Health
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Hospital Circular 23/2010

Date Issued: 22 December 2010

Distribution: Public Hospitals

Subject: Pharmaceutical outpatient charges, PBS co-payments and Safety Net thresholds

Purpose: To advise hospitals of the pharmaceutical outpatient charges, PBS co-payments and Safety Net thresholds for 2011.


Hospitals not participating in the Australian Health Care Agreement Pharmaceutical Reforms

Pharmaceutical outpatient charges and Joint Safety Net thresholds

The Commonwealth has advised that effective 1 January 2011 the new patient co-payment for concession patients is $5.60, and the safety net threshold is $336.00.

The new level of patient co-payment for non-concessional (general) patients will be $27.40 and the safety net threshold is $1,317.20.

Hospitals are advised that they may record $5.60 for every eligible supply to concessional patients and $27.40 for every eligible supply to general patients, on the patient's Joint Safety Net Card.

Hospitals participating in the Australian Health Care Agreement-Pharmaceutical Reforms

PBS co-payments

From 1 January 2011 the co-payments for PBS listed items have been set as follows:

Hospitals participating in Pharmaceutical Reforms will be able to record $5.60 for every eligible supply to concessional patients on the patient's Safety Net Card. When recording supply to general patients, the "Maximum Recordable Value for Safety Net" (up to $34.20) as listed in the appropriate Schedule of Pharmaceutical Benefits, may be entered on the patient's Safety Net Card. Hospitals will also be able to record the cost price for supply of non-PBS items up to a maximum of $34.20.

Nicola Reinders
Acting Director
Integrated Care

Changes notified by hospital circular will be updated in the Guidelines on the Commonwealth/State Highly Specialised Drugs Program Guidelines website and the claim form amended.