CBT Rates 2023

Consultation Rates For GP & Specialists 2023

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 470.10R 376.08**R 470.10
14GENERAL PRACTITIONERR 451.60R 361.28* R 523.50
16GYNAECOLOGISTR 497.80R 398.24**R 497.80
17PULMONOLOGISTR 719.00R 575.20**R 719.00
18SPECIALIST PHYSICIANR 719.00R 575.20**R 719.00
19GASTROENTEROLOGISTR 719.00R 575.20**R 719.00
20NEUROLOGISTR 719.00R 575.20**R 719.00
21CARDIOLOGISTR 719.00R 575.20**R 719.00
23MEDICAL ONCOLOGISTR 719.00R 575.20**R 719.00
24NEUROSURGERYR 719.00R 575.20**R 719.00
26OPTHALMOLOGISTR 470.10R 376.08**R 470.10
27HAEMATOLOGISTR 719.00R 575.20**R 719.00
28ORTHOPAEDICSR 470.10R 376.08**R 470.10
30E N T (OTORHINOLARYNGOLOGIST)R 470.10R 376.08**R 470.10
31RHEUMATOLOGISTR 719.00R 575.20**R 719.00
32PAEDIATRICIANR 719.00R 575.20**R 719.00
34PHYSICAL MEDICINER 719.00R 575.20**R 719.00
36PLASTIC SURGERYR 470.10R 376.08**R 470.10
40RADIATION ONCOLOGISTR 470.10R 376.08**R 470.10
42SURGEONR 470.10R 376.08**R 470.10
44CARDIO THORACICR 719.00R 575.20**R 719.00
46UROLOGYR 470.10R 376.08**R 470.10
52PATHOLOGY CLINICALR 470.10R 376.08**R 470.10
53PATHOLOGY ANATOMICALR 470.10R 376.08**R 470.10

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 to CAMAF website for list of approved Network GPs
** 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 2023

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, Vital Plus, Vital Network, First Choice & Network Choice
Tariff codePractice descriptionCAMAF BASE TARIFF80% CAMAF BASE TARIFF
8101 orDENTAL EXAMINATIONR 290.60R 232.48
8104LIMITED ORAL EXAMINATIONR 140.90R 112.72

CAMAF Optical Rates 2023

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

Pr TypeTariffAlliance, Double Plus, Vital & Essential PlusTariffAlliance Network & Double NetworkFirst Choice & Network Choice
7011001 orR 682.0011001 orR 600.00REFER TO PPN
7011081 orR 719.0011081 orR 600.00REFER TO PPN
70001 orR 600.00
70002 orR 500.00
70003 orR 550.00
70004R 460.00