PHI 63/12

This circular issued by the Private Health Insurance Branch contains information about Nursing-Home Type Patient Contribution Rates and Minimum Benefits as at 20 September 2012

Page last updated: 11 September 2014

Printable version of 63/12 (PDF 20 KB)

21 September 2012

Nursing-Home Type Patient Contribution Rates and Minimum Benefits as at 20 September 2012

The Private Health Insurance (Complying Product) Amendment Rules 2012 (No. 7) (the Complying Product Amendment Rules) and the Private Health Insurance (Benefit Requirements) Amendment Rules 2012 (No. 5) (the Benefit Requirements Amendment Rules) were registered with the Federal Register of Legislative Instruments (FRLI) and commence on 20 September 2012 (FRLI No: F2012L1888 and F2012L01887 respectively).

The Rules amend the Private Health Insurance (Complying Product) Rules 2010 (No. 2) and the Private Health Insurance (Benefit Requirements) Rules 2011.

The 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 rates for nursing-home type patients in New South Wales, Queensland, South Australia, Tasmania and Victoria to $52.05 and at private hospitals nationally to $52.05.
State/TerritoryContribution Rates
New South Walesfrom $50.95 to $52.05
Queensland from $50.95 to $52.05
South Australiafrom $50.95 to $52.05
Tasmaniafrom $50.95 to $52.05
Victoriafrom $49.20 to $52.05
Private hospitals nationallyfrom $50.95 to $52.05
The existing rates for other states and territories remain in force and are as follows:
State/TerritoryContribution Rates
Australian Capital Territory$50.95
Northern Territory $50.95
Western Australia$50.95
The Complying Product Amendment Rules can be viewed on the ComLaw website.

The 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 Victoria and decrease the minimum benefits payable at private hospitals nationally. The changes are as follows:
State/TerritoryMinimum benefit per night
Tasmaniafrom $122.25 to $124.90
Victoriafrom $105.65 to $113.70
Private hospitals nationallyfrom $60.15 to $59.05
The existing rates for other states and territories remain in force and are as follows:
State/TerritoryMinimum benefit per night
NSW $109.10
Northern Territory$75.83
Queensland$102.00
South Australia$108.00
ACT$107.40
Western Australia$116.05

Second-Tier Default Benefits – Schedule 5

The purpose of the amendments to Schedule 5 was to add six facilities that are eligible for second-tier default benefits. Further information regarding the amendments to second-tier default benefits will be provided in a separate PHI circular to be issued by the Department shortly.

The Benefit Requirements Amendment Rules can be viewed on the ComLaw website.

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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