As far as other procedures (excl consultations) are concerned Momentum Health will be increasing the general scheme rate by 5.5%.
This increase will be applicable on the current rate payable for procedures (2014).
Dispensed medicines and consumable products used as part of in-room procedures will be reimbursed as follows:
· All dispensed medicines (including unscheduled) are priced according to the SEP / List Cost Price + 30% to a maximum of R23.40 per item
· All unscheduled consumable products (0201) used during procedures are priced according to List Cost Price + 31% mark-up
· All scheduled consumable products (schedule 0 to 8) used during procedures are priced according to SEP + 30% to a maximum of R23.40 per item.