Compensation for Occupational Injuries and Diseases Act, 1993 (Act No. 130 of 1993)

Scale of Fees

Annual Increase in Medical Tariffs for Medical Service Providers - 2020

Ambulance, Private Hospital and Blood Services

Private Ambulance Services

Tariff Schedule effective 1 April 2020

Purchase

*PLEASE NOTE: VAT cannot be added on the following codes: 102, 103, 111, 125, 127, 129, 131,133 and 141.

VAT will only be paid with confirmation of a VAT registration number on the account.

CODE

DESCRIPTION OF SERVICE

Practice Code

013

011

009

AMOUNT PAYABLE

BASIC LIFE SUPPORT

(Rule 001: Metropolitan area and long distance codes may not be claimed simultaneously)

Metropolitan area (less than 100 kilometres)

No account may be levied for distance back to the base in the metropolitan area

*102

Up to 60 minutes

2367.14

*103

Every 15 minutes (or part thereof) thereafter, where specifically motivated

592.49

Long distance (more than 100km)

*111

Per km DISTANCE TRAVELLED WITH PATIENT

29.49

112

Per km NON PATIENT CARRYING KILOMETRES (With maximum of 400 km)

13.25

INTERMEDIATE LIFE SUPPORT

(Rule 001: metropolitan area and long distance codes may not be claimed simultaneously)

Metropolitan area (less than 100 kilometres)

No account may be billed for the distance back to the base in the metropolitan area

*125

Up to 60 minutes

3128.32

*127

Every 15 minutes (or part thereof) thereafter, where specially motivated

799.63

Long distance (more than 100 km)

*129

Per km DISTANCE TRAVELLED WITH PATIENT

39.94

130

Per km NON PATIENT CARRYING KILOMETRES (With maximum of 400 km)

13.25

* VAT Exempted codes

ADVANCED LIFE SUPPORT/INTENSIVE CARE UNIT

(Rule 001: Metropolitan area and long distance codes may not be claimed simultaneously)

Metropolitan area (less than 100 kilometres)

No account may be billed for the distance back to the base in the metropolitan area

*131

Up to 60 minutes

4964.74

*133

Every 15 minutes (or part thereof) thereafter, where specially motivated

1620.71

Long distance (more than 100 km)

*141

Per km DISTANCE TRAVELLED WITH PATIENT

71.85

142

Per km NON PATIENT CARRYING KILOMETRES (With maximum of 400 km)

13.25

ADDITIONAL VEHICLE OR STAFF FOR INTERMEDIATE LIFE SUPPORT, ADVANCED LIFE SUPPORT AND INTENSIVE CARE UNIT

151

Resuscitation fee, per incident, for a second vehicle with paramedic and/or other staff (all materials and skills included)

Note: A resuscitation fee may only be billed for when a second vehicle (response vehicle or ambulance) with staff (including a paramedic) attempt to resuscitate the patient using full ALS interventions. These interventions must include one or more of the following:

•	Administration of advanced cardiac life support drugs

•	Cardioversion - synchronised or unsynchronised (defibrillation)

•	External cardiac pacing

•	Endotracheal intubation (oral or nasal) with assisted ventilation

5448.05

153

Doctor per hour

Note: Where a doctor callout fee is charged the name, HPCSA registration number and BHF practice number of the doctor must appear on the bill. Medical motivation for the callout must be supplied.

* VAT Exempted codes

1565.63

AEROMEDICAL TRANSFERS

ROTOR WING RATES

Definitions:

1.	Helicopter rates are determined according to the aircraft type.

2.	Daylight operations are defined from sunrise to sunset (and night operations from sunset to sunrise).

3.	If flying time is mostly in night time (as per definition above), then night time operation rates (type C) should be billed.

4.	The call out charge includes the basic call cost plus other flying time incurred. Staff and consumables cost can only be charged if a patient were treated.

5.	Should a response aircraft respond to a scene (at own risk) and not render any treatment, a bill may not be levied for the said response.

6.	Flying time is billed per minute but a minimum of 30 minutes applies to the payment.

7.	A second patient is transferred at 50% reduction of the basic call and flight costs, but staff and consumables costs remain billed per patient, only if the aircraft capability allows for multiple patients. Rule 005 must be quoted on the account.

8.	Rates are calculated according to time; from throttle open, to throttle closed.

9.	Group A - C must fall within the Cat 138 Ops as determined by the Civil Aviation Authority.

10.	Hot loads are restricted to 8 minutes ground time and must be indicated and billed for separately with the indicated code (time NOT to be included in actual flying time).

11.	All published tariffs exclude VAT. VAT can be charged on air ambulances if a VAT registration number is supplied.

AIRCRAFT TYPE A: (typically a single engine aircraft)

HB206L, HB204/205, HB407, AS360, EC120, MD600, AS350, A119

AIRCRAFT TYPE B & Ca (DAY OPERATIONS): (typically a twin engine aircraft)

BO105, 206CT, AS355, A109

AIRCRAFT TYPE Cb (NIGHT OPERATIONS): (typically a specially equipped craft for night flying)

HB222, HB212/412, AS365, S76, HB427, MD900, BK117, EC135, BO105

AIRCRAFT TYPE D (RESCUE)

H500, HB206B, AS350, AS315, FH1100, EC130, S316

FIXED WING TARIFFS:

Definitions:

1.	Group A must fall within the Cat 138 Ops as determined by the Civil Aviation Authority.

Please note that no fee structure has been provided for Group B, as emergency charters could include any form of aircraft. It would be impossible to specify costs over such a broad range. As these would only be used during emergencies when no Group A aircraft are available, no staff or equipment fee should be charged.

3.	All published tariffs exclude VAT. VAT can be charged on air ambulances only if a VAT registration number is supplied on the account.

4.	Staff and consumables cost can only be charged if a patient were treated.

5.	A second patient is transferred at 50% reduction of the basic call and flight cost, but staff and consumables costs remain billed per patient, only if the aircraft capability allows for multiple patients. Rule 005 must be quoted on the account.

GROUP B - EMERGENCY CHARTERS

1.	No staff and equipment fee are allowed.

2.	Cost will be reviewed per case.

3.	Payment of emergency transport will only be allowed if a Group A aircraft is not available within an optimal time period for transportation and stabilisation of the patient.

CODE	DESCRIPTION OF SERVICE	Practice Code
		013	011	009
		AMOUNT PAYABLE
5	AIR AMBULANCE: ROTORWING Rotorwing Type A: Transport

300	Basic call cost	--	--	11330.16
PLUS	Flying time
301	Cost per minute up to 120 minutes Minimum cost for 30 minutes (R5408.35) applicable	--	--	180.28
302	> 120 minutes Supply motivation for not using a fixed wing ambulance if the time exceeds 120 minutes	--	--	180.28
303	Hot load (per minute) - maximum 8 minutes (R1442.23)	--	--	180.28

	Rotorwing Type B and C (day operations): Transport

310	Basic call cost	--	--	19913.43

PLUS	Flying time
311	Cost per minute up to 120 minutes Minimum cost for 30 minutes (R9322.37) applicable	--	--	311.08
312	> 120 minutes Supply motivation for not using a fixed wing ambulance if the time exceeds 120 minutes	--	--	311.08
313	Hot load (per minute) - maximum 8 minutes (R2488.63)	--	--	311.08

	Rotorwing Type C (night operations): Transport

315	Basic call cost	--	--	28324.82

PLUS	Flying time
316	Cost per minute up to 120 minutes Minimum cost for 30 minutes (R9332.37) applicable	--	--	311.08
317	> 120 minutes Supply motivation for not using a fixed wing ambulance if the time exceeds 120 minutes	--	--	311.08
318	Hot load (per minute) - maximum 8 minutes (R2488.63)	--	--	311.08

	Rotorwing Type A, B and C: Staff and consumables

320	0 - 30 minutes	--	--	1756.83
321	30 - 60 minutes	--	--	3513.64
322	60 - 90 minutes	--	--	5270.65
323	90 minutes or more	--	--	7027.27

	Rotorwing Type D: Transport

330	Basic call cost	--	--	23895.85

PLUS	Flying time
331	Cost per minute up to 120 minutes Minimum cost for 30 minutes (R11129.57) applicable	--	--	370.99
332	> 120 minutes	--	--	370.99
	Supply motivation for not using a fixed wing ambulance if the time exceeds 120 minutes
333	Hot load (per minute) - maximum 8 minutes (R2967.88)	--	--	370.99

	OTHER COSTS

340	Winching (per lift)	--	--	3063.78

6	AIR AMBULANCE: FIXED WING

	Fixed wing Group A (Tariff is composed of flying cost per kilometre and staff and equipment cost per minute).

	Fixed wing Group A: Aircraft cost

400	Beechcraft Duke	--	--	62.04
401	Lear 24F	--	--	70.43
402	Lear 35	--	--	70.43
403	Falcon 10	--	--	81.46
404	King Air 200	--	--	64.53
405	Mitsubishi MU2	--	--	70.43
406	Cessna 402	--	--	39.17
407	Beechcraft Baron	--	--	33.83
408	Citation 2	--	--	53.50
409	Pilatus PC12	--	--	53.50

	Fixed wing Group A: Staff cost

420	Doctor - cost per minute spent with the patient Minimum cost for 30 minutes (R2537.05) applicable	--	--	84.57
421	ICU Sister - cost per minute spent with the patient Minimum cost for 30 minutes (R926.78) applicable	--	--	30.89
422	Paramedic - cost per minute spent with the patient	--	--	30.89
	Minimum cost for 30 minutes (R926.78) applicable

	Fixed wing Group A: Equipment cost

430	Per patient - cost per minute Minimum cost for 30 minutes (R755.65) applicable	--	--	25.19

	Fixed wing Group B: Emergency charters

450	Services rendered should be clearly specified with cost included. Each case will be reviewed and assessed on merit.

Compensation for Occupational Injuries and Diseases Act, 1993 (Act No. 130 of 1993)

Scale of Fees

Annual Increase in Medical Tariffs for Medical Service Providers - 2020

Ambulance, Private Hospital and Blood Services

Private Ambulance Services

Tariff Schedule effective 1 April 2020

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