Tariff of Fees in respect of Medical Aid
II. Cost of Material

 

 

0200   Cost of prostheses and/or internal fixation cost price + 20% with a maximum markup of R1 650.00.

 

0201   Cost of material: This item provides for a charge for material and special medicine used in treatment. Material to be charged for at cost price plus 35%. Charges for medicine used in treatment not to exceed the retail Ethical Price List.

a)        External fixation apparatus (disposable): An amount equivalent to 25% of the purchase price of the apparatus may be charged where such apparatus is used.

b)        External fixation apparatus (non-disposable): An amount equivalent to 20% of the purchase price of the apparatus may be charged where such apparatus is used.

c)        In case of minor injuries requiring additional material (e.g. suturing material) payment shall be considered provided the claim is motivated.

d)        Note

e)        Medicine, bandages and other essential material for home-use by the patient must be obtained from a chemist on prescription or, if a chemist is not readily available, the practitioner may supply it from his own stock provided a relevant prescription is attached to his account. Charges for medicine used in treatment not to exceed the retail Ethical Price List.

 

0202   Setting of sterile tray: A fee of 10,00 clinical procedure units (R76.00) may be charged for the setting of a sterile tray where a sterile procedure is performed in the rooms. Cost of stitching material, if applicable, shall be charged for according to item 0201.