PHI 57/13

This circular issued by the Private Health Insurance Branch contains information about Nursing Home Type Patient Contribution Rates and Minimum Benefits

Page last updated: 09 July 2014

Printable version of 57/13 (PDF 102 KB)

20 September 2013

Nursing Home Type Patient Contribution Rates and Minimum Benefits as at 20 September 2013

The Private Health Insurance (Complying Product) Amendment Rules 2013 (No.31) (the Complying Product Amendment Rules) and the Private Health Insurance (Benefit Requirements) Amendment Rules 2013 (No. 4) (the Benefit Requirements Amendment Rules) were registered with the Federal Register of Legislative Instruments (FRLI) and commence on 20 September 2013 (FRLI No: F2013L01716 and F2013L01714 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, Victoria and Western Australia; and increased the private hospitals nationally.
State/TerritoryContribution Rates
New South Walesfrom $53.55 to $54.75
Queensland from $53.55 to $54.75
South Australiafrom $53.55 to $54.75
Tasmaniafrom $53.55 to $54.75
Victoriafrom $53.55 to $54.75
Western AustraliaFrom $52.05 to $53.25
Private hospitals nationallyfrom $53.55 to $54.75
State/TerritoryContribution Rates
Australian Capital Territory$50.95
Northern Territory $52.05

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 New South Wales, Queensland, South Australia, Tasmania, Victoria and Western Australia and decrease the minimum benefits payable at private hospitals nationally. The changes are as follows:
State/TerritoryMinimum benefit per night
Tasmaniafrom $128.50 to $131.40
VictoriaFrom $113.70 to $118.00
Queensland From $105.50 to $109.00
Private hospitals nationallyfrom $57.55 to $56.35
State/TerritoryMinimum benefit per night
New South Wales$111.70
South Australia$111.00
ACT$111.20
Western Australia$125.45
Northern Territory $77.47
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.

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