Private Health Insurance (Benefit Requirements) Rules 2011

Definitions

Part 2 Minimum benefit requirements

Name of Rules

Psychiatric care, rehabilitation and palliative care

Other hospital treatments

Benefit not to exceed hospital fees or charges

Schedule 1―Overnight accommodation: private hospitals in all States/Territories and shared ward accommodation at public hospitals in Victoria and Tasmania

Part 1 General

1. Circumstances

2. Minimum benefit

Part 2 Type A procedures

3. Interpretation

4. Advanced surgical patient

5. Obstetric patient

6. Surgical patient

Psychiatric patient

Rehabilitation patient

Other patient

Part 3 Certified Type B procedures and certified overnight Type C procedures

Certified Type B procedures

Certified overnight Type C procedures

Schedule 2 ‑ Overnight shared ward accommodation for private patients at public hospitals in the Australian Capital Territory, New South Wales, Northern Territory, Queensland, South Australia and Western Australia

1. Circumstances

2. Minimum benefit

Schedule 3―Same‑day accommodation: hospitals in all States/Territories

Part 1 General

1. Circumstances

2. Minimum benefit

Part 2 Type B procedures

3. Interpretation

4. Band 1

5. Non‑band specific Type B day procedures

6. Other bands

7. Certified Type C procedure

Part 3 Type C procedures

8. Interpretation

Schedule 4―Nursing‑home type patient accommodation: hospitals in all States/Territories

1. Circumstances

2. Interpretation

3. Application

4. Provision of acute care

5. Ceasing and resuming hospital treatment

6. Minimum benefit

Schedule 5―Second‑tier default benefits

1. Interpretation

1A. Categorisation of private hospitals

1B. Internal review of a categorisation determination

2. Circumstances

3. Minimum benefit

4. Transitional