Western Australian Current Regulations Western Australian Current Regulations[cl. 4]
[Heading amended: SL 2023/87 cl. 12.]
[Heading inserted: SL 2023/86 cl. 4.]
[Heading inserted: SL 2023/86 cl. 4.]
|
1. |
Accommodation, maintenance, nursing care and other services — | |
|
(a) for public in‑patients
|
no charge | |
| |
(b) for private in‑patients — | |
|
(i)
in single bed wards (if taken at patient’s request)
|
| |
| |
(ii)
in other wards |
$421 per day |
| |
(c) for nursing home type patients
|
$74.20 per day |
| |
(d) for nursing home type private patients
|
$222.60 per day |
| |
(e) for ineligible in‑patients
|
$2 865 per day |
| |
(f) for eligible veteran in‑patients
|
no charge |
|
2. |
Home modifications service and supply or loan as appropriate, of such aids and
appliances, orthotics and prostheses, oxygen, gas and equipment, wigs,
surgical implants or devices as are approved by the Department CEO (including
repair and replacement) |
no charge |
[Heading inserted: SL 2023/86 cl. 4.]
|
3. |
Accommodation, maintenance and other services for eligible day patients
|
no charge |
[Heading inserted: SL 2023/86 cl. 4.]
|
4. |
Out‑patients service, except for medicines referred to in
item 5 — | |
| |
(a) for eligible out‑patients and eligible
veteran out‑patients |
no charge |
| |
(b) for ineligible out‑patients —
for each individual service rendered |
$381 |
|
5. |
Medicines, for each item — | |
| |
(a) for holders of an entitlement card
|
no charge |
| |
(b) for other people who are — (i)
veterans who hold a Gold Card or a White Card; or (ii)
pensioners; or (iii)
concessional beneficiaries |
no more than $7.70 |
| |
(c) for all other people (other than ineligible
out‑patients) — | |
| |
(i)
at a participating hospital for an item on the PBS list
|
|
| |
(ii)
at a participating hospital for an item not on the PBS
list
|
|
| |
(iii)
at a hospital that is not a participating hospital
|
|
Subdivision 4 — Same day patients
[Heading inserted: SL 2023/86 cl. 4.]
|
6. |
Same day health service, other than a service subject to a charge set out in
this Schedule and associated with the provision of such service — |
|
|
(a) for public same day patients
|
no charge | |
| |
(b) for private same day patients
|
$347 per day |
| |
(c) for eligible veteran same day patients
|
no charge |
| |
(d) for ineligible same day patients
|
$2 586 per day |
Subdivision 5 — Other services
|
7. |
Accommodation for persons accompanying patients (except when parent
accompanies sick child for medical wellbeing of sick child or breastfeeding,
or when breastfed child accompanies sick mother) |
$43 per day |
[Division 1 inserted: SL 2023/86
cl. 4; amended: SL 2023/87 cl. 13; SL 2023/178 cl. 4;
SL 2024/7 cl. 4(1).]
Division 2 — Compensable patients
[Heading inserted: SL 2023/86 cl. 4.]
Subdivision 1 — Compensable in‑patients
[Heading inserted: SL 2023/86 cl. 4.]
|
1. |
Accommodation, maintenance, nursing care and other services in a hospital bed,
except services referred to in item 5 or 6 |
$3 109 per day |
|
2. |
Accommodation, maintenance, nursing care and other services in a hospital bed
for a patient, not being a patient mentioned in item 3, in respect of
whose health services the Motor Vehicle (Third Party Insurance) Act 1943
applies or prima facie appears to apply |
$2 400 per day |
|
3. |
Accommodation, maintenance, nursing care and other services in a hospital bed
for a patient in Perth Children’s Hospital in respect of whose health
services the Motor Vehicle (Third Party Insurance) Act 1943 applies or
prima facie appears to apply |
$3 333 per day |
|
4. |
Accommodation, maintenance, nursing care and other services in a nursing home
bed |
$347 per day |
|
5. |
Accommodation, maintenance, nursing care and other services in a hospital bed
for a ventilator dependent compensable in‑patient with tracheostomy
requiring 24 hour a day individual care |
$6 638 per day |
|
6. |
Accommodation, maintenance, nursing care and other services in a hospital bed
for a patient requiring 24 hour a day care for airway management, with or
without tracheostomy |
$3 969 per day |
Subdivision 2 — Compensable out‑patients
[Heading inserted: SL 2023/86 cl. 4.]
|
7. |
For radiological service — for each item of service
|
$381 |
|
8. |
For medicines, subject to item 9, for each item — (a) at a participating hospital for an item on the
PBS list (b) at a participating hospital for an item not on
the PBS list (c) at a hospital that is not a participating
hospital |
PBS price up to a maximum of $31.60
|
|
9. |
For each other individual service (with any medicines supplied at the time of
the initial service being treated as included in that service)
|
$381 |
Subdivision 3 — Compensable same day patients
[Heading inserted: SL 2023/86 cl. 4.]
|
10. |
Same day treatment in hospitals, other than day hospitals, nursing homes and
nursing posts — (a) for a patient, not being a patient mentioned
in paragraph (b), in respect of whose health services the Motor Vehicle
(Third Party Insurance) Act 1943 applies or prima facie appears to apply
|
$2 827 per day |
| |
(b) for a patient in Perth Children’s
Hospital in respect of whose health services the Motor Vehicle (Third Party
Insurance) Act 1943 applies or prima facie appears to apply
|
$3 897 per day |
| |
(c) for any other patient
|
$3 649 per day |
[Division 2 inserted: SL 2023/86
cl. 4; amended: SL 2024/7 cl. 4(2).]
Division 3 — Magnetic resonance imaging
Charges for magnetic resonance imaging services
|
Item |
Service |
Charge |
|
1. |
For a magnetic resonance study of — | |
| |
(a) one region of the body
|
$1 735 |
| |
(b) 2 contiguous regions of the body
|
$1 735 |
| |
(c) 2 or more separate regions of the body
|
$3 465 |
| |
(d) 3 or more contiguous regions of the body
|
$3 465 |
|
2. |
If Gadolinium used as a contrast medium an |
|
[Division 3 amended: SL 2021/35
cl. 4.]
Division 4 — Pathology services
In the Table —
MBS amount , for a pathology service, means the
amount of the fee specified in the item for that pathology service in the
Medicare Benefits Schedule.
Table
|
Item |
Charge |
|---|---|
|
1. |
The MBS amount for the service if the service is provided to — (a) a
private in‑patient; or (b) a
compensable in‑patient; or (c) a
nursing home type private patient; or (d) an
ineligible in‑patient; or (e) a
compensable day patient; or (f) an
ineligible day patient; or (g) a
compensable out‑patient; or (h) an
ineligible out‑patient; or (i)
a private same day patient; or (j) a
compensable same day patient; or (k) an
ineligible same day patient. |
|
2. |
If the service is provided to a private pathology
out‑patient — 85% of the MBS amount for the service. |
[Division 5 deleted: SL 2020/58 cl. 7.]
Division 6 — Surgically implanted prostheses
1. In the Table —
listed amount , in relation to a surgically
implanted prosthesis, means the amount specified for that prosthesis in the
Prostheses List in the column under the heading “Minimum Benefit”;
Prostheses List means the Schedule to the Private
Health Insurance (Prostheses) Rules (Commonwealth) as in force from time to
time.
Table
|
Item |
Description |
Charge |
|---|---|---|
|
1. |
The supply of a surgically implanted prosthesis specified in the Prostheses
List under the heading “CARDIO THORACIC” |
92.5% of the listed amount |
|
2. |
The supply of a surgically implanted prosthesis specified in the Prostheses
List under the heading “OPHTHALMIC” |
80% of the listed amount |
|
3. |
The supply of a surgically implanted prosthesis not mentioned in item 1
or 2 but otherwise specified in the Prostheses List |
the listed amount |
This is a compilation of the Health Services (Fees and Charges)
Order 2016 and includes amendments made by other written laws. For
provisions that have come into operation see the compilation table.
|
Citation |
Published |
Commencement |
|---|---|---|
|
Health Services (Fees and Charges) Order 2016 |
1 Jul 2016 p. 2775-811 |
1 Jul 2016 (see cl. 2 and Gazette 24 Jun 2016 p. 2291) |
|
Health Services (Fees and Charges) Amendment Order 2016 |
21 Oct 2016 p. 4783 |
cl. 1 and 2: 21 Oct 2016 (see cl. 2(a)); |
|
Health Services (Fees and Charges) Amendment Order (No. 2) 2017 |
3 Feb 2017 p. 1112‑13 |
cl. 1 and 2: 3 Feb 2017 (see cl. 2(a)); |
|
Health Services (Fees and Charges) Amendment Order (No. 3) 2017
|
5 May 2017 p. 2369 |
cl. 1 and 2: 5 May 2017 (see cl. 2(a)); |
|
Health Services (Fees and Charges) Amendment Order (No. 4) 2017
|
30 Jun 2017 p. 3566‑7 |
cl. 1 and 2: 30 Jun 2017 (see cl. 2(a)); |
|
Health Services (Fees and Charges) Amendment Order (No. 5) 2017 |
22 Sep 2017 p. 4933 |
cl. 1 and 2: 22 Sep 2017 (see cl. 2(a)); |
|
Health Services (Fees and Charges) Amendment Order 2018 |
2 Feb 2018 p. 315‑16 |
cl. 1 and 2: 2 Feb 2018 (see cl. 2(a)); |
|
Health Services (Fees and Charges) Amendment Order (No. 2) 2018 |
9 Mar 2018 p. 797‑9 |
cl. 1 and 2: 9 Mar 2018 (see cl. 2(a)); |
|
Health Services (Fees and Charges) Amendment Order (No. 4) 2018 |
27 Apr 2018 p. 1392‑3 |
cl. 1 and 2: 27 Apr 2018 (see cl. 2(a)); |
|
Health Services (Fees and Charges) Amendment Order (No. 3) 2018 |
11 May 2018 p. 1503 |
cl. 1 and 2: 11 May 2018 (see cl. 2(a)); |
|
Health Services (Fees and Charges) Amendment Order (No. 6) 2018 |
25 May 2018 p. 1631‑2 |
cl. 1 and 2: 25 May 2018 (see cl. 2(a)); |
|
Health Services (Fees and Charges) Amendment Order (No. 5) 2018 |
12 Jun 2018 p. 1895 |
cl. 1 and 2: 12 Jun 2018 (see cl. 2(a)); |
|
Health Services (Fees and Charges) Amendment Order (No.7) 2018 |
13 Nov 2018 p. 4432 |
cl. 1 and 2: 13 Nov 2018 (see cl. 2(a)); |
|
Health Services (Fees and Charges) Amendment Order 2019 |
26 Feb 2019 p. 439‑40 |
cl. 1 and 2: 26 Feb 2019 (see cl. 2(a)); |
|
Health Services (Fees and Charges) Amendment Order (No. 2) 2019 |
7 May 2019 p. 1351 |
cl. 1 and 2: 7 May 2019 (see cl. 2(a)); |
|
Health Services (Fees and Charges) Amendment Order (No. 3) 2019 |
7 Jun 2019 p. 1826‑7 |
cl. 1 and 2: 7 Jun 2019 (see cl. 2(a)); |
|
Health Services (Fees and Charges) Amendment Order (No. 5) 2019 |
27 Sep 2019 p. 3419 |
cl. 1 and 2: 27 Sep 2019 (see cl. 2(a)); |
|
Health Services (Fees and Charges) Amendment Order 2020 |
SL 2020/5 7 Feb 2020 |
cl. 1 and 2: 7 Feb 2020 (see cl. 2(a)); |
|
Health Services (Fees and Charges) Amendment Order (No. 2) 2020 |
SL 2020/19 24 Mar 2020 |
cl. 1 and 2: 24 Mar 2020 (see cl. 2(a)); |
|
Health Services (Fees and Charges) Amendment Order (No. 3) 2020 |
SL 2020/58 19 May 2020 |
cl. 1 and 2: 19 May 2020 (see cl. 2(a)); |
|
Health Services (Fees and Charges) Amendment Order (No. 4) 2020 |
SL 2020/102 30 Jun 2020 |
cl. 1 and 2: 30 Jun 2020 (see cl. 2(a)); |
|
Health Services (Fees and Charges) Amendment Order 2021 |
SL 2021/20 9 Feb 2021 |
cl. 1 and 2: 9 Feb 2021 (see cl. 2(a)); |
|
Health Services (Fees and Charges) Amendment Order (No. 3) 2021 |
SL 2021/35 9 Apr 2021 |
cl. 1 and 2: 9 Apr 2021 (see cl. 2(a)); |
|
Health Services (Fees and Charges) Amendment Order (No. 4) 2021 |
SL 2021/134 27 Jul 2021 |
cl. 1 and 2: 27 Jul 2021 (see cl. 2(a)); |
|
Health Services (Fees and Charges) Amendment Order (No. 5) 2021 |
SL 2021/194 26 Nov 2021 |
cl. 1 and 2: 26 Nov 2021 (see cl. 2(a)); |
|
Health Services (Fees and Charges) Amendment Order 2022 |
SL 2022/9 11 Feb 2022 |
cl. 1 and 2: 11 Feb 2022 (see cl. 2(a)); |
|
Health Services (Fees and Charges) Amendment Order (No. 2) 2022 |
SL 2022/55 20 May 2022 |
cl. 1 and 2: 20 May 2022 (see cl. 2(a)); |
|
Health Services (Fees and Charges) Amendment Order (No. 3) 2022 |
SL 2022/110 28 Jun 2022 |
cl. 1 and 2: 28 Jun 2022 (see cl. 2(a)); |
|
Health Services (Fees and Charges) Amendment Order (No. 4) 2022 |
SL 2022/166 18 Oct 2022 |
cl. 1 and 2: 18 Oct 2022 (see cl. 2(a)); |
|
Health Services (Fees and Charges) Amendment Order 2023 |
SL 2023/6 3 Feb 2023 |
cl. 1 and 2: 3 Feb 2023 (see cl. 2(a)); |
|
Health Services (Fees and Charges) Amendment Order (No. 2) 2023 |
SL 2023/34 2 May 2023 |
cl. 1 and 2: 2 May 2023 (see cl. 2(a)); |
|
Health Services (Fees and Charges) Amendment Order (No. 3) 2023 |
SL 2023/55 23 May 2023 |
cl. 1 and 2: 23 May 2023 (see cl. 2(a)); |
|
Health Services (Fees and Charges) Amendment Order (No. 5) 2023 |
SL 2023/86 30 Jun 2023 |
cl. 1 and 2: 30 Jun 2023 (see cl. 2(a)); |
|
Health Services (Fees and Charges) Amendment Order (No. 4) 2023 |
SL 2023/87 30 Jun 2023 |
cl. 1 and 2: 30 Jun 2023 (see cl. 2(a)); |
|
Health Services (Fees and Charges) Amendment Order (No. 6) 2023 |
SL 2023/178 8 Nov 2023 |
cl. 1 and 2: 8 Nov 2023 (see cl. 2(a)); |
|
Health Services (Fees and Charges) Amendment Order 2024 |
SL 2024/7 2 Feb 2024 |
cl. 1 and 2: 2 Feb 2024 (see cl. 2(a)); |
Defined terms
[This is a list of terms defined and the provisions where they
are defined. The list is not part of the law.]
Defined term Provision(s)
adult chargeable patient
9(1)
asylum seeker
3(1)
Benefits Schedule 3(1)
chargeable patient
9(1)
child chargeable patient
9(1)
compensable day patient 3(1), 3A(1)
compensable in-patient 3(1), 3A(2)
compensable
out-patient 3(1), 3A(3)
compensable patient
3(1)
compensable same day patient
3(1), 3A(4)
concessional beneficiary 3(1)
day hospital 3(1)
day patient
3(1)
DVA arrangement 3(1)
eligible day
patient 3(1)
eligible out-patient
3(1)
eligible person 3(1)
eligible
veteran in-patient 3(1)
eligible veteran
out-patient 3(1)
eligible veteran same day patient
3(1)
entitlement card
3(1)
Gold Card 3(1)
hospital
3(1)
hospital bed 3(1)
ineligible day
patient 3(1)
ineligible in-patient
3(1)
ineligible out-patient 3(1)
ineligible same day patient 3(1)
in-patient
3(1)
internal Territory 3(1)
involuntary patient 3(1) and (3)
listed amount
Sch. 1
MBS amount Sch.
1
Medicare 3(1)
Medicare ineligible asylum seeker
3(1)
Medicare ineligible involuntary patient
3(1)
midwife 3(1)
midwifery service 3(1)
National Health Act
3(1)
nursing home bed 3(1)
nursing home type patient 3(1)
nursing home type
private patient 3(1)
out-patient
3(1)
participating hospital 3(1)
PBS
list 3(1)
PBS price
3(1)
pensioner 3(1)
pensioner concession card
3(1)
private in-patient
3(1)
private pathology out-patient 3(1)
private same day patient 3(1)
professional service
3(1)
Prostheses List
Sch. 1
provider hospital 7(1), 10(1)
public
in-patient 3(1)
public same day patient
3(1)
same day patient 3(1)
surgically implanted prosthesis 3(1)
veteran
3(1)
White Card 3(1)
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