Private Health Insurance (Prostheses)
Amendment Rules 2016 (No. 2)
I, Tracey Duffy, delegate of the Minister for Health, make these Rules under
item 4 of the table in section 333-20 of the Private Health Insurance Act 2007.
Dated
10 June 2016
Tracey Duffy
Assistant Secretary
Private Health Insurance Branch
Medical Benefits Division
Department of Health
Authorised Version F2016L01039 registered 16/06/2016
Contents
PART 1
PRELIMINARY
1.
2.
3.
4.
Name of Rules
Commencement
Authority
Schedules
SCHEDULE – AMENDMENTS
Authorised Version F2016L01039 registered 16/06/2016
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3
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Part 1
1.
Preliminary
Name of Rules
These Rules are the Private Health Insurance (Prostheses) Amendment Rules 2016
(No. 2).
2.
Commencement
These Rules commence on the day after registration on the Federal Register of
Legislation.
3.
Authority
These Rules are made under item 4 of the table to section 333-20 of the Private Health
Insurance Act 2007.
4.
Schedules
Each instrument that is specified in a Schedule to this instrument is amended or
repealed as set out in the applicable items in the Schedule concerned, and any other
item in a Schedule to this instrument has effect according to its terms.
Private Health Insurance (Prostheses) Amendment Rules 2016 (No. 2)
Authorised Version F2016L01039 registered 16/06/2016
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Schedule - Amendments
Schedule – Amendments
Private Health Insurance (Prostheses) Rules 2016 (No. 2)
[1]
Schedule, Part A, SubGroup 07.01.02.02 - <0.2mm thick, 11-25cm2, entry for billing code JJ687
delete the contents of Item 1 of the table from the columns indicated:
Item
Maximum Benefit
1
$515.00
insert the contents of Item 1 of the table in the columns indicated:
[2]
Item
Minimum Benefit
1
$515.00
Schedule, Part A, SubGroup 07.06.02.01 - <500cc, entry for billing code AW008
delete the contents of Item 1 of the table from the columns indicated:
Item
Billing
Code
Product
Description
Size
Minimum
Benefit
1
AW008
Allergan Type SLD,
SHD, SRL, SRM, SRF,
SRX Smooth Silicone
Gel-filled Mammary
Implant
Low, Medium, High or Extra High Profile
100 - 800 grams
$610.00
insert the contents of Item 1 of the table in the columns indicated:
Item
Billing
Code
Product
Description
Size
Minimum
Benefit
1
AW008
Natrelle® INSPIRA®
TruForm™ Smooth
Mammary Implant
Round implants with smooth surface. Available in four projections:
low, moderate, full and extra-full; and two cohesive gel types:
TruForm™ 1 Responsive Gel and TruForm™ 2 Soft-Touch™ Gel
110 - 800 grams
$610.00
Private Health Insurance (Prostheses) Amendment Rules 2016 (No.2)
Authorised Version F2016L01039 registered 16/06/2016
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Schedule - Amendments
[3]
Schedule, Part A, SubGroup 07.06.02.01 - <500cc, entry for billing code AW005
delete the contents of Item 1 of the table from the columns indicated:
Item
Billing
Code
Product
Description
Size
Minimum
Benefit
1
AW005
Allergan Type MLP,
MHP, TRL, TRM, TRF,
TRX Low, Medium, High
& Extra High Profile GelFilled Mammary Implant
Low, Medium, High & Extra High profile, textured surface
80 - 800 grams
$760.00
insert the contents of Item 1 of the table in the columns indicated:
Item
Billing
Code
Product
Description
Size
Minimum
Benefit
1
AW005
Natrelle® INSPIRA®
TruForm Textured
Mammary Implant
Round implants with textured surface. Available in four projections:
low, moderate, full and extra-full; and two cohesive gel types:
TruForm™ 1 Responsive Gel and TruForm™ 2 Soft-Touch™ Gel
110 – 800 grams
$760.00
Private Health Insurance (Prostheses) Amendment Rules 2016 (No.2)
Authorised Version F2016L01039 registered 16/06/2016
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