| (Regulation 9) |
| Fees charged to persons in respect of attendances and consultations by the consultant physician and any other specialists not specified elsewhere: |
| 1. | Medical internists | FEES |
| | |
| | $ |
| (i) | First day of attendance | 50 |
| (ii) | Outpatients in respect of one series of treatment: | |
| First visit | 50 |
| Follow-up visit | 15 |
| (iii) | Special Procedures: | |
| Blood transfusion (per unit) | 50 |
| Exchange transfusion | 450 |
| Intercostal drainage | 300 |
| Liver biopsy | 300 |
| Kidney biopsy | 300 |
| Sigmoidscopy | 300 |
| Endoscopy | 300 |
| Gastroscopy | 300 |
| Lumbar puncture | 175 |
| Bone marrow | 175 |
| Pleural aspiration | 175 |
| Suprapubic tap | 175 |
| Umbilical catherization | 175 |
| Peritoneal dialysis | 150 |
| Haemodialysis (CARICOM nationals) | 150 |
| Haemodialysis (non-nationals) | 1000 |
| Ascitic tap | 175 |
| Echo-cardiogram | 150 |
| E.C.G. | 75 |
| Endoscopy | 300 |
| Cardiac evaluation | 50 |
| 2. | Consultants Surgeons |
| (a) In cases involving surgical operation the fee for each service under this heading covers the charges for the surgery, anaesthesia, use of the operating theatre and any necessary attendance: |
| $ |
| (i) Major operation | 1000 |
| (ii) Intermediate operation | 500 |
| (iii) Minor operation | 250 |
| It does not include the costs of hospitalisation, biopsy chages or the cost of drugs, implants and any prosthesis. |
| (b) In cases not involving surgical operation the fees shall be the same as those specified in paragraph I of this Schedule. |
| (c) In cases of ambulatory surgery where the patient does not overnight, the charge for accommodation will be at the rate of 50% of the general ward, all other services rendered will be charged as indicated in subsection (a) above. |
| 3. | Dental Surgeons | FEES |
| $ |
| (i) Consultation | 20 |
| (ii) Oral clinical examination | 30 |
| (iii) X-Ray per film | 20 |
| (iv) Prophylaxis treatment | Free |
| (v) Extraction per unit under local anes. | 25 |
| (vi) Removal of impacted tooth | 150 |
| (vii) Filling per unit | 20 |
| (viii) Root canal therapy | 500 |
| (ix) Crowns per unit | 500 |
| Charges for general anaesthesia are not included in the above fees and will be as indicated in section 5. |
| 4. | Consultant Obstetrician and Gynaecologist |
| FEES |
| $ |
| (a) For booked cases, whether normal or abnormal, including attendance by a doctor during labour | 500 |
| (b) Caesarean Section including anaesthetic fees | 1000 |
| (c) Obstetric emergencies – if no operation is involved | 200 |
| (d) Delivery Room fee (where no Doctor is in attendance) | 100 |
| Special procedures: |
| Ultrasound | 100 |
| Colposcopy, ECC and Biopsy | 75 |
| Colposcopy, ECC, Biopsy and Cryotherapy | 150 |
| 5. | SENIOR SPECIALIST ANAESTHETIST AND ANAESTHETIST |
| For procedures except those for surgical operations requiring the services of an anaesthetist. |
| FEES |
| $ |
| (a) Major procedures | 150 |
| (b) Intermediate Procedures | 100 |
| (c) Minor Procedures | 50 |
| 6. | CONSULTANTS |
| Each follow-up procedures under this section will cost a fee equal to 50% of the amount of the initial procedure. |
| Exceptions: |
| (i) All children under the age of 16 not otherwise exempted pay half the fees specified under this heading. |
| (ii) Non-CARICOM Nationals will have to pay at the rate of 250% of these fees. |
| PRIVATE CONSULTANTS AND SPECIALISTS |
| Consultants who have received the privilege of admitting private patients to a Government Hospital will be charged and will be responsible for paying to the Hospital Accounts section the relevant fees as follows: |
| (a) Cases involving surgical operation: |
| Surgical | Anaesthetic | Theatre |
| Fees | Fees | Fees |
| $ | $ | $ |
| (i) | Major operation | 500 | 150 | 150 |
| (ii) | Intermediate operation | 350 | 100 | 125 |
| (iii) | Minor operation | 75 | 50 | 50 |
| It does not include the costs of hospitalisation, biopsy charges or the cost of drugs, implants and prosthesis, these will be charged as in (b). The surgical fees are only charged where the surgery was performed by a person other than the private consultant admitting the case. |
| (b) In cases not involving surgical operation the fees shall be the same as those specified in this Schedule for private sector clients and non-nationals. |
| (c) In cases of ambulatory surgery where the patient does not overnight, the charge for accommodation will be at the rate of 50% of the general ward, all other services rendered will be charged as indicated in subsection (a) above. |
| 7. | DRUGS |
| (1) The sale of drugs will be implemented on a unit price basis as listed below. |
| (2) The minimum price for each prescription is $5. |
| (3) All patients are to pay for drugs except those who are not covered by health insurance and are: |
| (a) policemen and policewomen |
| (b) firemen and firewomen |
| (c) nurses |
| (d) prison officers |
| (e) TB. patients |
| (f) registered paupers |
| (g) leprosy patients |
| (h) psychiatric patients |
| (i) patients requiring treatment for sexually transmitted diseases |
| (j) persons afflicted with diseases causing outbreaks e.g. scabies, chicken pox, red eyes etc. |
| (k) persons eligible for social welfare benefits |
| (4) Special Benefit Service which is designed to provide at subsidised rates prescribed Formulary drugs to certain categories of person in the populations who are expected to require life-long treatment. |
| These persons include: |
| (a) hypertensive patients |
| (b) diabetics |
| (c) asthmatics |
| (d) epileptics |
| (e) neoplastic (cancer) patients |
| (f) gluacoma patients |
| These patients will receive drugs at 50% of the price. |
| (5) Prescription from Private Physicians for local clients |
| (a) All prescribed drugs requested by private sector patients will be sold at 50% mark up on the regular price; this will apply even to those drugs of the afore-mentioned Special benefit service (e.g. antihypertensive agents). |
| The exceptions are in respect of: |
| (i) Eye drops, Insulin and Insulin syringes and other pharmaceuticals which are not normally available in the private sector and which are to be sold at the regular price. |
| (ii) non-nationals for whom all drugs will carry additional 250% mark up on the regular price. |