Sample Application 2014 – 2nd Tier Default Benefit Eligibility

Changes to Second Tier Administrative Arrangements

A new version of the Administrative Arrangements for the Second Tier Default Benefits for Overnight and Day Only Treatment has been published by the Department of Health.  This document and associated materials can be found at:

The current STAC-approved list of second-tier facilities can be found in 2015 Private Health Insurance (PHI) Circular 64/15 dated 18 September 2015, available at:

PLEASE NOTE CHANGES TO THE SECOND TIER APPLICATION PROCESS: All applications should be submitted to the Second Tier Advisory Committee (STAC) secretariat via the Second Tier Portal at the following URL:

An updated version of the Sample Application reflecting these changes is located below:

Please note: all applications must be accompanied by a completed Application Form & Tax Invoice available below:

Proposed STAC dates for 2015 (please note may be subject to change):

  • Friday, 20 February 2015, cut-off date for Applications: Friday, 30 January 2015
  • Wednesday, 13 May 2015, cut-of date for Applications: Friday, 17 April 2015
  • Friday, 21 August 2015, cut-of date for Applications: Friday, 31 July 2015
  • Friday, 13 November 2015, cut-of date for Applications: Friday, 23 October 2015

Second-Tier Renewal Reminder: Attention those facilities that are due to expire on 30 June 2015 should re-apply to the STAC meeting proposed for Wednesday, 13 May 2015, the cut-off date for applications to be received by APHA is Friday, 17 April 2015.