Publication of the annual private hospital second-tier category list – as of 1 August 2023

The Department has published its annual private hospital second-tier category list and extends its appreciation to the sector for its patience through this delay. This list is legislated to be published current as of 1 August each year under Schedule 5 subclause 1A (5) of the Private Health Insurance (Benefit Requirements) Rules 2011 and is used by private health insurers to calculate second-tier benefits payable to individual hospitals.

Advice on a small number of second-tier category changes as a result of his year’s category review is available in PHI circular 53/23. The circular also includes other hospital and second-tier updates.