribution Rate

New South Wales

from $59.20 to $60.05

Queensland

from $59.20 to $60.05

South Australia

from $59.20 to $60.05

Tasmania

from $59.20 to $60.05

Victoria

from $59.20 to $60.05

Western Australia

from $59.20 to $60.05

Private hospitals
Contribution Rate

Nationally

from $59.20 to $60.05

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

$58.80

Northern Territory

$57.85

The minimum benefit for nursing home type patient accommodation in private hospitals in all states and territories has reduced from $51.90 to $51.05.

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 $121.80 to $124.50

Tasmania

From $142.05 to $144.10

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

State/Territory
Minimum benefit per night

Australian Capital Territory

$121.95

Northern Territory

$90.69

Queensland

$125.00

South Australia

$118.00

Victoria

$134.00

Western Australia

$138.10