New coding structure (14% VAT included)
Tariff code / Description / Tariff

1.  Medical Examinations

1.1.  General Practitioners
A1101 / Standard Medical Report including copies of specialist reports or special investigations / R 742,60
A1102 / Standard Medical Report without any copies of specialist reports or special investigations / R 597.10
A1103 / Short Medical Report or abbreviated variations thereof / R 297.10
A1105 / Cardiovascular Examination and Report only / R 297.10
A1106 / Three blood pressure recordings during one visit / R 297.10

Certificate of Existence for a Claim | 05/03 | V22 Page 2 of 4

1.2.  Specialist Physicians
A2100 / Standard Medical Report including copies of specialist reports or special investigations / R 1 067,30
A2200 / Standard Medical Report with resting ECG only - 12 leads / R 1 394,20
A2300 / Standard Medical Report with Effort ECG (resting, post-effort, 3- and 6 minutes post recovery tracings) / R 1542.80
A2401 / Examination and completion of questionnaire on cardiovascular system / R 640.40
A2402 / Examination and completion of questionnaire on cardiovascular system, including resting 12-lead ECG / R 960.70
A2403 / Examination and completion of questionnaire on cardiovascular system, including effort ECG / R 1138.70
1.3.  Nurses (doctor delegated exams, in fulltime employment of a doctor)
A1103 / Short Medical Report or abbreviated variations thereof / R 297.10
A1104 / Body mass index (BMI) assessment / R 58.00
A1106 / Three blood pressure recordings during one visit / R 297.10

2.  Sample Collection (General Practitioners and Specialist Physicians)

A1202 / Collection of blood sample(s) for pathological examination(s), per venesection / R 118.90

3.  Electrocardiograms (General Practitioners and Specialist Physicians)

A1301 / Resting ECG only - 12 leads / R 326.80
A1302 / Effort ECG (including resting, immediately post-effort, 3- and 6 minutes post-effort tracings) / R 475.40

4.  Lung Function Tests (General Practitioners and Specialist Physicians)

A1306 / Lung function test with vitallometer (no interpretation or report) / R 297.10

5.  Extracts from Records/Special Questionnaires (General Practitioners and Specialist Physicians)

A1401 / Personal Medical Attendant Report / R 356.60
A1402 / Copies of previous reports / R 237.60
A1403 / Completion of specific reports by General Practitioner (e.g.: Diabetes, Asthma reports etc.) / R 297.10
A1404 / Loan of one or more ECG’s / R 118.90
A1405 / Report for deceased estate / R 356.50
A1450 / Completion of specific reports by Specialist (e.g.: psychological/nervous disorders questionnaire/blood pressure treatment) / R 355.70

6.  Counselling (General Practitioners and Specialist Physicians)

A1501 / HIV Post-Test Counselling / R 594.10

7.  Radiology (Specialist Radiologists)

A3101 / X-ray chest PA and lateral / R 640.30
A3103 / X-ray chest PA only / R 498.10

8.  Reports by Specialists Physicians

A4101 / Copies of previous reports / R 284.60
A4102 / PMA by a Specialist / R 426.90
A4103 / PMA by a GP or Specialist with copies of previous reports and test results / R 533.60

Hollard Life Insurance Medical Tariff Codes for 2017 | 05/17 | V1 Page 2 of 2