CBT Rates 2021

CONSULTATION RATES FOR GP & SPECIALISTS 2021

Practice Type	CONSULTATION TARIFF CODES 0190/0191/0192 – Out of Hospital	Alliance, Double Plus & First Choice	Alliance, Double Plus & First Choice	Network Choice
Discipline	Practice description	CAMAF BASE TARIFF	80% CAMAF BASE TARIFF	100% CAMAF BASE TARIFF
12	DERMATOLOGIST	444.30	355.44	**444.30
14	GENERAL PRACTITIONER	426.86	341.49	* 474.86
16	GYNAECOLOGIST	470.47	376.40	**470.47
17	PULMONOLOGIST	679.56	543.68	**679.56
18	SPECIALIST PHYSICIAN	679.56	543.68	**679.56
19	GASTROENTEROLOGIST	679.56	543.68	**679.56
20	NEUROLOGIST	679.56	543.68	**679.56
21	CARDIOLOGIST	679.56	543.68	**679.56
23	MEDICAL ONCOLOGIST	679.56	543.68	**679.56
24	NEUROSURGERY	679.56	543.68	**679.56
26	OPTHALMOLOGIST	444.30	355.44	**444.30
27	HAEMATOLOGIST	444.30	355.44	**444.30
28	ORTHOPAEDICS	444.30	355.44	**444.30
30	E N T (OTORHINOLARYNGOLOGIST)	444.30	355.44	**444.30
31	RHEUMATOLOGIST	679.56	543.68	**679.56
32	PAEDIATRICIAN	679.56	543.68	**679.56
34	PHYSICAL MEDICINE	679.56	543.68	**679.56
36	PLASTIC SURGERY	444.30	355.44	**444.30
40	RADIATION ONCOLOGIST	444.30	355.44	**444.30
42	SURGEON	444.30	355.44	**444.30
44	CARDIO THORACIC	679.56	543.68	**679.56
46	UROLOGY	444.30	355.44	**444.30
52	PATHOLOGY CLINICAL	444.30	355.44	**444.30
53	PATHOLOGY ANATOMICAL	444.30	355.44	**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 code	Practice description	CAMAF BASE TARIFF	80% CAMAF BASE TARIFF
8101 or	DENTAL EXAMINATION	R 263.60	R 210.88
8104	LIMITED ORAL EXAMINATION	R 127.80	R 102.24

CAMAF OPTICAL RATES 2021

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

Pr Type	Tariff	ALLIANCE, DOUBLE PLUS, VITAL, ESSENTIAL PLUS	FIRST CHOICE, NETWORK CHOICE
70	11001 or	634.20	REFER TO PPN
70	11081	741.30	REFER TO PPN