Private Health Insurance Reform: implementation timeline

Page last updated: 13 October 2017

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DateAction
October 2017Prostheses Rules made reducing benefits by $188 million annually from 2018 and further $115 million in 2020.
November to December 2017Establish advisory committees on:
    • Mental health care and rehabilitation care
    • Transparency of out-of-pocket costs.
Mental health waiting period Rules made.
February 2018Reduced prostheses benefits come into effect.
March 2018Legislation introduced to Parliament to support:
    • Regional and rural travel and accommodation benefits
    • Discounts for young people
    • Increased excesses
    • Increased PHIO powers
    • Changes to standard information provision
    • Cost recovery for second tier eligibility.
April 2018Mental health waiting period Rules come into effect.
June 2018Legislation passed.

Rules made to:

    • Give effect to Gold/Silver/Bronze/Basic and standardised clinical definitions
    • Remove benefits for natural therapies
    • Set detailed framework for second tier eligibility
    • Increase Complaints Levy funding the Private Health Insurance Ombudsman.
October to December 2018Advice to government from advisory committees on mental health care and rehabilitation care and transparency of out-of-pocket costs received.
January 2019New second tier administrative arrangements begin.
April 2019Upgraded privatehealth.gov.au begins.

Gold/Silver/Bronze/Basic and standardised clinical definitions begin to operate.

Insurers can offer:

    • Discounts for young people
    • Increased excesses
and can no longer offer benefits for natural therapies
February 2020Second tranche of reduced prostheses benefits come into effect.

Establish clinical definitions review committee.