PHI 39/13

This circular issued by the Private Health Insurance Branch contains information about Private Health Insurance (Benefit Requirements) Amendment Rules 2013 (No. 3) Changes to the Private Health Insurance (Benefit Requirements) Rules 2011

Page last updated: 05 July 2013

Printable version of 39/13 (PDF 100 KB)

5 July 2013

Private Health Insurance (Benefit Requirements) Amendment Rules 2013 (No. 3) Changes to the Private Health Insurance (Benefit Requirements) Rules 2011

The Private Health Insurance (Benefit Requirements) Amendment Rules 2013 (No. 3) (the Benefit Requirements Amendment Rules) were registered with the Federal Register of Legislative Instruments (FRLI) on 4/07/2013 and commence on 05/07/2013 (FRLI No: F2013L01321).

These Benefit Requirements Amendment Rules amend the Private Health Insurance (Benefit Requirements) Rules 2011.

Medicare Benefit Schedule (MBS) item numbers – Schedules 1 and 3

The Amendment Rules amend Schedules 1 and 3 of the Principal Rules to insert eight new Medicare Benefits Schedule (MBS) item numbers contained in the Health Insurance (General Medical Services Table) Amendment (Bariatric and other measures) Regulation 2013, and remove three MBS item numbers which are no longer current. The updates reflect changes to the MBS which took effect from 1 July 2013.

These changes are additional to changes made by the Private Health Insurance (Benefit Requirements) Amendment Rules 2013 (No. 2) which took effect on 1 July 2013. Those Rules reflected changes made by the Health Insurance (General Medical Services Table) Amendment Regulation 2013 (No. 1) which commenced on 1 May 2013 and other changes to the MBS which took effect from 1 July 2013.

Item 1 – Schedule 1, Part 2 Type A procedures, Clause 4 Advanced surgical patient, subclause (3)

Item 1 amends Schedule 1, Part 2, subclause 4(3) of the Principal Rules by deleting MBS item number 30514 and inserting item numbers 31572, 31581 and 31584.

Item 2 – Schedule 1, Part 2 Type A procedures, Clause 6 Surgical patient, subclause (3)

Item 2 amends Schedule 1, Part 2, subclause 6(3) of the Principal Rules by inserting MBS item numbers 31569, 31575 and 31578.

Item 3 – Schedule 3, Part 2 Type B procedures, Clause 5 Non-band specific Type B day procedures, subclause (1)

Item 3 amends Schedule 3, Part 2, subclause 5(1) by deleting MBS item number 31441 and inserting item number 31590.

Item 4 – Schedule 3, Part 3, Type C procedures, Clause 8 Interpretation, Category 3 Therapeutic Procedures, T1

Item 4 amends Schedule 3, Part 3, Clause 8, Category 3 by deleting MBS item number 14215.

Item 5 – Schedule 3, Part 3, Type C procedures, Clause 8 Interpretation, Category 3 Therapeutic Procedures, T8

Item 5 amends Schedule 3, Part 3, Clause 8, Category 3 by inserting MBS item number 31587.

Details of the amendments are set out in the Benefit Requirements Amendment Rules, which are available 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 2013 Private Health Insurance (PHI) Circulars.

Changing your e-mail address? No longer want circulars? Please email Private Health Insurance Branch.