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Hospital insurance as represented by a code under one of the following categories:

  • Registered insurance - hospital insurance with a health insurance fund registered under the National Health Act 1953 (Cwlth)
  • General insurance - hospital insurance with a general insurance company under a guaranteed renewable policy providing benefits similar to those available under registered insurance
  • No hospital insurance or benefits coverage under the above.


Data Element (this item)


This representation is based on the value domain for this data element, more information is available at " Hospital insurance status code N ".
Data Type Number
Format N
Maximum character length 1
Value Meaning Start Date End Date
Permissible Values 2 No hospital insurance
1 Hospital insurance
Supplementary Values 9 Unknown


Guide for use:

Persons covered by insurance for benefits of ancillary services only are included in 2 - no hospital insurance.

The 'unknown' category should not be used in primary collections but can be used to record unknown insurance status in databases.

This metadata item is to determine whether the patient has hospital insurance, not their method of payment for the episode of care.

National Health Data Committee


Insurance status was reviewed and modified to reflect changes to new private health insurance arrangements under the Health Legislation (Private Health Insurance Reform) Amendment Act 1995.

Employee health benefits schemes became illegal with the implementation of Schedule 2 of the private health insurance reforms, effective on 1 October 1995.

Under Schedule 4 of the private health insurance reforms, on 1 July 1997, the definition of the 'basic private table' or 'basic table', and 'supplementary hospital table' and any references to these definitions was omitted from the National Health Act 1953. All hospital tables offered by registered private health insurers since 29 May 1995 have been referred to as 'Applicable Benefits Arrangements' and marketed under the insurer's own product name.


Related content

Relation Count
Use within a Question 0
Inclusion in Data Distributions 0
As a numerator in an Indicator 0
As a denominator in an Indicator 0
As a disaggregation in an Indicator 0