{"id":"F2010L00193","name":"Private Health Insurance (Benefit Requirements) Rules 2010","slug":"private-health-insurance-benefit-requirements-rules-2010","collection":"legislative_instrument","jurisdiction":"commonwealth","status":"repealed","isInForce":false,"actNumber":null,"makingDate":null,"administeringDepartment":null,"currentVersion":{"id":123000,"registerId":"commonwealth-F2010L00193-current","compilationNumber":null,"startDate":"2026-04-03","status":"Repealed","reasons":null,"registeredAt":null},"sections":[{"sectionNumber":"Contents","sectionType":"subdivision","heading":"Contents","content":"#### Contents\n\nPart 1 Preliminary\n\n1. Name of Rules\n\n2. Commencement and Revocation\n\n3. Definitions\n\nPart 2 Minimum benefit requirements\n\n4. Psychiatric care, rehabilitation and palliative care\n\n5. Other hospital treatments\n\nSchedule 1―Overnight accommodation: private hospitals in all States/Territories and shared ward accommodation at public hospitals in Victoria and Tasmania\n\nSchedule 2―Overnight accommodation: shared ward accommodation at public hospitals in the ACT, NSW, Northern Territory, Queensland, South Australia and Western Australia\n\nSchedule 3―Same-day accommodation: hospitals in all States/Territories\n\nSchedule 4―Nursing-home type patient accommodation: hospitals in all States/Territories\n\nSchedule 5―Second-tier default benefits\n\nNotes","sortOrder":0},{"sectionNumber":"1. Name of Rules","sectionType":"part","heading":"1. Name of Rules","content":"# 1. Name of Rules\n\nThese Rules are the Private Health Insurance (Benefit Requirements) Rules 2010.","sortOrder":1},{"sectionNumber":"2. Commencement and Revocation","sectionType":"part","heading":"2. Commencement and Revocation","content":"# 2. Commencement and Revocation\n\n(1) These Rules commence on the day after registration.\n\n(2) These Rules revoke the Private Health Insurance (Benefit Requirements) Rules 2009 (No. 2).","sortOrder":2},{"sectionNumber":"3. Definitions","sectionType":"part","heading":"3. Definitions","content":"# 3. Definitions\n\nIn these Rules:\n\nAct means the Private Health Insurance Act 2007.\n\nACT means the Australian Capital Territory.\n\ncertified Type B procedure means a Type B procedure certified in accordance with clause 10 of Schedule 1.\n\ncertified overnight Type C procedure means a Type C procedure certified in accordance with clause 11 of Schedule 1.\n\ncertified Type C procedure means a Type C procedure certified in accordance with clause 7 of Schedule 3.\n\ncontinuous period of hospitalisation, for the purpose of counting days of hospital treatment, includes any two periods during which a patient was, or is, receiving hospital treatment as a patient at a hospital, whether or not the same hospital, where the periods are separated from each other by a period of not more than 7 days during which the patient was not receiving hospital treatment as a patient at any hospital.\n\ndiagnostic imaging services table means the table prescribed under subsection 4AA (1) of the Health Insurance Act 1973.\n\nfee in the MBS means the Schedule fee as defined in subsection 8 (1A) of the Health Insurance Act 1973.\n\ngeneral medical services table means the table prescribed under subsection 4 (1) of the Health Insurance Act 1973.\n\ninsurer means a private health insurer.\n\nitem has the same meaning as in subsection 3 (1) of the Health Insurance Act 1973.\n\nMBS comprises the:\n\n(a) general medical services table;\n\n(b) diagnostic imaging services table; and\n\n(c) pathology services table.\n\nnegotiated agreement means an agreement entered into between a hospital and an insurer, that includes provisions to the effect that, except to the extent (if any) provided in the agreement, the hospital agrees to accept payment by the insurer in satisfaction of any amount that would, apart from the agreement, be owed to the hospital, in relation to an episode of hospital treatment, by an insured person under a policy.\n\nNSW means the State of New South Wales.\n\nnursing-home type patient has the meaning given by Schedule 4\n\nNote: Item 19 of Schedule 2 of the Private Health Insurance (Transitional Provisions and Consequential Amendments) Act 2007 also deals with nursing-home type patients.\n\noutreach service means a service referred to in subsection 16 (1) of the Private Health Insurance (Transitional Provisions and Consequential Amendments) Act 2007, unless subsection 16 (2) of that Act applies to the particular service.\n\nparticipating midwife has the same meaning as in subsection 3(1) of the Health Insurance Act 1973.\n\npathology services table means the table prescribed under subsection 4A (1) of the Health Insurance Act 1973.\n\npolicy means a complying health insurance policy.\n\nprivate hospital means a hospital in respect of which there is in force a statement under subsection 121-5 (8) of the Act that the hospital is a private hospital.\n\nNote: Section 15 of the Private Health Insurance (Transitional Provisions and Consequential Amendments) Act 2007 deals with the status of certain hospitals for which a declaration had been made before the commencement of the Act.\n\nprofessional service has the same meaning as in subsection 3 (1) of the Health Insurance Act 1973.\n\npublic hospital means a hospital in respect of which there is in force a statement under subsection 121-5 (8) of the Act that the hospital is a public hospital.\n\nNote: Section 15 of the Private Health Insurance (Transitional Provisions and Consequential Amendments) Act 2007 deals with the status of certain hospitals for which a declaration had been made before the commencement of the Act.\n\nType A procedure means:\n\n(a) a procedure specified in clauses 3 to 9 of Schedule 1; or\n\n(b) a certified Type B procedure; or\n\n(c) a certified overnight Type C procedure.\n\nType B procedure means:\n\n(a) a procedure specified in clauses 3 to 7 of Schedule 3 other than a certified Type B procedure; or\n\n(b) a certified Type C procedure.\n\nType C procedure means a procedure specified in clause 8 of Schedule 3 other than a certified Type C procedure.","sortOrder":3},{"sectionNumber":"4. Psychiatric care, rehabilitation and ","sectionType":"part","heading":"4. Psychiatric care, rehabilitation and palliative care","content":"# 4. Psychiatric care, rehabilitation and palliative care\n\n(1) For item 1 in the table in subsection 72-1 (2) of the Act, the minimum benefit for hospital treatment specified in that item is the amount set out, or worked out using the method for working out the minimum benefit for that treatment, in Schedules 1, 2, 3 or 5 where the treatment is provided in the circumstances specified in the particular Schedule relevant to that treatment.\n\nNote: Item 1 in the table in subsection 72-1 (2) of the Act requires that each policy that covers hospital treatment must cover any part of hospital treatment that is psychiatric care, rehabilitation or palliative care if the treatment is provided in a hospital and no medicare benefit is payable for that part of the treatment.\n\n(2) Despite subrule (1), the minimum benefit for the treatment may be reduced by the amount of any co-payment or excess that is required to be paid under the insured person's policy in respect of that treatment.","sortOrder":4},{"sectionNumber":"5. Other hospital treatments","sectionType":"part","heading":"5. Other hospital treatments","content":"# 5. Other hospital treatments\n\n(1) For item 5 in the table in subsection 72-1 (2) of the Act, for a policy that covers any type of hospital treatment provided in a hospital, other than treatment referred to in rule 4, the minimum benefit for that treatment is the amount set out, or worked out using the method for working out the minimum benefit, for that treatment in Schedules 1, 2, 3, 4 or 5 where the treatment is provided in the circumstances specified in the particular Schedule relevant to that treatment.\n\n(2) Despite subsection (1), if a policy covers a type of hospital treatment, other than treatment referred to in rule 4, and the insurer for that policy has a negotiated agreement with the hospital in which the treatment is provided, the minimum benefit for that treatment is the amount specified for the treatment in the negotiated agreement.\n\n(3) Despite subrules (1) and (2), the minimum benefit for the treatment may be reduced by the amount of any co-payment or excess that is required to be paid under the insured person’s policy in respect of that treatment.","sortOrder":5},{"sectionNumber":"Category 1 — Attendances","sectionType":"section","heading":"Category 1 — Attendances","content":"###### Category 1 – Attendances\n\nA1:\n\n3 4 20 23 24 35 36 37 43 44 47 51\n\nA2:\n\n52 53 54 57 58 59 60 65 92 93 95 96\n\nA3:\n\n104 105 106 107 108 109\n\nA4:\n\n110 116 119 122 128 131 132 133\n\nA28:\n\n141 143 145 147\n\nA5:\n\n160 161 162 163 164\n\nA6:\n\n170 171 172\n\nA7:\n\n173 193 195 197 199\n\nA8:\n\n291 293 296 297 299 300 302 304 306 308 310 312 314 316 318 319 320 322 324 326 328 330 332 334 336 338 342 344 346 348 350 352 353 355 356 357 358 359 361 364 366 367 369 370\n\nA9:\n\n10801 10802 10803 10804 10805 10806 10807 10808 10809 10816\n\nA12:\n\n385 386 387 388\n\nA13:\n\n410 411 412 413 414 415 416 417\n\nA15:\n\n721 723 729 731 732 820 822 823 825 826 828 855 857 858\n\nA17:\n\n900 903\n\nA18:\n\n2497 2501 2503 2504 2506 2507 2509 2517 2518 2521 2522 2525 2526 2546 2547 2552 2553 2558 2559\n\nA19:\n\n2598 2600 2603 2606 2610 2613 2616 2620 2622 2624 2630 2631 2633 2635 2664 2666 2668 2673 2675 2677\n\nA20:\n\n2710 2712 2713 2721 2723 2725 2727\n\nA21:\n\n501 503 507 511 515 519 520 530 532 534 536\n\nA22:\n\n5000 5003 5010 5020 5023 5028 5040 5043 5049 5060 5063 5067\n\nA23:\n\n5200 5203 5207 5208 5220 5223 5227 5228 5260 5263 5265 5267\n\nA24:\n\n2801 2806 2814 2824 2832 2840 2946 2949 2954 2958 2972 2974 3005 3010 3014 3018 3023 3028 3032 3040 3044 3051 3055 3062\n\nA25:\n\n5906 5908 5910 5912\n\nA26:\n\n6007 6009 6011 6013 6015\n\nA27:\n\n4001\n\nM3:\n\n10950 10951 10952 10953 10954 10956 10958 10960 10962 10964 10966 10968 10970\n\nM5:\n\n10988 10989\n\nM2:\n\n10993 10994 10995 10996 10998 10999","sortOrder":6},{"sectionNumber":"Category 2 — Diagnostic procedures & inv","sectionType":"section","heading":"Category 2 — Diagnostic procedures & investigations","content":"###### Category 2 – Diagnostic procedures & investigations\n\nD1:\n\n11000 11003 11006 11009 11012 11015 11018 11024 11027 11200 11203 11204 11205 11210 11211 11212 11215 11218 11221 11222 11224 11225 11235 11237 11240 11241 11242 11243 11300 11306 11309 11312 11315 11318 11321 11324 11327 11332 11333 11336 11339 11500 11503 11506 11509 11512 11602 11604 11605 11610 11611 11612 11614 11615 11700 11701 11702 11708 11709 11710 11711 11712 11713 11715 11718 11721 11722 11724 11727 11800 11810 11820 11823 11830 11833 11900 11903 11906 11909 11912 11915 11917 11919 11921 12000 12003 12012 12015 12018 12021 12200 12201 12306 12309 12312 12315 12318 12321 12323\n\nD2:\n\n12500 12503 12506 12509 12512 12515 12518 12521 12524 12527 12530 12533","sortOrder":7},{"sectionNumber":"Category 3 — Therapeutic procedures","sectionType":"section","heading":"Category 3 — Therapeutic procedures","content":"###### Category 3 – Therapeutic procedures\n\nT1:\n\n13104 13200 13203 13206 13209 13221 13290 13312 13709 13760 13839 13842 13939 13942 13945 14050 14053 14100 14106 14109 14112 14115 14118 14124 14200 14201 14202 14203 14206 14209 14215 14221 14227 14245\n\nT2:\n\n15000 15003 15006 15009 15012 15100 15103 15106 15109 15112 15115 15211 15214 15215 15218 15221 15224 15227 15230 15233 15236 15239 15242 15245 15248 15251 15254 15257 15260 15263 15266 15269 15272 15500 15503 15506 15509 15512 15515 15518 15521 15524 15527 15530 15533 15550 15553 15556 15559 15562\n\n15700 15705 15710 15800 15850\n\nT3:\n\n16003 16006 16009 16012 16015 16018\n\nT4:\n\n16400 16500 16514 16600\n\nT6:\n\n17610 17615 17620 17625 17640 17645 17650 17655 17680 17690\n\nT7:\n\n18213\n\nT8:\n\n30003 30006 30026 30032 30038 30061 30062 30064 30071 30097 30185 30186 30192 30195 30196 30202 30203 30205 30207 30213 30214 30216 30219 30628 31200 31205 31210 31215 31220 32072 32115 32132 32135 32142 32500 32501 35502 35503 35554 35608 35614 35620 36663 36664 36665 36666 36667 36668 36800 37041 37217 37218 37300 37303 37415 38800 39115 40862 41500 41659 41662 41698 41704 41755 41828 41846 42587 42614 42615 42617 42620 42644 42650 42667 42668 42676 42677 42744 42782 42783 42785 42786 42788 42789 42791 42792 42794 42797 42806 42807 42808 42809 42811 45021 45025 45026 45546 45799 45801 45805 45807 45829 45847 45851 45882 47471 47735 47904 47912 47916 47924\n\nT11:\n\n18350 18351 18352 18354 18356 18358 18360 18361 18362 18364 18366 18368 18370 18371 18372 18373’","sortOrder":8},{"sectionNumber":"Category 4 — Oral and maxillofacial","sectionType":"section","heading":"Category 4 — Oral and maxillofacial","content":"###### Category 4 – Oral and maxillofacial\n\nO1:\n\n51700 51703\n\nO3:\n\n52034 52036 52039 52055 52056 52133\n\nO7:\n\n53000 53004 53052\n\nO9:\n\n53458\n\nO10:\n\n53600\n\nItems in the diagnostic imaging services table\n\nThe following items are items in the diagnostic imaging services table.","sortOrder":9},{"sectionNumber":"Category 5 — Diagnostic Imaging Services","sectionType":"section","heading":"Category 5 — Diagnostic Imaging Services","content":"###### Category 5 – Diagnostic Imaging Services\n\nI1:\n\n55028 55029 55030 55031 55032 55033 55036 55037 55038 55039 55044 55045 55048 55049 55054 55070 55073 55076 55079, 55113 55114 55115 55116 55117 55238 55244 55246 55248 55252 55274 55276 55278 55280 55282 55284 55292 55294 55296 55700 55703 55704 55705 55706 55707 55708 55709 55712 55715 55718 55721 55723 55725 55729 55731 55733 55736 55739 55812 55814 55816 55818 55820 55822 55824 55826 55828 55830 55832 55834 55836 55838 55840 55842 55844 55846 55852 55854\n\nI2:\n\n56001 56007 56010 56013 56016 56022 56028 56030 56036 56041 56047 56050 56053 56056 56062 56068 56070 56076 56101 56107 56141 56147 56220 56221 56223 56224 56225 56226 56227 56228 56229 56230 56231 56232 56233 56234 56235 56236 56237 56238 56239 56240 56259 56301 56307 56341 56347 56401 56407 56409 56412 56441 56447 56449 56501 56507 56541 56547 56552 56554 56619 56625 56659 56665 56801 56807 56841 56847 57001 57007 57041 57047 57201 57247 57341 57345 57350 57355\n\nI3:\n\n57506 57509 57512 57515 57518 57521 57524 57527 57700 57703 57706 57709 57712 57715 57721 57901 57902 57903 57906 57909 57912 57915 57918 57921 57924 57927 57930 57933 57939 57942 57945 57960, 57963 57966 57969 58100 58103 58106 58108 58109 58112 58115 58300 58306 58500 58503 58506 58509 58521 58524 58527 58700 58706 58715 58718 58721 58900 58903 58909 58912 58915 58916 58921 58924 58927 58933 58936 59103 59300 59303 59306 59309 59312 59314 59318 59503 59700 59703 59712 59715 59718 59724 59733 59736 59739 59751 59754 59760 59763 60100 60500 60503 60918 60927\n\nI4:\n\n61302 61303 61306 61307 61310 61313 61314 61316 61317 61320 61328 61340 61348 61352 61353 61356 61360 61361 61364 61368 61372 61373 61376 61381 61383 61384 61386 61387 61389 61390 61393 61397 61401 61402 61405 61409 61413 61417 61421 61425 61426 61429 61430 61433 61434 61437 61438 61441 61442 61445 61446 61449 61450 61453 61454 61457 61458 61462 61465 61469 61473 61480 61484 61485 61495 61499 61505 61541 61544 61553 61556 61565 61568\n\nI5:\n\n63001 63004 63007 63010 63040 63043 63046 63049 63052 63055 63058 63061 63064 63067 63070 63073 63101 63111 63114 63125 63128 63131 63151 63154 63161 63164 63167 63170 63173 63176 63179 63182 63185 63201 63204 63219 63222 63225 63228 63231 63234 63237 63240 63243 63271 63274 63277 63280 63301 63304 63307 63322 63325 63328 63331 63334 63337 63340 63361 63385 63388 63391 63401 63404 63416 63425 63428 63440 63443 63446 63461 63464 63467 63470 63473 63476 63491 63494 63497\n\nCategory 6 – Pathology services\n\nThe following items are items in the pathology services table.\n\nP1:\n\n65060 65066 65070 65072 65075 65078 65079 65081 65082 65084 65087 65090 65093 65096 65099 65102 65105 65108 65109 65110 65111 65114 65117 65120 65123 65126 65129 65137 65142 65144 65147 65150 65153 65156 65157 65158 65159 65162 65165 65166 65171 65175 65176 65177 65178 65179 65180 65181\n\nP2:\n\n66500 66503 66506 66509 66512 66517 66518 66519 66536 66539 66542 66545 66548 66551 66554 66557 66560 66563 66566 66569 66572 66575 66578 66581 66584 66587 66590 66593 66596 66599 66602 66605 66606 66607 66608 66609 66623 66626 66629 66632 66635 66638 66639 66641 66642 66644 66647 66650 66651 66652 66653 66655 66656 66659 66660 66662 66663 66665 66666 66667 66671 66674 66677 66680 66683 66686 66695 66696 66697 66698 66701 66704 66707 66711 66712 66714 66715 66716 66719 66722 66723 66724 66725 66728 66731 66734 66743 66749 66750 66751 66752 66755 66756 66757 66758 66761 66764 66767 66770 66773 66776 66779 66780 66782 66783 66785 66788 66789 66790 66791 66792 66800 66803 66804 66805 66806 66812 66815 66816 66817 66819 66820 66821 66822 66825 66826 66827 66828 66830 66831 66832 66900\n\nP3:\n\n69300 69303 69306 69309 69312 69316 69317 69318 69319 69321 69324 69325 69327 69328 69330 69331 69333 69336 69339 69345 69354 69357 69360 69363 69379 69383 69384 69387 69390 69393 69396 69400 69401 69405 69408 69411 69413 69418 69419 69445 69451 69471 69472 69474 69475 69478 69481 69482 69483 69484 69488 69489 69491 69492 69494 69495 69496 69497 69498 69499 69500\n\nP4:\n\n71057 71058 71059 71060 71062 71064 71066 71068 71069 71071 71072 71073 71074 71075 71076 71077 71079 71081 71083 71085 71087 71089 71090 71091 71092 71093 71095 71096 71097 71099 71101 71103 71106 71119 71121 71123 71125 71127 71129 71131 71133 71134 71135 71137 71139 71141 71143 71145 71146 71147 71148 71149 71151 71153 71154 71155 71156 71157 71159 71163 71164 71165 71166 71167 71168 71169 71170 71180 71183 71186 71189 71192 71195 71198 71200 71203\n\nP5:\n\n72813 72816 72817 72818 72823 72824 72825 72826 72827 72828 72830 72836 72838 72844 72846 72847 72848 72849 72850 72851 72852 72855 72856 72857\n\nP6:\n\n73043 73045 73047 73049 73051 73053 73055 73057 73059 73060 73061 73062 73063 73064 73065\n\nP7:\n\n73287 73290 73291 73292 73293 73294 73289 73300 73305 73308 73309 73311 73312 73314 73315 73317 73318 73320 73321 73323 73324\n\nP8:\n\n73521 73523 73525 73527 73529\n\nP9:\n\n73801 73802 73803 73804 73805 73806 73807 73808 73809 73810 73811\n\nP10:\n\n73920 73922 73923 73924 73925 73926 73927 73928 73929\n\n73930 73931 73932 73933 73934 73935 73936 73937 73938\n\n73939\n\nP11:\n\n73940\n\nP13:\n\n74992 74993 74994 74995 74996 74997 74998 74999\n\nCategory 8 – Miscellaneous Services\n\nThe following items are items in the miscellaneous services table.\n\nM13:\n\n82100 82105 82110 82115 82130 82135 82140","sortOrder":10},{"sectionNumber":"Where: j = group of equivalent episodes ","sectionType":"section","heading":"Where: j = group of equivalent episodes of hospital treatment under the insurer's negotiated agreements;","content":"##### Where: j = group of equivalent episodes of hospital treatment under the insurer's negotiated agreements;\n\ni = group of the insurer's negotiated agreements in force on 1 August of the first year with comparable private hospitals in the State;\n\nn= the number of the insurer's negotiated agreements in force on 1 August of the first year with comparable private hospitals in the State;\n\nRji = charge for episode of hospital treatment type j in the negotiated agreement i\n\nRj = average charge for episode of hospital treatment type j.\n\n(6) In subclause (4), each episode of hospital treatment must be identified using the patient classification system and payment structure in the majority of the relevant insurer's negotiated agreements in force on 1 August of the first year with all comparable private hospitals in the State in which the facility is located.\n\n(7) In subclause (4), for the purpose of calculating the average charge for the equivalent episode of hospital treatment in a State:\n\n(a) the charge will include the sum of the amount payable by the insurer under that insurer's negotiated agreement and any excess or co‑payment amounts payable by members, in accordance with the insurer's rules; and\n\nNote: Policy holders’ financial obligations under such levels of cover will still apply.\n\n(b) must not include any charges:\n\n(i) referred to in the insurer's negotiated agreements for prostheses; and\n\n(ii) that are minimum benefits for prostheses as specified for the purpose of item 4 of the table in subsection 72-1 (2) of the Act, and\n\n(iii) referred to in the insurer's negotiated agreements for hospital treatment provided to nursing-home type patients.\n\n(8) Subject to subclause (2), if an insurer has less than 5 negotiated agreements in force on 1 August of the first year with a particular category of comparable private hospitals in a State, then all of that insurer's negotiated agreements with all classes of private hospitals in that State are to be used to calculate the minimum benefit.\n\n4. Facilities\n\nThe hospitals specified in the table below are facilities for the purpose of this Schedule.\n\nTable\n\n| Facility Name | Address |\n| -------------------------------------------------------------- | ------------------------------------------------------------------------------------------------------------- |\n| Abbotsford Private Hospital | 61-69 Cambridge Street, WEST LEEDERVILLE WA 6007 |\n| Adelaide Day Surgery | 18 North Terrace, ADELAIDE SA 5000 |\n| Adelaide Eye & Laser Centre | 215 Greenhill Road, EASTWOOD SA 5063 |\n| Adelaide Surgicentre | 89 King William Street, KENT TOWN SA 5067 |\n| Aesthetic Day Surgery | 14 Kensington Street, KOGARAH NSW 2217 |\n| Albury-Wodonga Private Hospital | 1125 Pemberton Street, ALBURY NSW 2640 |\n| Allamanda Private Hospital | 21 Spendelove Avenue, SOUTHPORT QLD 4215 |\n| Armidale Private Hospital | New England Regional Hospital, Armidale Campus, Rusden St, ARMIDALE NSW 2350 |\n| Ashford Community Hospital | 55 Anzac Highway, ASHFORD SA 5035 |\n| Attadale Private Hospital | 21 Hislop Road, ATTADALE WA 6156 |\n| Avenue Plastic Surgery | 20 The Avenue, WINDSOR VIC 3181 |\n| Ballina Day Surgery | Suite 6, 46 Tamar Street, BALLINA NSW 2478 |\n| Baringa Private Hospital | Mackays Road, COFFS HARBOUR NSW 2450 |\n| Bathurst Private Hospital | Gorman’s Hill Road, BATHURST NSW 2795 |\n| Bedford Day Surgery | 1284 South Road, CLOVELLY PARK SA 5042 |\n| Bega Valley Private Hospital | 31 Parker Street, BEGA NSW 2550 |\n| Beleura Private Hospital | 925 Nepean Highway, MORNINGTON VIC 3931 |\n| Bellbird Private Hospital | 198 Canterbury Road, BLACKBURN SOUTH VIC 3130 |\n| Belmont Private Hospital | 1220 Creek Road, CARINA QLD 4152 |\n| Bendigo Day Surgery | 1-7 Chum Street, BENDIGO VIC 3550 |\n| Bentleigh Surgicentre | 157 Jasper Road, BENTLEIGH VIC 3204 |\n| Berkeley Vale Private Hospital | 8 Lorraine Avenue, BERKELEY VALE NSW 2261 |\n| Bondi Junction Private Hospital | Level 1, 21 Spring Street, BONDI JUNCTION NSW 2022 |\n| Brindabella Endoscopy Centre | Suite 7, 5 Dann Close, GARRAN ACT 2605 |\n| Brisbane Private Hospital | 259 Wickham Terrace, BRISBANE QLD 4000 |\n| Brisbane Waters Private Hospital | 21 Vidler Avenue, WOY WOY NSW 2256 |\n| Broadmeadow Day Surgery | 1st Floor (Suite 1), 18 Lambton Road, BROADMEADOW NSW 2292 |\n| Brunswick Private Hospital | 82 Moreland Road, BRUNSWICK VIC 3056 |\n| Buderim Gastroenterology Centre (Maroochydore) | Suite 5, 102 Wises Road, MAROOCHYDORE QLD 4558 |\n| Bunbury Day Surgery | 140 Spencer Street, BUNBURY WA 6230 |\n| Caboolture Private Hospital | McKean Street, CABOOLTURE QLD 4510 |\n| Cabrini Brighton | 243 New Street, BRIGHTON VIC 3186 |\n| Cabrini Health Elsternwick Rehabilitation Service | 494 Glenhuntly Road, ELSTERNWICK VIC 3185 |\n| Cabrini Hopetoun Rehabilitation Hospital | 2-6 Hopetoun Road, ELSTERNWICK VIC 3185 |\n| Cairns Central Day Hospital | Ground & 4th Floors, Cairns Central Plaza, Aplin Street, CAIRNS QLD 4870 |\n| Cairns Day Surgery | 156-160 Grafton Street, CAIRNS QLD 4870 |\n| Cairns Private Hospital | 1 Upward Street, CAIRNS QLD 4870 |\n| Caloundra Private Hospital | 96 Beerburrum Street, CALOUNDRA QLD 4551 |\n| Calvary Central Districts Hospital | 25- 37 Jarvis Road, ELIZABETH VALE SA 5112 |\n| Calvary College Grove Rehabilitation Hospital | 18 North East Road, WALKERVILLE SA 5081 |\n| Calvary Day Procedure Centre | 329, 331, 333 Edward Street, WAGGA WAGGA NSW 2650 |\n| Calvary Health Care Tasmania (Hobart) | 49 Augusta Road, LENAH VALLEY TAS 7008 |\n| Calvary Health Care Tasmania - St John’s Campus | 30 Cascade Road, SOUTH HOBART TAS 7004 |\n| Calvary Health Care Tasmania - St Luke’s Campus | 24 Lyttleton Street, LAUNCESTON TAS 7250 |\n| Calvary Health Care Tasmania - St Vincent’s Campus | 5 Frederick Street, LAUNCESTON TAS 7250 |\n| Calvary John James Hospital | Strickland Crescent & 12 Napier Close, DEAKIN ACT |\n| Calvary North Adelaide Hospital | 89 Strangways Terrace, NORTH ADELAIDE SA 5006 |\n| Calvary Private Hospital | Hardy Avenue, WAGGA WAGGA NSW 2650 |\n| Cambridge Day Surgery | 178 Cambridge Street, WEMBLEY WA 6014 |\n| Campbelltown Private Hospital | 42 Parkside Crescent, CAMPBELLTOWN NSW 2560 |\n| Canossa Day Surgery Centre | 169 Seventeen Mile Rocks Road, OXLEY QLD 4075 |\n| Castle Hill Hospital | 72-74 Cecil Avenue, CASTLE HILL NSW 2154 |\n| Castlecrag Private Hospital | 150 Edinburgh Road, CASTLECRAG NSW 2068 |\n| Central Coast Day Hospital | Suite 1, 2 Ilya Ave, ERINA NSW 2250 |\n| Charlestown Private Hospital | Level 3, 250 Pacific Highway, CHARLESTOWN NSW 2290 |\n| Chermside Day Hospital | Suite 9, Chermside Medical Complex, 956 Gympie Road, CHERMSIDE QLD 4032 |\n| Chermside Dialysis Unit | 671 Gympie Road, CHERMSIDE QLD 4032 |\n| Chesterville Day Hospital | 28 Chesterville Road, CHELTENHAM VIC 3192 |\n| Coffs Harbour Day Surgical Centre | 69 Albany Street, COFFS HARBOUR NSW 2450 |\n| Colin Street Day Surgery | 51 Colin Street, WEST PERTH WA 6005 |\n| Como Private Hospital | 152 Como Parade West, PARKDALE VIC 3195 |\n| Concept Day Hospital | 218 Nicholson Road, SUBIACO WA 6008 |\n| Coolenberg Day Surgery | 60 Lake Road, PORT MACQUARIE NSW 2444 |\n| Corymbia House | 92-94 David Street, DANDENONG VIC 3175 |\n| Cotham Private Hospital | 209 Cotham Road, KEW VIC 3101 |\n| Crows Nest Day Surgery | Level 1, 22-26 Clarke Street, CROWS NEST NSW 2065 |\n| Dalcross Adventist Hospital | 28 Stanhope Road, KILLARA NSW 2071 |\n| Dandenong Eye Clinic & Day Surgery Centre | 1-3 Falkiner Crescent, DANDENONG VIC 3175 |\n| Darwin Private Hospital | Rocklands Drive, TIWI NT 0810 |\n| Dee Why Endoscopy Unit | 21/818 Pittwater Road, DEE WHY NSW 2099 |\n| Delmar Private Hospital | 58 Quirk Street, DEE WHY NSW 2099 |\n| Delmont Private Hospital | 298 Warrigal Road, GLEN IRIS VIC 3146 |\n| Diagnostic Endoscopy Centre | 601/438 Victoria Street, DARLINGHURST NSW 2010 |\n| Diaverum Cannington Dialysis Clinic | 15 Leila Street, CANNINGTON WA 6107 |\n| Diaverum Diamond Valley Dialysis Clinic | 15 Grimshaw Street, GREENSBOROUGH VIC 3088 |\n| Diaverum Rockingham Dialysis Clinic | Level 1, 35 McNicholl Street, ROCKINGHAM WA 6168 |\n| Diaverum Stirling Dialysis Clinic | 1 Puccini Court, STIRLING WA 6021 |\n| Donvale Rehabilitation Hospital | 1119-1121 Doncaster Road, DONVALE VIC 3111 |\n| Dorset Rehabilitation Hospital | 146 Derby Street, PASCOE VALE VIC 3044 |\n| Double Bay Day Surgery, The | 20 Manning Road, DOUBLE BAY NSW 2028 |\n| Dubbo Private Hospital | River Street, DUBBO NSW 2830 |\n| Dudley Private Hospital | 261 March Street, ORANGE NSW 2800 |\n| Eastern Suburbs Private Hospital | 8 Chapel Street, RANDWICK NSW 2031 |\n| Epping Surgery Centre | 3/44 Oxford Street, EPPING NSW 2121 |\n| Epworth Cliveden | 29 Simpson Street, EAST MELBOURNE VIC 3002 |\n| Epworth Eastern Hospital | 1 Arnold Street, BOX HILL VIC 3128 |\n| Epworth Freemasons | 166 Clarendon Street & 320 Victoria Parade, EAST MELBOURNE VIC 3002 |\n| Epworth Rehabilitation Brighton | 85-91 Wilson Street, BRIGHTON VIC 3186 |\n| Epworth Rehabilitation Camberwell | 888 Toorak Road, CAMBERWELL VIC 3184 |\n| Epworth Richmond | 89 Bridge Road, RICHMOND VIC 3121 |\n| Essendon Day Procedure Centre | Level 2, 665 Mt Alexander Road, MOONEE PONDS VIC 3039 |\n| Essendon Private Hospital | 35 Rosehill Road, ESSENDON WEST VIC 3040 |\n| Eye-Tech Day Surgeries | Level 3, St Andrew's Place, North Street, SPRING HILL QLD 4000 |\n| Eye-Tech Day Surgeries Southside | 22-26 Sanders Street, UPPER MOUNT GRAVATT QLD 4122 |\n| Figtree Private Hospital | 1 Suttor Place, FIGTREE NSW 2525 |\n| Flinders Private Hospital | Flinders Drive, BEDFORD SA 5042 |\n| Forest Hill Dialysis Clinic | Shops 26 & 27 Forest Hill Chase, Mahoneys Road, FOREST HILL VIC 3131 |\n| Forster Private Hospital | 29-41 South Street, FORSTER NSW 2428 |\n| Frances Perry House | Levels 6 and 7, cnr Grattan Street and Flemington Road, PARKVILLE VIC 3052 |\n| Frankston Private Day Surgery | Lot T5, Levels 1 and 2, 24-28 Frankston Flinders Road, FRANKSTON VIC 3199 |\n| Friendly Society Private Hospital | 19-23 Bingera Street, BUNDABERG QLD 4670 |\n| Fullarton Private Hospital | 293-295 Fullarton Road, PARKSIDE SA 5063 |\n| Geelong Private Hospital | cnr Ryrie & Bellarine Streets, GEELONG VIC 3220 |\n| Glen Iris Private | 314-316 Warrigal Road, GLEN IRIS VIC 3146 |\n| Glen Osmond Surgicentre | 45 Glen Osmond Road, EASTWOOD SA 5063 |\n| Glenferrie Private Hospital | 29 Hilda Crescent, HAWTHORN VIC 3122 |\n| Glengarry Private Hospital | 53 Arnisdale Road, DUNCRAIG WA 6023 |\n| Gosford Private Hospital | Burrabil Avenue, GOSFORD NSW 2250 |\n| Greenslopes Private Hospital | Newdegate Street, GREENSLOPES QLD 4120 |\n| Griffith Rehabilitation Hospital | 13 Dunrobin Road, HOVE SA 5045 |\n| Gympie Private Hospital | 78-82 Channon Street, GYMPIE QLD 4570 |\n| Harley Place Day Surgery | Suite 605, Harley Place, 251 Oxford Street, BONDI JUNCTION NSW 2022 |\n| Hartley Dialysis Clinic | 17 Hartley Road, BRIGHTON SA 5048 |\n| Hastings Day Surgery | cnr Parker & Savoy Streets, PORT MACQUARIE NSW 2444 |\n| Hawkesbury District Health Service | cnr Macquarie and Day Streets, WINDSOR NSW 2756 |\n| Healthwoods Specialist Centre | 53 Cowper Street, GRANVILLE NSW 2142 |\n| Hervey Bay Surgical Hospital | cnr O’Rourke Street & Boat Harbour Drive, PIALBA QLD 4655 |\n| Hillcrest-Rockhampton Private Hospital | 4 Talford Street, ROCKHAMPTON QLD 4700 |\n| Hills Private Hospital | 499 Windsor Road, BAULKHAM HILLS NSW 2153 |\n| Hobart Day Surgery | 10 Warneford Street, SOUTH HOBART TAS 7004 |\n| Hobart Private Hospital | Argyle Street, HOBART TAS 7000 |\n| HOCA @ Mater | 293 Vulture Street, SOUTH BRISBANE QLD 4101 |\n| HOCA @ Wesley | 1st Floor, Wesley Medical Centre, 40 Chasley Street, AUCHENFLOWER QLD 4066 |\n| HOCA Chermside | Chermside Medical Centre, 930-956 Gympie Road, CHERMSIDE QLD 4032 |\n| HOCA Gold Coast | Level 9, Premion Place, 39 White Street, SOUTHPORT QLD 4215 |\n| Hollywood Private Hospital | Monash Avenue, NEDLANDS WA 6009 |\n| Holroyd Private Hospital | 123-129 Chetwynd Road, GUILDFORD NSW 2161 |\n| Holy Spirit Northside | 627 Rode Road, CHERMSIDE QLD 4032 |\n| Hopewell Hospice | 11 Dunkirk Close, ARUNDEL QLD 4214 |\n| Hunter Valley Private Hospital | 20 Mawson Street, SHORTLAND NSW 2307 |\n| Hunters Hill Private Hospital | 9 Mount Street, HUNTERS HILL NSW 2110 |\n| Hurstville Private | 37 Gloucester Road, HURSTVILLE NSW 2220 |\n| Ipswich Day Hospital | 10 Churchill Street, IPSWICH QLD 4305 |\n| Ipswich Hospice Care | 37 Chermside Road, Eastern Heights, IPSWICH QLD 4305 |\n| Jessie McPherson Private Hospital | 246 Clayton Road, CLAYTON VIC 3168 |\n| John Fawkner Private Hospital | 275 Moreland Road, COBURG VIC 3058 |\n| John Flynn-Gold Coast Private Hospital | 42 Inland Drive, TUGUN QLD 4224 |\n| Joondalup Health Campus | Shenton Avenue, JOONDALUP WA 6027 |\n| Kahlyn Private Hospital | 40 Briant Road, MAGILL SA 5072 |\n| Kareena Private Hospital | 86 Kareena Road, CARINGBAH NSW 2229 |\n| Kawana Private Hospital | Suite 14, Level 1, Innovation Parkway, BIRTINYA QLD 4575 |\n| Kingsgrove Day Hospital | Level 1, 322 Kingsgrove Road, KINGSGROVE NSW 2208 |\n| Knox Private Hospital | 262 Mountain Highway, WANTIRNA VIC 3152 |\n| La Trobe Private Hospital | cnr Plenty Road and Kingsbury Drive, BUNDOORA VIC 3083 |\n| Lady Davidson Private Hospital | 434 Bobbin Head Road, NORTH TURRAMURRA NSW 2074 |\n| Lake Macquarie Private Hospital | 3 Sydney Street, GATESHEAD NSW 2290 |\n| Lawrence Hargrave Private Hospital | 72 Phillip Street, THIRROUL NSW 2515 |\n| Linacre Private Hospital | 12 Linacre Road, HAMPTON VIC 3188 |\n| Lindfield Dialysis Clinic | 280 Pacific Highway, LINDFIELD NSW 2070 |\n| Liverpool Eye Surgery | Ground Floor, 1 Moore Street, LIVERPOOL NSW 2170 |\n| Logan Endoscopy Services | Unit 2 3276 Beaudesert Road, BROWNS PLAINS QLD 4118 |\n| Longueville Private Hospital | 47 Kenneth Street, LONGUEVILLE NSW 2066 |\n| Macquarie St Day Surgery | Level 11, 187 Macquarie Street, SYDNEY NSW 2000 |\n| Macquarie University Hospital | Talavera Road, MACQUARIE PARK NSW 2113 |\n| Maitland Private Hospital | 173 Chisholm Road, EAST MAITLAND NSW 2323 |\n| Malvern Dialysis Clinic | 1133 Malvern Road, MALVERN VIC 3144 |\n| Malvern Private Hospital | 3-9 Wilton Vale Crescent, MALVERN EAST VIC 3145 |\n| Manly Waters Private Hospital | 17 Cove Avenue, MANLY NSW 2095 |\n| Manningham Day Procedure Centre | Level 3, 200 High Street, LOWER TEMPLESTOWE VIC 3107 |\n| Maryvale Private Hospital | 286 Maryvale Road, MORWELL VIC 3840 |\n| Masada Private Hospital | 26 Balaclava Road, EAST ST KILDA VIC 3183 |\n| Mater Adult Hospital | Raymond Terrace, SOUTH BRISBANE QLD 4101 |\n| Mater Children’s Hospital | Raymond Terrace, SOUTH BRISBANE QLD 4101 |\n| Mater Hospital Pimlico | 21 Fulham Road, PIMLICO QLD 4810 |\n| Mater Hospital Yeppoon | 55 Cliff Street, YEPPOON QLD 4703 |\n| Mater Misericordiae Day Unit | 1 Wellington Street, MACKAY QLD 4740 |\n| Mater Misericordiae Hospital Bundaberg | 313 Bourbong Street, BUNDABERG QLD 4670 |\n| Mater Misericordiae Hospital Gladstone | Rossella Street, GLADSTONE QLD 4680 |\n| Mater Misericordiae Hospital Mackay | 76 Willetts Road, NORTH MACKAY QLD 4740 |\n| Mater Misericordiae Hospital Rockhampton | cnr Ward & Jessie Streets, ROCKHAMPTON QLD 4700 |\n| Mater Mother’s Hospital | Raymond Terrace, SOUTH BRISBANE QLD 4101 |\n| Mater Private Hospital | Raymond Terrace, SOUTH BRISBANE QLD 4101 |\n| Mater Private Hospital Redland | Weippin Street, CLEVELAND QLD 4163 |\n| Mater Sydney | 35 Rocklands Road, NORTH SYDNEY NSW 2060 |\n| Mater Women’s & Children’s Private Health Services | cnr Raymond Terrace & Stanley Street, SOUTH BRISBANE QLD 4101 |\n| Mater Women’s and Children’s Hospital Hyde Park | 12-14 Oxford Street, HYDE PARK QLD 4812 |\n| Mayo Private Hospital | Lot 1, Potoroo Drive, TAREE NSW 2430 |\n| Melbourne MediBrain Centre and MediSleep | 631 Inkerman Road, CAULFIELD NORTH VIC 3161 |\n| Melbourne Private Hospital | Royal Parade, PARKVILLE VIC 3052 |\n| Memorial Hospital | Sir Edwin Smith Avenue, NORTH ADELAIDE SA 5006 |\n| Mercy Hospital Mount Lawley | Thirlmere Road, MOUNT LAWLEY WA 6050 |\n| Metropolitan Rehabilitation Hospital | 275 Addison Road, PETERSHAM NSW 2049 |\n| Mildura Base Hospital | Ontario Avenue, MILDURA VIC 3500 |\n| Minchinbury Community Hospital | Rupertswood Road, MOUNT DRUITT NSW 2770 |\n| Mitcham Private Hospital | 27 Doncaster East Road, MITCHAM VIC 3132 |\n| Modbury Dialysis Clinic | 97-99 Smart Road, MODBURY SA 5092 |\n| Mogo Day Surgery | 2-4 Charles Street, MOGO NSW 2536 |\n| Montserrat Day Hospitals (Gaythorne) | 383 – 391 Samford Road, GAYTHORNE QLD 4051 |\n| Montserrat Day Hospitals (Indooroopilly) | 12 Riverview Terrace, INDOOROOPILLY QLD 4068 |\n| Mosman Private Hospital | 1 Ellamatta Avenue, MOSMAN NSW 2088 |\n| Mount Hospital | 150 Mounts Bay Road, PERTH WA 6000 |\n| Mt Wilga Private Hospital | 2 Manor Road, HORNSBY NSW 2077 |\n| Murdoch Surgicentre | 100 Murdoch Drive, MURDOCH WA 6150 |\n| Murray Valley Private Hospital | Nordsvan Drive, WODONGA VIC 3690 |\n| Nambour Day Surgery | 115 Howard Street, NAMBOUR QLD 4560 |\n| Nambour Selangor Private Hospital | 62 Netherton Street, NAMBOUR QLD 4560 |\n| National Capital Private Hospital | Gilmore Crescent & Hospital Road, GARRAN ACT 2605 |\n| National Day Surgery - Sydney | Level 1, Derby Street, KOGARAH NSW 2217 |\n| Nepean Private Hospital | Barber Avenue, KINGSWOOD NSW 2747 |\n| Nephrocare Bondi Dialysis Clinic | Suite G2, 19-23 Hollywood Avenue, BONDI JUNCTION NSW 2022 |\n| Nephrocare Newcastle Dialysis Clinic | Suite 402, Level 4, 670 Hunter Street, NEWCASTLE NSW 2308 |\n| New Farm Clinic | 22 Sargent Street, NEW FARM QLD 4005 |\n| Newcastle Eye Hospital | 182 Christo Road, WARATAH NSW 2298 |\n| Newcastle Private Hospital | 2 Lookout Road, NEW LAMBTON HEIGHTS NSW 2305 |\n| Ngala Family Services | 9 George Street, KENSINGTON WA 6151 |\n| Noosa Hospital | 111 Goodchap Street, NOOSAVILLE QLD 4566 |\n| North Eastern Community Hospital Inc | 580 Lower North East Road, CAMPBELLTOWN SA 5074 |\n| North Eastern Rehabilitation Centre | 134-144 Ford Street, IVANHOE VIC 3079 |\n| North Melbourne Dialysis Clinic | Level 1, 185-187 Boundary Road, NORTH MELBOURNE VIC 3051 |\n| North Shore Private Hospital | Westbourne Street, ST LEONARDS NSW 2065 |\n| North Shore Specialist Day Surgery | 176 Pacific Highway, GREENWICH NSW 2065 |\n| North West Brisbane Private Hospital | 137 Flockton Street, EVERTON PARK QLD 4053 |\n| Northern Endoscopy Centre | 127 Frost Road, SALISBURY SOUTH SA 5106 |\n| Northpark Private Hospital | Greenhills Road, BUNDOORA VIC 3083 |\n| Northside Clinic Private Hospital | 2 Greenwich Road, GREENWICH NSW 2065 |\n| Northside Cremorne Clinic | 3 Harrison Street, CREMORNE NSW 2090 |\n| Northside West Clinic | 23-27 Lytton Street, WENTWORTHVILLE NSW 2145 |\n| Norwest Private Hospital | 11 Norbrik Drive, BELLA VISTA NSW 2153 |\n| Nowra Private Hospital | Weeroona Place, NOWRA NSW 2541 |\n| Ophthalmic Surgery Centre (North Shore) | Suite 6, 12-14 Malvern Avenue, CHATSWOOD NSW 2067 |\n| Oral Surgery Day Centre | Suite 10, 16-18 Malvern Avenue, CHATSWOOD NSW 2067 |\n| Orange Day Surgery Centre | 60 McNamara Street, ORANGE NSW 2800 |\n| Oromax Day Surgery | Level 3, 1 Hutt Street, ADELAIDE SA 5000 |\n| Oxford Day Surgery and Dermatology | Suite 4, 1st Floor, 416-418 Oxford Street, MOUNT HAWTHORN WA 6016 |\n| Oxford Day Surgery Centre | 54 Oxford Terrace, UNLEY SA 5061 |\n| Pacific Day Surgery | 38 Misterton Street, FORTITUDE VALLEY QLD 4006 |\n| Pacific Private Day Hospital | 119-123 Nerang Street, SOUTHPORT QLD 4215 |\n| Parkwynd Private Hospital | 137 East Terrace, ADELAIDE SA 5000 |\n| Pendlebury Clinic Private Hospital | Suite 3, 52 Pendlebury Road, CARDIFF NSW 2285 |\n| Peninsula Endoscopy Centre | 17 Yuille Street, FRANKSTON VIC 3199 |\n| Peninsula Eye Hospital | 47 Redcliffe Parade, REDCLIFFE QLD 4020 |\n| Peninsula Private Hospital | cnr Cranbourne Road & McClelland Drive, FRANKSTON VIC 3199 |\n| Peninsula Private Hospital | cnr George and Florence Streets,KIPPA RING QLD 4020 |\n| Pennant Hills Day Endoscopy Centre | 10 Ramsay Road, PENNANT HILLS NSW 2120 |\n| Perfect Vision Eye Surgery | Suite 3, 25 –29 Hunter Street, HORNSBY NSW 2077 |\n| Perth Clinic | 29 Havelock Street, WEST PERTH WA 6005 |\n| Perth Day Surgery Centre | 166 - 168 Cambridge Street, LEEDERVILLE WA 6007 |\n| Pindara Day Procedure Centre | 13 Carrara Street, BENOWA QLD 4217 |\n| Pindara Private Hospital | Allchurch Avenue, BENOWA QLD 4217 |\n| Pine Rivers Private Hospital | Dixon Street, STRATHPINE QLD 4500 |\n| Port Macquarie Private Hospital | Lake Road, PORT MACQUARIE NSW 2444 |\n| Prince of Wales Private Hospital | Levels 5-7, Ambulatory Care Services Centre Building, Prince of Wales Campus, Baker Street, RANDWICK NSW 2031 |\n| Queensland Eye Hospital | 55 Little Edward Street, SPRING HILL QLD 4004 |\n| Randwick Day Surgery | 2 Eurimbla Avenue, RANDWICK NSW 2031 |\n| Reservoir Private Hospital | 73 – 75 Pine Street, RESERVOIR VIC 3071 |\n| Ringwood Private Hospital | 36 Mount Dandenong Road, EAST RINGWOOD VIC 3135 |\n| Rivercity Private Hospital | 401 Milton Road, AUCHENFLOWER QLD 4066 |\n| Robina Procedure Centre | Robina Town Centre, ROBINA QLD 4230 |\n| Roderick Street Day Surgery | 23 Roderick Street, IPSWICH QLD 4305 |\n| Rosebud SurgiCentre | 1537 Point Nepean Road, ROSEBUD WEST VIC 3940 |\n| Sentiens Clinic | 36 Parliament Place, WEST PERTH WA 6008 |\n| Shellharbour Private Hospital | 27 Captain Cook Drive, BARRACK HEIGHTS NSW 2528 |\n| Shepparton Private Hospital | Fitzgerald Street, SHEPPARTON VIC 3630 |\n| Short Street Day Surgery | 2 Short Street, SOUTHPORT QLD 4215 |\n| Sight Foundation Theatre | Level 3, Clinical Service Building, Sydney Eye Hospital, 8 Macquarie Street, SYDNEY NSW 2000 |\n| Sir John Monash Private Hospital | 212-220 Clayton Road, CLAYTON VIC 3168 |\n| Skin Cancer Day Surgery | 19 Cleveland Road, ASHWOOD VIC 3147 |\n| Sole Vita Surgery | 7 Phipps Close, DEAKIN ACT 2600 |\n| South Burnett Private Hospital | 31 Markwell Street, KINGAROY QLD 4610 |\n| South Coast Digestive Diseases Centre | 86 Ashmore Road, BUNDALL QLD 4217 |\n| South Eastern Private Hospital | cnr Princes Highway & Heatherton Road, NOBLE PARK VIC 3174 |\n| South Pacific Private Hospital | 18 Beach Street, CURL CURL NSW 2096 |\n| South Perth Endoscopy | 20 Fortune Street, SOUTH PERTH WA 6151 |\n| South Terrace Urology Day Surgery | 326 South Terrace, ADELAIDE SA 5000 |\n| Southern Eye Centre, Day Surgery & Laser Clinic | 44 Cranbourne Road, FRANKSTON VIC 3199 |\n| Southern Highlands Private Hospital | 99 Bowral Street, BOWRAL NSW 2576 |\n| Southern Highlands Private Hospital Specialist Centre (SHPHSC) | 2 Holmhale Street, BOWRAL NSW 2576 |\n| Southern Medical Day Care Centre | 410 Crown Street, WOLLONGONG NSW 2500 |\n| Southern Respiratory and Sleep Disorders Centre | Level 2, Sutherland Hospital, The Kingsway, CARINGBAH NSW 2229 |\n| Southport Day Hospital | 98a Marine Parade, SOUTHPORT QLD 4215 |\n| Spendelove House Private Hospital | 24 Spendelove Avenue, SOUTHPORT QLD 4215 |\n| Sportsmed.SA Hospital | 32 Payneham Road, STEPNEY SA 5069 |\n| Spring Hill Specialist Day Hospital | 1st and 4th Floor St Andrew's Place, 33 North Street, SPRING HILL QLD 4000 |\n| St Andrew’s Ipswich Private Hospital | cnr Roderick and Pring Streets, IPSWICH QLD 4305 |\n| St Andrew’s Toowoomba Hospital | 280 North Street, TOOWOOMBA QLD 4350 |\n| St Frances Xavier Cabrini Hospital – Malvern | 181-183 Wattletree Road, MALVERN VIC 3144 |\n| St Francis Xavier Cabrini Hospital – Prahran | 646 High Street, PRAHRAN EAST VIC 3181 |\n| St George Private Hospital | 1 South Street, KOGARAH NSW 2217 |\n| St Helens Private Hospital | 186 Macquarie Street, HOBART TAS 7000 |\n| St John of God Hospital, Ballarat | 101 Drummond Street North, BALLARAT VIC 3350 |\n| St John of God Hospital - Bendigo | Lily Street, BENDIGO VIC 3552 |\n| St John of God Hospital, Bunbury | cnr Robertson Drive & Bussell Highway, BUNBURY WA 6230 |\n| St John of God Hospital Geelong | 80 and 83 Myers Street, GEELONG VIC 3220 |\n| St John of God Hospital Geraldton | 12 Hermitage Street, GERALDTON WA 6530 |\n| St John of God Hospital, Murdoch | 100 Murdoch Drive, MURDOCH WA 6150 |\n| St John of God Hospital, Subiaco | 12 Salvado Road, SUBIACO WA 6008 |\n| St John of God Hospital Warrnambool | 136 Botanic Road, WARRNAMBOOL VIC 3280 |\n| St John of God Hospital, Berwick | Gibb Street, BERWICK VIC 3806 |\n| St John of God Nepean Rehabilitation Hospital | 255 Cranbourne Road, FRANKSTON VIC 3199 |\n| St John of God Pinelodge Clinic | 1480 Heatherton Road, DANDENONG VIC 3175 |\n| St John of God Private Hospital | 13 Grantham Street, BURWOOD NSW 2135 |\n| St John of God Private Hospital (Richmond) | 177 Grose Vale Road, NORTH RICHMOND VIC 2754 |\n| St Kilda Day Hospital | 26A Dickens Street, ELWOOD VIC 3184 |\n| St Luke’s Hospital | 18 Roslyn Street, POTTS POINT NSW 2011 |\n| St Vincent’s & Mercy Private Hospital (Mercy Campus) | 159 Grey Street, MELBOURNE EAST VIC 3002 |\n| St Vincent’s Hospital | Scott Street, TOOWOOMBA QLD 4350 |\n| St Vincent’s Hospital Brisbane | 411 Main Street, KANGAROO POINT QLD 4169 |\n| St Vincent’s Private Hospital | 59 Victoria Parade, FITZROY VIC 3065 |\n| St Vincent’s Private Hospital (Darlinghurst) | 406 Victoria Street, DARLINGHURST NSW 2010 |\n| Stirling District Hospital | 20 Milan Terrace, STIRLING SA 5152 |\n| Strathfield Private Hospital | 3 Everton Road, STRATHFIELD NSW 2135 |\n| Subiaco Private Hospital | Ground Floor, Suite F and Level 1, 1 Salvado Road, SUBIACO WA 6008 |\n| Sunnybank Private Hospital | 245 McCullough Street, SUNNYBANK QLD 4109 |\n| Sunshine Coast Day Surgery | cnr Memorial and Second Avenues, MAROOCHYDORE QLD 4558 |\n| Sydney Adventist Hospital | 185 Fox Valley Road, WAHROONGA NSW 2076 |\n| Sydney Day Surgery (Prince Alfred) | RPAH Medical Centre, 106/100 Carillon Avenue, NEWTOWN NSW 2042 |\n| Sydney Haematology and Oncology Clinics | Unit 13/49 Palmerston Road, HORNSBY NSW 2077 |\n| Sydney IVF Canberra | 2 King Street - Suite 17B, DEAKIN ACT 2600 |\n| Sydney IVF Day Surgery | Level 4, 321 Kent Street, SYDNEY NSW 2000 |\n| Sydney IVF Liverpool | 173-175 Bigge Street, LIVERPOOL NSW 2170 |\n| Sydney IVF Northwest | Level 1, Suite 101, 10 Norbrik Drive, BELLA VISTA NSW 2153 |\n| Sydney Oculoplastic Surgery | 229 Macquarie Street, SYDNEY NSW 2000 |\n| Sydney Retina Clinic & Day Surgery | Level 13, 187 Macquarie Street, SYDNEY NSW 2000 |\n| Sydney Southwest Private Hospital | 32-40 Bigge Street, LIVERPOOL NSW 2170 |\n| Tamara Private Hospital | 2-6 Dean Street, TAMWORTH NSW 2340 |\n| Tarietta Day Surgery | 73 Kooyong Road, CAULFIELD NORTH VIC 3161 |\n| Terrace West Endoscopy Centre | 18 Limestone Street, IPSWICH QLD 4305 |\n| The Adelaide Clinic | 33 Park Terrace, GILBERTON SA 5081 |\n| The Albert Road Clinic | 31 Albert Road, MELBOURNE VIC 3000 |\n| The Avenue Private Hospital | 40 The Avenue, WINDSOR VIC 3181 |\n| The Bays Hospital | 262-268 Main Street, MORNINGTON VIC 3931 |\n| The Burnside War Memorial Hospital Inc. | 120 Kensington Road, TOORAK GARDENS SA 5065 |\n| The Cairns Clinic | 253 Sheridan Street, NORTH CAIRNS QLD 4870 |\n| The Eye Hospital | 262 Charles Street, LAUNCESTON TAS 7250 |\n| The Geelong Clinic | 98 Townsend Road, ST ALBANS PARK VIC 3219 |\n| The Glen Endoscopy Centre | 302 Springvale Road, GLEN WAVERLEY VIC 3150 |\n| The Hills Clinic | 15-17 Memorial Avenue, KELLYVILLE NSW 2155 |\n| The Hornsby Sleep Disorder and Diagnostic Centre | 104 Balmoral Street, WAITARA NSW 2077 |\n| The Marian Centre | 187 Cambridge Street, WEMBLEY WA 6014 |\n| The Melbourne Clinic | 130 Church Street, RICHMOND VIC 3121 |\n| The Melbourne Eastern Private Hospital | 157 Scoresby Road, BORONIA VIC 3155 |\n| The Oculoplastics Centre Sydney | Suite 25, 20-24 Gibbs Street, MIRANDA NSW 2228 |\n| The San Day Surgery | 1a Northcote Road, HORNSBY NSW 2077 |\n| The Surgery Centre - Hurstville | Level 1, 31 Dora Street, HURSTVILLE NSW 2220 |\n| The Sydney Clinic | 22-24 Murray Street, BRONTE NSW 2024 |\n| The Sydney Private Hospital | 63 Victoria Street, ASHFIELD NSW 2131 |\n| The Valley Private Hospital | cnr Police & Gladstone Roads, MULGRAVE VIC 3170 |\n| The Victoria Clinic | 324 Malvern Road, PRAHRAN VIC 3181 |\n| The Victorian Rehabilitation Centre | 499 Springvale Road, GLEN WAVERLY VIC 3150 |\n| Toowong Private Hospital | 496 Milton Road, TOOWONG QLD 4066 |\n| Toowoomba Hospice | 57b O'Quinn Street, TOOWOOMBA QLD 4350 |\n| Toowoomba Surgicentre | 18 Scott Street, TOOWOOMBA QLD 4350 |\n| Toronto Private Hospital | Cary Street, TORONTO NSW 2283 |\n| Townsville Day Surgery | 1 Martinez Avenue, West End, TOWNSVILLE QLD 4810 |\n| Tweed Day Surgery | Suite 4, 38-44 Boyd Street, TWEED HEADS NSW 2485 |\n| Ulladulla Endoscopy & Medical Centre | 111 Princes Highway, ULLADULLA NSW 2539 |\n| Victor Harbor Private Hospital | Bay Road, VICTOR HARBOR SA 5211 |\n| Victoria Parade Surgery Centre | Level 1, 100 Victoria Parade, EAST MELBOURNE VIC 3002 |\n| Vimy Private Hospital | 5 Studley Avenue, KEW VIC 3101 |\n| Vision Eye Institute | Levels 3 & 4, 270 Victoria Street, CHATSWOOD NSW 2067 |\n| Vista Laser Eye Clinics NSW | 1 McClaren Street, NORTH SYDNEY NSW 2060 |\n| Wangaratta Private Hospital | 134-150 Templeton Street, WANGARATTA VIC 3677 |\n| Warners Bay Private Hospital | Fairfax Road, WARNERS BAY NSW 2282 |\n| Warringal Private Hospital | 216 Burgundy Street, HEIDELBERG VIC 3084 |\n| Waverley Private Hospital | 343-357 Blackburn Road, MOUNT WAVERLEY VIC 3149 |\n| Wesley Hospital Ashfield | 91 Milton Street, ASHFIELD NSW 2131 |\n| Wesley Hospital Kogarah | 7 Blake Street, KOGARAH NSW 2217 |\n| West Lakes Day Surgery | 151 Brebner Drive, WEST LAKES SA 5021 |\n| Western Hospital | 168 Cudmore Terrace, HENLEY BEACH SA 5022 |\n| Western Private Hospital | 1-9 Marion Street, FOOTSCRAY VIC 3011 |\n| Westmead Private Hospital | cnr Mons and Darcy Roads, WESTMEAD NSW 2145 |\n| Westmead Rehabilitation Hospital | 7 Coleman Street, MERRYLANDS NSW 2160 |\n| Woodvale Private Hospital for Women | 231 Timberlane Drive, WOODVALE WA 6026 |","sortOrder":11}],"analysis":{"kimi_summary":{"_metrics":{"model":"kimi-k2.5","source":"moonshot-realtime","completionTokens":2659},"content_quality":"ok","complexity_score":7,"scope_assessment":{"changed":false,"description":"The instrument remains focused on its original purpose of setting minimum benefit requirements for private health insurance hospital coverage, including the specification of approved facilities and medical procedures."},"complexity_factors":["Five separate schedules with distinct calculation methods varying by state/territory and accommodation type (overnight, same-day, nursing-home type)","Extensive cross-referencing to the Medicare Benefits Schedule (MBS), Health Insurance Act 1973, and Private Health Insurance Act 2007","Technical classification systems including Type A, B and C procedures, certified procedures, and definitions for continuous periods of hospitalisation","Mathematical formulas for calculating average benefits across insurers' negotiated agreements using patient classification systems","State-specific distinctions in benefit calculations (e.g., Schedule 1 for Victoria/Tasmania public hospitals vs Schedule 2 for other states)","Hundreds of specific MBS item numbers listed across diagnostic, therapeutic, imaging and pathology service categories","Conditional application depending on existence of negotiated agreements between insurers and hospitals, with fallback provisions for second-tier benefits"],"plain_english_summary":"These Rules set the minimum hospital benefits private health insurers must pay when members receive hospital treatment, covering psychiatric, rehabilitation, palliative and other inpatient/day procedures. Calculated via five schedules that vary by state/territory, hospital type, and stay—and subject to any insurer–hospital agreement—they name hundreds of MBS procedure codes and approved hospitals. They also provide second‑tier default benefits if no agreement exists and allow insurers to reduce payments by policy excesses or co‑payments."},"flash_summary":{"complexity_score":7,"scope_assessment":{"changed":true,"description":"Rule 2 expressly revokes the Private Health Insurance (Benefit Requirements) Rules 2009 (No. 2), replacing that instrument. The current Rules therefore supplant the earlier instrument, but the text does not set out a comparative list of what was altered; any concrete change in scope must be inferred by comparing the two instruments (see rule 2)."},"complexity_factors":["Extensive cross‑references to other statutes and schedules (Private Health Insurance Act 2007, Health Insurance Act 1973; definitions in rule 3).","Dual benefit-setting routes: fixed schedules versus insurer–hospital negotiated agreements (rules 4–5), creating conditional application paths.","Detailed procedural and item lists (many MBS item numbers and categories across Schedules 1–4 and pathology/diagnostic tables) increasing administrative mapping effort.","Numerical averaging method for negotiated‑agreement charges with state and agreement‑count rules (subclauses describing j, i, n and averaging; see subclause (4)–(8) of the relevant schedule).","State‑specific facility lists and distinctions between private/public/shared ward and nursing‑home type accommodation (Schedules and Schedule 4), adding jurisdictional complexity.","Several defined special types (Type A/B/C, certified variants) that change classification and benefit calculations (definitions in rule 3 and schedule clauses).","Exclusions and carve‑outs for prostheses and nursing‑home patients when calculating averages (subclause (7)).","Temporal and counting rules (e.g. continuous period of hospitalisation definition) that affect day counts and benefit entitlement (definition in rule 3).","Operational compliance burdens: insurers must track negotiated agreements in force on a particular date and classify episodes using prevailing patient classification systems (subclause (6) and (8)).","Limited express guidance in the Rules on certification processes for ‘certified’ procedures, implying administrative dependence on schedule clauses and insurer practices."],"plain_english_summary":"These Rules set the minimum amounts private health insurers must pay for hospital treatments by tying benefits to numbered schedules or to insurer–hospital negotiated agreements (rules 4–5). Insurers pay the minimum benefit, which can be reduced by a policyholder’s co‑payment or excess (rules 4(2), 5(3)). The Rules rely on detailed item lists, MBS tables and facility lists to calculate benefits and specify methods for averaging negotiated charges where agreements apply (schedules 1–5)."}},"importantCases":[],"_links":{"self":"/api/acts/private-health-insurance-benefit-requirements-rules-2010","history":"/api/acts/private-health-insurance-benefit-requirements-rules-2010/history","analysis":"/api/acts/private-health-insurance-benefit-requirements-rules-2010/analysis","conflicts":"/api/acts/private-health-insurance-benefit-requirements-rules-2010/conflicts","importantCases":"/api/acts/private-health-insurance-benefit-requirements-rules-2010/important-cases","documents":"/api/acts/private-health-insurance-benefit-requirements-rules-2010/documents"}}