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

For rules 4 and 5 of Part 2 of these Rules, the circumstances specified for hospital treatment to which this Schedule applies are that the treatment is:

(a) provided to a patient who is not a nursing‑home type patient; and

(b) provided to a patient:

(i) at a private hospital; or

(ii) as shared ward accommodation at a public hospital in Victoria or Tasmania; and

Note: The definition of hospital treatment in section 121‑5 of the Act includes that the treatment is provided either at the hospital or provided or arranged with the direct involvement of a hospital. This Schedule sets out benefit requirements only for treatment provided at the relevant hospital ― see paragraph 121‑5(1)(c) of the Act.

(c) provided for the purpose of permitting the provision to the patient of hospital treatment that is:

(i) a Type A procedure; and

(ii) for a period that includes part of an overnight stay.

Note: A Type A procedure is defined to include a certified Type B procedure and a certified overnight Type C procedure―see the definitions of those terms in rule 3 of Part 1 of these Rules.

2. Minimum benefit

(1) The minimum benefit for hospital treatment provided in the circumstances specified in this Schedule is the amount set out in the tables in this Schedule for that hospital treatment.

(2) When counting the days referred to in the tables in this Schedule to determine the minimum benefit in respect of any particular patient, days forming part of a continuous period of hospitalisation are to be counted.

<table cellspacing="0" cellpadding="0" style="width:459pt; border-collapse:collapse"><thead><tr><td colspan="2" style="width:455pt; border-top:1.5pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:2pt; padding-left:2pt; vertical-align:top"><p class="TableHeading" style="page-break-inside:avoid"><span>Table 1</span><span>‑</span><span>Overnight accommodation for private patients at private hospitals in all States/Territories</span></p></td></tr><tr><td style="width:223.8pt; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:2pt; padding-left:2pt; vertical-align:top"><p class="TableHeading"><span>Column 1</span></p></td><td style="width:227.2pt; border-top:0.75pt solid #000000; border-bottom:0.75pt solid #000000; padding-right:2pt; padding-left:2pt; vertical-align:top"><p class="TableHeading" style="page-break-inside:avoid"><span>Column 2</span></p></td></tr><tr><td style="width:223.8pt; border-top:0.75pt solid #000000; border-bottom:1.5pt solid #000000; padding-right:2pt; padding-left:2pt; vertical-align:top"><p class="TableHeading"><span>Class of patient</span></p></td><td style="width:227.2pt; border-top:0.75pt solid #000000; border-bottom:1.5pt solid #000000; padding-right:2pt; padding-left:2pt; vertical-align:top"><p class="TableHeading" style="page-break-inside:avoid"><span>Minimum benefit payable per night</span></p></td></tr></thead><tbody><tr><td style="width:223.8pt; border-top:1.5pt solid #000000; padding-right:2pt; padding-left:2pt; vertical-align:top"><p class="TableHeading"><span>Advanced surgical patient</span></p></td><td style="width:227.2pt; border-top:1.5pt solid #000000; padding-right:2pt; padding-left:2pt; vertical-align:top"><p class="TableHeading" style="page-break-inside:avoid"><span></span></p></td></tr><tr><td style="width:223.8pt; padding-right:2pt; padding-left:2pt; vertical-align:top"><p class="Tabletext"><span>‑</span><span> first 14 days</span></p></td><td style="width:227.2pt; padding-right:2pt; padding-left:2pt; vertical-align:top"><p class="Tabletext" style="page-break-inside:avoid"><span>$540</span></p></td></tr><tr><td style="width:223.8pt; padding-right:2pt; padding-left:2pt; vertical-align:top"><p class="Tabletext"><span>‑</span><span> over 14 days</span></p></td><td style="width:227.2pt; padding-right:2pt; padding-left:2pt; vertical-align:top"><p class="Tabletext" style="page-break-inside:avoid"><span>$376</span></p></td></tr><tr><td style="width:223.8pt; padding-right:2pt; padding-left:2pt; vertical-align:top"><p class="TableHeading"><span>Surgical patient or obstetric patient</span></p></td><td style="width:227.2pt; padding-right:2pt; padding-left:2pt; vertical-align:top"><p class="Tabletext" style="page-break-inside:avoid"><span></span></p></td></tr><tr><td style="width:223.8pt; padding-right:2pt; padding-left:2pt; vertical-align:top"><p class="Tabletext"><span>‑</span><span> first 14 days</span></p></td><td style="width:227.2pt; padding-right:2pt; padding-left:2pt; vertical-align:top"><p class="Tabletext" style="page-break-inside:avoid"><span>$501</span></p></td></tr><tr><td style="width:223.8pt; padding-right:2pt; padding-left:2pt; vertical-align:top"><p class="Tabletext"><span>‑</span><span> over 14 days</span></p></td><td style="width:227.2pt; padding-right:2pt; padding-left:2pt; vertical-align:top"><p class="Tabletext"><span>$376</span></p></td></tr><tr><td style="width:223.8pt; padding-right:2pt; padding-left:2pt; vertical-align:top"><p class="TableHeading"><span>Psychiatric patient</span></p></td><td style="width:227.2pt; padding-right:2pt; padding-left:2pt; vertical-align:top"><p class="Tabletext"><span></span></p></td></tr><tr><td style="width:223.8pt; padding-right:2pt; padding-left:2pt; vertical-align:top"><p class="Tabletext"><span>‑</span><span> first 42 days</span></p></td><td style="width:227.2pt; padding-right:2pt; padding-left:2pt; vertical-align:top"><p class="Tabletext"><span>$501</span></p></td></tr><tr><td style="width:223.8pt; padding-right:2pt; padding-left:2pt; vertical-align:top"><p class="Tabletext"><span>‑</span><span> 43 – 65 days</span></p></td><td style="width:227.2pt; padding-right:2pt; padding-left:2pt; vertical-align:top"><p class="Tabletext"><span>$435</span></p></td></tr><tr><td style="width:223.8pt; padding-right:2pt; padding-left:2pt; vertical-align:top"><p class="Tabletext"><span>‑</span><span> over 65 days</span></p></td><td style="width:227.2pt; padding-right:2pt; padding-left:2pt; vertical-align:top"><p class="Tabletext"><span>$376</span></p></td></tr><tr><td style="width:223.8pt; padding-right:2pt; padding-left:2pt; vertical-align:top"><p class="TableHeading"><span>Rehabilitation patient</span></p></td><td style="width:227.2pt; padding-right:2pt; padding-left:2pt; vertical-align:top"><p class="Tabletext"><span></span></p></td></tr><tr><td style="width:223.8pt; padding-right:2pt; padding-left:2pt; vertical-align:top"><p class="Tabletext"><span>‑</span><span> first 49 days</span></p></td><td style="width:227.2pt; padding-right:2pt; padding-left:2pt; vertical-align:top"><p class="Tabletext"><span>$501</span></p></td></tr><tr><td style="width:223.8pt; padding-right:2pt; padding-left:2pt; vertical-align:top"><p class="Tabletext"><span>‑</span><span> 50 </span><span>‑</span><span> 65 days</span></p></td><td style="width:227.2pt; padding-right:2pt; padding-left:2pt; vertical-align:top"><p class="Tabletext"><span>$435</span></p></td></tr><tr><td style="width:223.8pt; padding-right:2pt; padding-left:2pt; vertical-align:top"><p class="Tabletext"><span>‑</span><span> over 65 days</span></p></td><td style="width:227.2pt; padding-right:2pt; padding-left:2pt; vertical-align:top"><p class="Tabletext"><span>$376</span></p></td></tr><tr><td style="width:223.8pt; padding-right:2pt; padding-left:2pt; vertical-align:top"><p class="TableHeading"><span>Other patients</span></p></td><td style="width:227.2pt; padding-right:2pt; padding-left:2pt; vertical-align:top"><p class="Tabletext"><span></span></p></td></tr><tr><td style="width:223.8pt; padding-right:2pt; padding-left:2pt; vertical-align:top"><p class="Tabletext"><span>‑</span><span> first 14 days</span></p></td><td style="width:227.2pt; padding-right:2pt; padding-left:2pt; vertical-align:top"><p class="Tabletext"><span>$435</span></p></td></tr><tr><td style="width:223.8pt; border-bottom:1.5pt solid #000000; padding-right:2pt; padding-left:2pt; vertical-align:top"><p class="Tabletext"><span>‑</span><span> over 14 days</span></p></td><td style="width:227.2pt; border-bottom:1.5pt solid #000000; padding-right:2pt; padding-left:2pt; vertical-align:top"><p class="Tabletext"><span>$376</span></p></td></tr></tbody></table>