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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 - 2022

Ambulance Gazette 2022

Ambulance Tariff of Fees as from 1 April 2022

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)

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

 

 

 

*102

Up to 60 minutes

2496.63

2496.63

2496.63

*103

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

624.90

624.90

624.90

 

Long distance (more than 100km)

 

 

 

*111

Per km DISTANCE TRAVELLED WITH PATIENT

31.10

31.10

31.10

112

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

13.98

13.98

13.98

 


 

 

 

2

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

--

3299.43

3299.43

*127

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

 

843.37

843.37

 

Long distance (more than 100 km)

 

 

 

*129

Per km DISTANCE TRAVELLED WITH PATIENT

--

42.12

42.12

130

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

--

13.98

13.98

 

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

 

 

 

*131

Up to 60 minutes

--

--

5236.31

*133

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

--

--

1709.36

 

Long distance (more than 100 km)

 

 

 

*141

Per km DISTANCE TRAVELLED WITH PATIENT

--

--

75.78

142

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

--

--

13.98

 


 

 

 

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

 

--

 

5746.06

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

--

 

1651.27

 

 

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.

 

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.
2. 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

13

11

9

AMOUNT PAYABLE

5

AIR AMBULANCE: ROTORWING

Rotorwing Type A: Transport




300

Basic call cost

--

--

11949.92

PLUS

Flying time

 

 

 

301

Cost per minute up to 120 minutes

Minimum cost for 30 minutes (R5704.18) applicable

--

--

190.14

302

> 120 minutes

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

--

--

190.14

303

Hot load (a very quick and rushed load into the aircraft usually at the accident scene) (per minute) - maximum 8 minutes (R1521.12)

--

--

190.14

 

Rotorwing Type B and C (day operations): Transport

 

 

 

310

Basic call cost

--

--

21002.69

PLUS

Flying time

 

 

 

311

Cost per minute up to 120 minutes

Minimum cost for 30 minutes (R9842.85) applicable

--

--

328.09

312

> 120 minutes

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

--

--

328.09

313

Hot load (a very quick and rushed load into the aircraft usually at the accident scene) (per minute) - maximum 8 minutes (R2624.76)

--

--

328.09

 

Rotorwing Type C (night operations): Transport

 

 

 

315

Basic call cost

--

--

29874.18

PLUS

Flying time

 

 

 

316

Cost per minute up to 120 minutes

Minimum cost for 30 minutes (R9842.85) applicable

--

--

328.09

317

> 120 minutes

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

--

--

328.09

318

Hot load (a very quick and rushed load into the aircraft usually at the accident scene) (per minute) - maximum 8 minutes (R2624.76)

--

--

328.09

 

Rotorwing Type A, B and C: Staff and consumables

 

 

 

320

 0 - 30 minutes

--

--

1852.93

321

31 - 60 minutes

--

--

3705.84

322

61 - 90 minutes

--

--

5558.95

323

91 minutes or more

--

--

7411.66

 

Rotorwing Type D: Transport

 

 

 

330

Basic call cost

--

--

25202.95

PLUS

Flying time

 

 

 

331

Cost per minute up to 120 minutes

Minimum cost for 30 minutes (R11738.35) applicable

--

--

391.28

332

> 120 minutes

--

--

391.28

 

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

 

 

 

333

Hot load (a very quick and rushed load into the aircraft usually at the accident scene) (per minute) - maximum 8 minutes (R3130.23)

--

--

391.28

 

OTHER COSTS

 

 

 

340

Winching (per lift)

--

--

3231.36

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

--

--

65.44

401

Lear 24F

--

--

74.28

402

Lear 35

--

--

74.28

403

Falcon 10

--

--

85.91

404

King Air 200

--

--

68.06

405

Mitsubishi MU2

--

--

74.28

406

Cessna 402

--

--

41.32

407

Beechcraft Baron

--

--

35.68

408

Citation 2

--

--

56.43

409

Pilatus PC12

--

--

56.43

 

Fixed wing Group A: Staff cost

 

 

 

420

Doctor - cost per minute spent with the patient

Minimum cost for 30 minutes (R2675.83) applicable

--

--

89.19

421

ICU Sister - cost per minute spent with the patient

Minimum cost for 30 minutes (R977.48) applicable

--

--

32.58

422

Paramedic - cost per minute spent with the patient

Minimum cost for 30 minutes (R977.48) applicable

--

--

32.58

 

Fixed wing Group A: Equipment cost

 

 

 

430

Per patient - cost per minute

Minimum cost for 30 minutes (R796.99) applicable

--

--

26.57

 

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.