PHI 20/12

This circular issued by the Private Health Insurance Branch contains information about Changes to Second Tier Eligible Hospitals

Page last updated: 23 March 2012

Printable version of 20/12 (PDF 30 KB) and Attachment A (PDF 12 KB)

23 March 2012

Private Health Insurance (Benefit Requirements) Amendment Rules 2012 (No. 1) - Changes to Second Tier Eligible Hospitals

The Private Health Insurance (Benefit Requirements) Amendment Rules 2012 (No. 1) (the Rules) were registered with the Federal Register of Legislative Instruments (FRLI) and took effect on 20 March 2012 (FRLI No. F2012L00604).

Changes to the Rules relating to Schedule 5 – Second Tier Default Benefits (Second Tier) are outlined below.

Schedule 5 - Additions
The following private hospital facilities that have been added to Schedule 5 of the Rules will be eligible for Second Tier until 1 July 2013.
Provider NoNameAddress
0097040KACT Endoscopy2/70 Kent Street, DEAKIN ACT 2600
0015000JCalvary Private HospitalHaydon Drive, BRUCE ACT 2617
0065360TCalvary Wakefield Hospital300 Wakefield Street, ADELAIDE SA 5000
0097000XCapital Day Surgical Centre2/9 Sydney Avenue, BARTON ACT 2600
0017440LConcord Private Hospital55-57 Burwood Road, CONCORD NSW 2137
0067130LTennyson Centre Day Hospital520 South Road, KURRALTA PARK SA 5037
Schedule 5 - Continuations
The following private hospital facilities, which are already listed in Schedule 5 of the Rules, have been confirmed as continuing to be eligible for Second Tier until 1 July 2013.

Provider NoNameAddress
0091010YCalvary John James HospitalStrickland Crescent & 12 Napier Close, DEAKIN ACT 2600
0657131ADiagnostic Endoscopy Centre601/438 Victoria Street, DARLINGHURST NSW 2010
0015570XHurstville Private37 Gloucester Road, HURSTVILLE NSW 2220
The Rules are available on the ComLaw website at: http://www.legislation.gov.au/Details/F2012L00604

Next Second Tier Advisory Ccommittee Meeting

The next Second Tier Advisory Committee meeting will be held on Friday 25 May 2012, with a closing date for applications of Friday 4 May 2012.

Please note that applicants are required to submit nine copies of their applications to:

Ms Ann Mulholland
Second Tier Advisory Committee Secretariat
c/o Department of Health and Ageing
MDP 853
GPO Box 9848
CANBERRA ACT 2601

Applicants should also provide at least two copies of a covering letter which contains contact details of the person responsible for the application, including name, position title, phone number and postal address.

Information, which must be included in applications, is outlined in the sample application located on the Australian Private Hospitals Association website at:

http://www.apha.org.au/wp-content/uploads/2009/04/Sample-application-2011-updated.pdf

Second Tier Renewal Reminder

Please note that the Second Tier status of private hospital facilities listed in the attachment is due to expire on 30 June 2012.

Hospitals wishing to apply for continued eligibility need to submit an application to the Department in accordance with the process detailed above.

For further information please contact Ms Ann Mulholland on 02 6289 9833 or email ann.mulholland@health.gov.au

Accurate and up-to-date Declared Hospital Details

A hospital declaration is a legal instrument and it is important that information pertaining to declared hospitals is accurately reflected. In accordance with Private Health Insurance Circular PHI 76/11 of 17 October 2011, declared facilities need to notify the Department of Health and Ageing in the event of any of the following circumstances:
  • name/ownership changes
  • address changes
  • mergers
  • closures.
Any notifications/queries in this regard should be made to hospital.declarations.info@health.gov.au.

Please note that failure to notify could result in delays to gaining eligibility for Second Tier.

If you require further information please telephone: (02) 6289 9853/24 hr answering machine or email the enquiry to Private Health Insurance Branch

For more information visit 2012 Private Health Insurance (PHI) Circulars.

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