Surgical Costs

How are my surgery costs managed?

Our clinical team is on hand to help you navigate the payment process. We can provide cost estimates for your surgery, if you require them, and we can help you to complete the documentation and other requirements of your health insurers to ensure minimal outlay and quick turnaround. 

Our standard fee charges are based on the  Australian Medical Association’s recommended fees. However, we are a member of a number of no-gap programs which can help to minimise out-of-pocket costs. 

Do I need private health insurance?

No. You may choose to self-fund your treatment. As a self-funded patient, you will be afforded the same rights to select your care provider and the timing and location of your procedure, but you will face higher out-of-pocket costs than patients supported by a health fund.

Will insurance cover the totality of treatment?

In general, you should expect that your health insurance will cover those costs which relate to your surgeon, your anaesthetist and the hospital fees, although this may be with an excess. 

Some health funds may not cover other tests and services, including physiotherapy, pharmacy or imaging. As coverage is variable across different funds, it is essentially that you clarify with your own provider what your plan will cover.

In the event of a post-operative complication, or an extended in-patient admission, you may be required to any treatment not detailed in your original estimate of fees.

Dependant on your coverage, you may be entitled to rebates from your health fund for your surgeon and anaesthetist fees. Our team can provide you with an estimate of fees and item numbers, and help you to confirm your entitlement. Typically, cosmetic procedures are not covered by Medicare or private insurance.

Will I be provided with the total cost of my treatment in advance of my surgery?

Before you agree to your surgery, you will be provided with an estimated cost breakdown of your consultation, surgical and hospital fees. You will also be informed of any up-front or out-of-pocket expenses and associated payment options. This is known as informed financial consent and will be provided in writing. 

Some medical services are not covered under the Medicare scheme. The Medicare Benefits Schedule outlines what services are covered and the government contribution toward costs. For those enrolled in a fund, we recommend liaising with them to confirm coverage and identify any neccessary excess. If your fees exceed your combined Medicare and health fund coverage, there will be an ‘out-of-pocket’ cost, commonly referred to as a ‘gap’ payment. 

Prof. Al Muderis is enrolled in a number of ‘no-gap’ schemes and charges the Australian Medical Association recommended fee. This article provides more information about care costs.

Contact Us

For further inquiries or to arrange a consultation, please contact Professor Al Muderis’ office at +61 2 88829011 or book an appointment online.