PHI 17/15

This circular issued by the Private Health Insurance Branch contains information about Second Tier

Page last updated: 31 March 2015

Printable version of 17/15 (PDF 395 KB)

20 March 2015

Changes to Second Tier Eligible Hospitals

The Private Health Insurance (Benefit Requirements) Amendment Rules 2015 (No. 1) (the Amendment Rules) have been registered with the Federal Register of Legislative Instruments (FRLI) and commence on 20 March 2015 (FRLI Number: F2015L00324). Changes to the Private Health Insurance (Benefit Requirements) Rules 2011 (the Rules) relating to Schedule 5 – Second Tier Default Benefits are outlined below.

As advised in PHI 07/13, the Rules no longer contain a list of facilities eligible for second tier default benefits. Rather, the Rules reference a list of eligible facilities maintained by the Second Tier Advisory Committee (STAC).

The Amendment Rules update the reference to the latest STAC-approved list of second tier eligible facilities published in this circular. Four additional facilities have been added to the previously approved STAC list. A list of the additional facilities has been provided at Attachment A (Word 53 KB) Attachment A (PDF 213 KB).

The complete STAC-approved list of second tier eligible facilities as of 20 March 2015 is at Attachment B (Word 458 KB) Attachment B (PDF 185 KB).

Next Second Tier Advisory Committee Meeting

The next STAC meeting will be held on Wednesday, 13 May 2015.

The closing date for applications is Friday, 17 April 2015.

Please note that applicants are required to submit copies of their applications through the Second Tier Default Benefits Application Submission Portal.

Information which must be included in applications is outlined in the Sample application 2014 (updated) located on the Australian Private Hospitals Association Website. Select Industry Resources.

Second Tier Renewal Reminder

Please note that the second tier statuses of private hospital facilities listed at Attachment C (Excel 64 KB) Attachment C (PDF 77 KB)are due to expire on 30 June 2015.

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

For any enquiries regarding the STAC-approved list of second tier eligible facilities, or for any further information, please email Australia Private Health Hospitals Association.

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 2015 Private Health Insurance (PHI) Circulars.

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