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Medical Practitioners 2005 - Council for Medical …

Medical Practitioners 2005 20 Jul 2005 Page 1 of 183 Version NATIONAL REFERENCE PRICE LIST FOR SERVICES BY Medical Practitioners , EFFECTIVE FROM 1 JANUARY 2005 The following reference price list is not a set of tariffs that must be applied by Medical schemes and/or providers. It is rather intended to serve as a baseline against which Medical schemes can individually determine benefit levels and health service providers can individually determine fees charged to patients. Medical schemes may, for example, determine in their rules that their benefit in respect of a particular health service is equivalent to a specified percentage of the national health reference price list. It is especially intended to serve as a basis for negotiation between individual funders and individual health care providers with a view to facilitating agreements which will minimise balance billing against members of Medical schemes.

Medical Practitioners 2005 20 Jul 2005 Page 2 of 183 Version 02.06 K. Practice of specialists: In terms of the conditions in respect of the practice of specialists as published in Government Gazette No. 12958 of 11 January 1991, a …

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