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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 - 2024

Ambulance Gazette 2024

Ambulance Tariff of Fees as from 1 April 2024 (Practice Type 009)

Tariffs and Codes

 

CODE

DESCRIPTION OF SERVICE

13

11

9

1

BASIC LIFE SUPPORT

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

Metropolitan area (less than 100 kilometres)

100

Up to 45 minutes

2029.70

2029.70

2029.70

*102

Up to 60 minutes

2736.70

2736.70

2736.70

*103

Every 15 minutes or part thereof thereafter where specially motivated

684.99

684.99

684.99

 

Long distance (more than 100km)

 

 

 

*111

Per km DISTANCE TRAVELLED WITH PATIENT

34.10

34.10

34.10

112

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

15.32

15.32

15.32

*VAT Exempted codes

 


 

 

 

2

INTERMEDIATE LIFE SUPPORT

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

Metropolitan area (less than 100 kilometres)

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

*125

Up to 60 minutes

--

3616.71

3616.71

*127

Every 15 minutes thereafter or part thereof, where specially motivated

 

924.47

924.47

 

Long distance (more than 100 km)

 

 

 

*129

Per km DISTANCE TRAVELLED WITH PATIENT

--

46.17

46.17

130

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

--

15.32

15.32

 

* VAT Exempted codes

 

 

 

 


 

 

 

3

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 invoice may be billed for the distance back to the base in the metropolitan area

*131

Up to 60 minutes

--

--

5739.83

*133

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

--

--

1873.73

 

Long distance (more than 100 km)

 

 

 

*141

Per km DISTANCE TRAVELLED WITH PATIENT

--

--

83.07

142

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

--

--

15.32

 

* Vat Exempted codes

 

 

 

 


 

 

 

4

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

Note applies to both resuscitation by ALS provider and Doctor

 

--

--

6298.60

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.

Note applies to both resuscitation by ALS provider and Doctor

 

--

--

1810.06

 

 

AEROMEDICAL TRANSFERS

ROTORWING RATES (Wings spins to provide aerodynamic lift e.g. helicopter)

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 invoice.
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).

 

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

 

Air Ambulance : Rotorwing

CODE

CODE DESCRIPTION

Practice Code

13

11

9

5

Rotorwing Type A: Transport

300

Basic call cost

--

--

13099.03

PLUS

Flying time

 

 

 

301

Cost per minute up to 120 minutes

Minimum cost for 30 minutes (R6252.70) applicable

--

--

208.42

302

> 120 minutes

Supply motivation for not using a fixed wing ambulance if the time exceeds 120 minutes

--

--

208.42

303

Hot load (a very quick and rushed load into the aircraft usually at the accident scene) (per minute) - maximum 8 minutes (R1667.39)

--

--

208.42

 

Rotorwing Type B and C (Day Operations): Transport

310

Basic call cost

--

--

23022.31

PLUS

Flying time

 

 

 

311

Cost per minute up to 120 minutes

Minimum cost for 30 minutes (R10789.33) applicable

--

--

359.64

312

> 120 minutes

Supply motivation for not using a fixed wing ambulance if the time exceeds 120 minutes

--

--

359.64

313

Hot load (a very quick and rushed load into the aircraft usually at the accident scene) (per minute) - maximum 8 minutes (R2877.16)

--

--

359.64

 

Rotorwing Type C (night operations): Transport

315

Basic call cost

--

--

32746.88

PLUS

Flying time

 

 

 

316

Cost per minute up to 120 minutes

Minimum cost for 30 minutes (R10789.33) applicable

--

--

359.64

317

> 120 minutes

Supply motivation for not using a fixed wing ambulance if the time exceeds 120 minutes

--

--

359.64

318

Hot load (a very quick and rushed load into the aircraft usually at the accident scene) (per minute) - maximum 8 minutes (R2877.16)

--

--

359.64

 

Rotorwing Type A, B and C: Staff and consumables

 

 

 

320

 0 - 30 minutes

--

--

2031.11

321

31 - 60 minutes

--

--

4062.19

322

61 - 90 minutes

--

--

6093.50

323

91 minutes or more

--

--

8124.37

 

Rotorwing Type D: Transport

 

 

 

330

Basic call cost

--

--

27626.47

 

PLUS Flying time

 

 

 

331

Cost per minute up to 120 minutes

Minimum cost for 30 minutes (R12867.11) applicable

--

--

428.90

332

> 120 minutes

Supply motivation for not using a fixed wing ambulance if the time exceeds 120 minutes

--

--

428.90

333

Hot load (a very quick and rushed load into the aircraft usually at the accident scene) (per minute) - maximum 8 minutes (R3431.23)

--

--

428.90

 

OTHER COSTS

 

 

 

340

Winching (per lift)

--

--

3542.09

400

Beechcraft Duke

--

--

71.73

401

Lear 24F

--

--

81.42

402

Lear 35

--

--

81.42

403

Falcon 10

--

--

94.18

404

King Air 200

--

--

74.61

405

Mitsubishi MU2

--

--

81.42

406

Cessna 402

--

--

45.29

407

Beechcraft Baron

--

--

39.11

408

Citation 2

--

--

61.86

409

Pilatus PC12

--

--

61.86

 

Fixed wing Group A: Staff cost

 

 

 

420

Doctor - cost per minute spent with the patient

Minimum cost for 30 minutes (R2933.14) applicable

--

--

97.77

421

ICU Sister - cost per minute spent with the patient

Minimum cost for 30 minutes (R1071.47) applicable

--

--

35.72

422

Paramedic - cost per minute spent with the patient

Minimum cost for 30 minutes (R1071.47) applicable

--

--

35.72

 

Fixed wing Group A: Equipment cost

 

 

 

430

Per patient - cost per minute

Minimum cost for 30 minutes (R873.62) applicable

--

--

29.12

 

Fixed wing 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.

Services rendered should be clearly specified with cost included.

Each case will be reviewed and assessed on merit.

450

Services rendered should be clearly specified with cost included.

Each case will be reviewed and assessed on merit.

7

NATIONALLY APPROVED MEDICATION WHICH MAY BE ADMINISTERED BY HPCSA REGISTERED AMBULANCE PERSONNEL ACCORDING TO HPCSA APPROVED PROTOCOLS

 

Registered Basic Ambulance Assistant Qualification

Oxygen
Entonox
Oral Glucose

Registered Ambulance Emergency Assistant Qualification

As above, plus

Intravenous fluid therapy
Intravenous dextrose 50%
B2 stimulant nebuliser inhalant solutions (Hexoprenaline, Fenoterol, Sulbutamol)
lpratropium bromide inhalant solution
Soluble Aspirin

Registered Paramedic Qualification

As above, plus

Oral Glyceryl Trinitrate
Clopidegrol
Endotracheal Adrenaline and Atropine
Intravenous Adrenaline, Atropine, Calcium, Corticosteroids, Hydrocortisone
Lignocaine, Naloxone, Sodium Bicarbonate 8,5%, Metaclopramide
Intravenous Diazepam, Flumazenil, Furosemide, Glucagon, Lorazepam
Magnesium,Midazolam, Thiamine, Morphine, Promethazine
Pacing and synchronised cardioversion