CBT Rates 2019

CONSULTATION RATES FOR GP & SPECIALISTS 2019

Practice Type

Discipline

12
14
16
17
18
19
20
21
23
24
26
27
28
30
31
32
34
36
40
42
44
46
52
53

CONSULTATION TARIFF CODES
0190/0191/0192 – Out of Hospital

Practice description

DERMATOLOGIST
GENERAL PRACTITIONER
GYNAECOLOGIST
PULMONOLOGIST
SPECIALIST PHYSICIAN
GASTROENTEROLOGIST
NEUROLOGIST
CARDIOLOGIST
MEDICAL ONCOLOGIST
NEUROSURGERY
OPTHALMOLOGIST
HAEMATOLOGIST
ORTHOPAEDICS
E N T (OTORHINOLARYNGOLOGIST)
RHEUMATOLOGIST
PAEDIATRICIAN
PHYSICAL MEDICINE
PLASTIC SURGERY
RADIATION ONCOLOGIST
SURGEON
CARDIO THORACIC
UROLOGY
PATHOLOGY CLINICAL
PATHOLOGY ANATOMICAL

Alliance, Double Plus &
First Choice

CAMAF BASE TARIFF

401.20
393.20
424.80
613.60
613.60
613.60
613.60
613.60
613.60
613.60
401.20
613.60
401.20
401.20
613.60
613.60
613.60
401.20
401.20
401.20
613.60
401.20
401.20
401.20

Alliance, Double Plus &
First Choice

80% CAMAF BASE TARIFF

320.96
314.56
339.84
490.88
490.88
490.88
490.88
490.88
490.88
490.88
320.96
490.88
320.96
320.96
490.88
490.88
490.88
320.96
320.96
320.96
490.88
320.96
320.96
320.96

Preventative Wellness consultations are paid at 100% CBT, subject to the correct ICD10 code.

Day to day consultations are paid at 80% CBT, subject to funds available in the member’s Other benefit limit.

DENTAL CONSULTATION RATES ALLIANCE, DOUBLE PLUS, FIRST CHOICE, VITAL & NETWORK CHOICE 2019

Practice Type: Dentist (Pr 54)

 

Tariff code

8101 or
8104

CONSULTATION TARIFF CODES

8101/8104 – Out of Hospital

 

Practice description

DENTAL EXAMINATION
LIMITED ORAL EXAMINATION

Alliance, Double Plus, First Choice,

Network Choice (from dentist

 network)

CAMAF BASE TARIFF

R 238.00
R 115.40

Alliance, Double Plus

 

 

80% CBT

R 190.40
R 92.32

CAMAF OPTICAL RATES 2019

Code 11001 or 11081 wellness and pays 100% optical assistant rates

 

Pr Type

70
70

Tarrif

11001 or
11081

ALLIANCE, DOUBLE PLUS, VITAL

573
669

FIRST CHOICE, NETWORK CHOICE

REFER TO PPN
REFER TO PPN

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