PHI 73/13

This circular issued by the Private Health Insurance Branch contains information about an Amendment to the Private Health Insurance (Benefit Requirements) Rules 2011

Page last updated: 01 November 2013

Printable version of 73/13 (PDF 130 KB)

1 November 2013

Amendment to the Private Health Insurance (Benefit Requirements) Rules 2011

The Private Health Insurance (Benefit Requirements) Amendment Rules 2013 (No. 6) (the Amendment Rules) were registered with the Federal Register of Legislative Instruments (FRLI) and commenced on 1 November 2013 (FRLI Number: F2013L01866).

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

Medicare Benefit Schedule (MBS) item number – Schedule 3

The Amendment Rules insert four new MBS items in Schedule 3 of the Private Health Insurance (Benefit Requirements) 2011.

Item 1 – Schedule 3, Part 3 - Type C procedures, Category 5 (I5) – Diagnostic Imaging Services

Item 1 amends Schedule 3, Part 3, Category 5 (I5) by inserting four new MBS items (63551, 63554, 63557 and 63560) into Schedule 3 of the Principal Rules to reflect that they should be classified as Type C procedures.

MBS items 63551, 63554, 63557 and 63560 commenced on 1 November 2013 under a Health Insurance Determination made under section 3C of the Health Insurance Act 1973.

MBS items 63551, 63554, 63557 and 63560 are new items to make benefits available for MRI scans to be performed for specified conditions to the head, spine and knee for patients 16 years or older who have been referred by a general practitioner (GP). The intention is that these items be moved into the Health Insurance (General Medical Services Table) Regulations at the next available opportunity.

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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