There have always been two tariff structures in South Africa, according to which tariffs for medical treatments were determined. Then the Competitions Board stepped in, and in January 2004 the Department of Health issued a single guideline – the NRPL.
The second tariff structure is that of the South African Medical Association (SAMA), which represents doctors in private practice. This association publishes an annual rates guide of what it thinks its members should be paid for their services. These rates are generally much higher than the BHF rates.