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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