http://www.ipafoundation.co.za/Attachments/2013%20KeyCare%20GP%20rates.pdf

1 12 December 2012 Dear Doctor Discovery Health KeyCare Primary Care Network Thank you for your continued participation in the KeyCare Primary Care Network. We recognise the important role you play in ensuring the ongoing success of this plan. Through our combined efforts, KeyCare continues to make a major contribution to increasing access to private healthcare for a growing sector of the South African population. In light of this, we have now extended the KeyCare range and introduced the KeyCare Access Plan. Members on this plan option will have the same GP day-to-day benefits as members on the KeyCare Plus Plan but limited access to private specialist and hospital care.

2 KeyCare GP rates 2013 There will be a increase on consultation fees. The 2013 rates are as follows: Payment model Non-Dispensing Dispensing Fee for Service model Semi-capitation model In addition to the consultation fees above, an overall weighted increase was applied to the capitation model as well. Doctors on the capitation arrangement will receive payment according to the following demographic tables, taking into account differences in underlying practice demographics. Dispensing Non-dispensing Age (years) Female Male Female Male 0 1 - 4 5 - 9 10 - 19 20 - 24 25 - 29 30 - 34 35 - 54 55 - 64 65 - 74 75+ There will be a increase on the procedures that GP s can perform in their rooms.

3 Doctors will be reimbursed irrespective of which network they are on, for the following procedures: Code Description Reimbursement 0146 Emergency Consultation at doctors' rooms 0147 Emergency Consultation away from doctors' rooms 0255 Drainage of abscess 0259 Removal of foreign body 0300 Stitching of wound 0301 Stitching of additional wound 0307 Excision and repair 0887 POP 2133 Circumcision: Clamp procedure 2137 Circumcision: Surgical excision other than by clamp or dorsal slit, any age 2139 Circumcision: Dorsal slit of prepuce (independent procedure) Each dependant is entitled to three emergency visits at their chosen GP during the year.

4 Health Professional Zone website The Discovery Health Professional Zone website provides your practice with a user-friendly, real-time desktop application, which enables you to: reduce costs and administration required to manage your patients, easily access information regarding your patients, formularies, network specialists and hospitals. You will be able to access all the KeyCare GP rates and the GP pack on the Discovery Health Professional Zone at from mid-December 2012. The annual hard copy of the GP pack will be distributed to you early in 2013. If you need any further information, please log onto or email us at Kind regards Dr Maurice Goodman Head of Health Profession Strategy Discovery Health