PHI 21/18 Psychiatric Care Waiting Period Exemption Data Collection

Page last updated: 12 April 2018

PDF Version: PHI 21/18 Psychiatric Care Waiting Period Exemption Data Collection (PDF 52 KB)

As part of the private health insurance (PHI) reforms announced on 13 October 2017 patients with limited cover for psychiatric care will be able to upgrade their cover on a once-off basis to access higher benefits for psychiatric care without serving a waiting period.

The delegate of the Minister for Health has made the Private Health Insurance (Complying Product) Amendment (Psychiatric Care) Rules 2018 to amend the Private Health Insurance (Complying Product) Rules 2015. The amendment is only relevant to the waiting period exemption for psychiatric care and changes to psychiatric treatment service limitations.

The Amendment Rules were registered on the Federal Register of Legislation on 26 March 2018 and commenced on 1 April 2018.

Data is required to monitor the uptake of the psychiatric care waiting period exemption and the impact on benefits paid by the health insurance industry.

The Department of Health (the Department) has formally requested the Australian Prudential Regulation Authority (APRA) to collect the psychiatric care waiting period exemption data on behalf of the Department. This data will be collected as an interim measure using a Department developed excel based form from 1 April 2018. APRA and the Department will work together with Private Health Insurers to formalise the data collection processes using existing APRA submission channels for all relevant data for the PHI reform measures announced in October 2017.

Following the Department’s timeline for data collection, APRA will be in touch with Private Health Insurers shortly about the psychiatric care waiting period exemption data collection.

The Department appreciates the support of APRA and Private Health Insurers in collecting this data. If you have any further questions regarding this request please contact Kayla Jordan on (07) 3360 2891.