PHI 54/18 Nursing Home Type Patient Contribution Rates and Minimum Benefits as at 20 September 2018

Page last updated: 20 September 2018

PHI 54/18 Nursing Home Type Patient Contribution Rates and Minimum Benefits as at 20 September 2018 (PDF 59 KB)

The Private Health Insurance (Complying Product) Amendment Rules 2018 (No. 4) (the Complying Product Amendment Rules) and the Private Health Insurance (Benefit Requirements) Amendment Rules 2018 (No. 4) (the Benefit Requirements Amendment Rules) were registered with the Federal Register of Legislation and commence on 20 September 2018.

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 $60.65.

Public State/Territory hospitalsContribution Rate
New South Walesfrom $60.05 to $60.65
Queenslandfrom $60.05 to $60.65
South Australiafrom $60.05 to $60.65
Tasmaniafrom $60.05 to $60.65
Victoriafrom $60.05 to $60.65
Western Australiafrom $60.05 to $60.65
Private hospitalsContribution Rate
Nationallyfrom $60.05 to $60.65
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$60.05
Northern Territory$57.85
The minimum benefit for nursing home type patient accommodation in private hospitals in all states and territories has reduced from $51.05 to $50.45.

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

State/TerritoryMinimum benefit per night
New South WalesFrom $124.50 to $127.10
QueenslandFrom $125.00 to $129.50
TasmaniaFrom $144.10 to $145.55
VictoriaFrom $134.00 to $137.00
The existing rates for other states and territories remain in force as follows:

State/TerritoryMinimum benefit per night
Australian Capital Territory $125.00
Northern Territory$90.69
South Australia$120.00
Western Australia$138.10