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Schedule of Benefits Schedule of Benefits Physician Services Under the Health Insurance Act (October 1, 2005 (as most recently amended May 1, 2015)) Ministry of Health and Long Term Care Amd 12 Draft 1 [Commentary: “The Schedule of Benefits: Physician Services is a schedule under Regulation 552 of the Health Insurance Act with the exception of the Table of Contents, Appendices A, B, C, F, G, H, Q, and the Numeric Index.”] Amd 12 Draft 1 TABLE OF CONTENTS GP. General Preamble Introduction ..................................................................................................................................................................................... GP1 Definitions ....................................................................................................................................................................................... GP2 General Information ........................................................................................................................................................................ GP6 Constituent and Common Elements of Insured Services................................................................................................................ GP9 Specific Elements of Assessments ............................................................................................................................................... GP11 Consultations ................................................................................................................................................................................ GP12 Assessments................................................................................................................................................................................. GP14 Hospital and Institutional Consultations and Assessments........................................................................................................... GP26 Psychotherapy, Psychiatric and Counselling Services ................................................................................................................. GP37 Interviews ...................................................................................................................................................................................... GP41 Delegated Procedure .................................................................................................................................................................... GP42 Age-Based Fee Premiums ............................................................................................................................................................ GP43 Special Visit Premiums ................................................................................................................................................................. GP44 Team Care in Teaching Units ....................................................................................................................................................... GP53 Surgical Assistants’ Services ........................................................................................................................................................ GP54 Anaesthesiologists’ Services......................................................................................................................................................... GP58 Supportive Care/Monitoring By Surgical Assistant or Anaesthesiologist ...................................................................................... GP64 Other Premiums ............................................................................................................................................................................ GP65 Emergency Department Sessional Fees....................................................................................................................................... GP69 Emergency Department Alternative Funding Agreements............................................................................................................ GP71 A. Consultations and Visits Family Practice & Practice in General (00) ....................................................................................................................................... A1 Anaesthesia (01) ............................................................................................................................................................................. A45 Cardiology (60)................................................................................................................................................................................ A47 Cardiac Surgery (09)....................................................................................................................................................................... A49 Clinical Immunology (62)................................................................................................................................................................. A50 Community Medicine (05) ............................................................................................................................................................... A51 Dermatology (02) ............................................................................................................................................................................ A53 Emergency Medicine (12) ............................................................................................................................................................... A56 Endocrinology & Metabolism (15) ................................................................................................................................................... A57 Gastroenterology (41) ..................................................................................................................................................................... A62 General Surgery (03) ...................................................................................................................................................................... A64 General Thoracic Surgery (64)........................................................................................................................................................ A66 Genetics (22)................................................................................................................................................................................... A67 Geriatrics (07) ................................................................................................................................................................................. A71 Haematology (61)............................................................................................................................................................................ A75 Infectious Disease (46) ................................................................................................................................................................... A76 Internal and Occupational Medicine (13) ........................................................................................................................................ A78 Laboratory Medicine (28) ................................................................................................................................................................ A81 Medical Oncology (44) .................................................................................................................................................................... A82 Nephrology (16) .............................................................................................................................................................................. A84 Neurology (18) ................................................................................................................................................................................ A86 Neurosurgery (04) ........................................................................................................................................................................... A89 Nuclear Medicine (63) ..................................................................................................................................................................... A90 Obstetrics and Gynaecology (20).................................................................................................................................................... A91 Ophthalmology (23)......................................................................................................................................................................... A92 Orthopaedic Surgery (06)................................................................................................................................................................ A97 Otolaryngology (24)......................................................................................................................................................................... A99 Paediatrics (26) ............................................................................................................................................................................. A100 Physical Medicine & Rehabilitation (31).......................................................................................................................................
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