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 and Ageing.  This document and associated materials can be found at:

The current STAC-approved list of second-tier facilities can be found in 2014 Private Health Insurance (PHI) Circular 60/14 dated 19 September 2014, available at

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 2014 (please note may be subject to change):

  • Friday, 21 February 2014, cut-off date for Applications: Friday, 31 January 2014
  • Friday, 16 May 2014, cut-of date for Applications: Thursday, 17 April 2014
  • Friday, 22 August 2014, cut-of date for Applications: Friday, 1 August 2014
  • Thursday, 13 November 2014, cut-of date for Applications: Friday, 24 October 2014

Second-Tier Renewal Reminder: Attention those facilities that are due to expire on 30 June 2014 should re-apply to the STAC meeting proposed for Friday, 16 May 2014, the cut-off date for applications to be received by APHA is Thursday, 17 April 2014.