CBT Rates 2021

CONSULTATION RATES FOR GP & SPECIALISTS 2021
Practice TypeCONSULTATION TARIFF CODES

0190/0191/0192 – Out of Hospital
Alliance, Double Plus
& First Choice
Alliance, Double Plus
& First Choice
Network Choice
DisciplinePractice descriptionCAMAF BASE TARIFF80% CAMAF BASE TARIFF100% CAMAF BASE TARIFF
12DERMATOLOGIST444.30355.44**444.30
14GENERAL PRACTITIONER426.86341.49* 474.86
16GYNAECOLOGIST470.47376.40**470.47
17PULMONOLOGIST679.56543.68**679.56
18SPECIALIST PHYSICIAN679.56543.68**679.56
19GASTROENTEROLOGIST679.56543.68**679.56
20NEUROLOGIST679.56543.68**679.56
21CARDIOLOGIST679.56543.68**679.56
23MEDICAL ONCOLOGIST679.56543.68**679.56
24NEUROSURGERY679.56543.68**679.56
26OPTHALMOLOGIST444.30355.44**444.30
27HAEMATOLOGIST444.30355.44**444.30
28ORTHOPAEDICS444.30355.44**444.30
30E N T (OTORHINOLARYNGOLOGIST)444.30355.44**444.30
31RHEUMATOLOGIST679.56543.68**679.56
32PAEDIATRICIAN679.56543.68**679.56
34PHYSICAL MEDICINE679.56543.68**679.56
36PLASTIC SURGERY444.30355.44**444.30
40RADIATION ONCOLOGIST444.30355.44**444.30
42SURGEON444.30355.44**444.30
44CARDIO THORACIC679.56543.68**679.56
46UROLOGY444.30355.44**444.30
52PATHOLOGY CLINICAL444.30355.44**444.30
53PATHOLOGY ANATOMICAL444.30355.44**444.30

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.
*100% CAMAF agreed rates
*Refer CAMAF website for list of approved Network GP’s
**Consultations requires a Network GP referral

DENTAL CONSULTATION RATES ALLIANCE, DOUBLE PLUS, FIRST CHOICE, VITAL & NETWORK CHOICE 2021
Practice Type: Dentist (Pr 54)CONSULTATION TARIFF CODES

8101/8104 – Out of Hospital
Alliance, Double Plus,
First Choice, Network Choice
Alliance, Double Plus
Tariff codePractice descriptionCAMAF BASE TARIFF80% CAMAF BASE TARIFF
8101 orDENTAL EXAMINATIONR 263.60R 210.88
8104LIMITED ORAL EXAMINATIONR 127.80R 102.24

CAMAF OPTICAL RATES 2021

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

Pr TypeTariffALLIANCE, DOUBLE PLUS,
VITAL, ESSENTIAL PLUS
FIRST CHOICE, NETWORK CHOICE
7011001 or634.20REFER TO PPN
7011081741.30REFER TO PPN

 

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