CBT Rates 2022

CONSULTATION RATES FOR GP & SPECIALISTS 2022
Practice TypeCONSULTATION TARIFF CODES

0190/0191/0192 – Out of Hospital
Alliance Plus, Alliance Network, Double Plus, Double Network & First ChoiceAlliance Plus, Alliance Network, Double Plus, Double Network & First ChoiceNetwork Choice
DisciplinePractice descriptionCAMAF BASE TARIFF80% CAMAF BASE TARIFF100% CAMAF BASE TARIFF
12DERMATOLOGISTR 444.30R 355.44**R 444.30
14GENERAL PRACTITIONERR 426.86R 336.00* R 494.80
16GYNAECOLOGISTR 470.47R 376.40**R 470.47
17PULMONOLOGISTR 679.56R 543.68**R 679.56
18SPECIALIST PHYSICIANR 679.56R 543.68**R 679.56
19GASTROENTEROLOGISTR 679.56R 543.68**R 679.56
20NEUROLOGISTR 679.56R 543.68**R 679.56
21CARDIOLOGISTR 679.56R 543.68**R 679.56
23MEDICAL ONCOLOGISTR 679.56R 543.68**R 679.56
24NEUROSURGERYR 679.56R 543.68**R 679.56
26OPTHALMOLOGISTR 444.30R 355.44**R 444.30
27HAEMATOLOGISTR 679.56R 543.68**R 679.56
28ORTHOPAEDICSR 444.30R 355.44**R 444.30
30E N T (OTORHINOLARYNGOLOGIST)R 444.30R 355.44**R 444.30
31RHEUMATOLOGISTR 679.56R 543.68**R 679.56
32PAEDIATRICIANR 679.56R 543.68**R 679.56
34PHYSICAL MEDICINER 679.56R 543.68**R 679.56
36PLASTIC SURGERYR 444.30R 355.44**R 444.30
40RADIATION ONCOLOGISTR 444.30R 355.44**R 444.30
42SURGEONR 444.30R 355.44**R 444.30
44CARDIO THORACICR 679.56R 543.68**R 679.56
46UROLOGYR 444.30R 355.44**R 444.30
52PATHOLOGY CLINICALR 444.30R 355.44**R 444.30
53PATHOLOGY ANATOMICALR 444.30R 355.44**R 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 Nominated Network GP referral

DENTAL CONSULTATION RATES ALLIANCE PLUS, ALLIANCE NETWORK, DOUBLE PLUS, DOUBLE NETWORK, VITAL PLUS, VITAL NETWORK, NETWORK CHOICE & FIRST CHOICE 2022
Practice Type: Dentist (Pr 54)CONSULTATION TARIFF CODES

8101/8104 – Out of Hospital
Alliance Plus, Alliance Network, Double Plus, Double Network, Vital Plus, Vital Network, First Choice & Network ChoiceAlliance Plus, Alliance Network, Double Plus, Double Network
Tariff codePractice descriptionCAMAF BASE TARIFF80% CAMAF BASE TARIFF
8101 orDENTAL EXAMINATIONR 274.60R 219.68
8104LIMITED ORAL EXAMINATIONR 133.20R 106.56

CAMAF OPTICAL RATES 2022

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

Pr TypeTariffAlliance Plus, Alliance Network, Double Plus, Double Network, Vital Plus, Vital Network, Essential Plus & Essential NetworkFirst Choice & Network Choice
7011001 orR 660.80REFER TO PPN
7011081R 772.40REFER TO PPN

 

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