Our clinical team will take you through the whole process, from completing the necessary forms to providing a cost estimate for surgery. We can also help you navigate your private health insurance to ensure minimal outlay and we are part of several no-gap programs.
Our standard fee charges are based on the Australian Medical Association’s recommended fees.
No, you can choose to come to the clinic and have your surgery as a self-funded patient. This still allows you to choose your doctor and the location and timing of your surgery but will result in a higher out-of-pocket expense than if you were in a health fund.
Surgery in a private hospital involves fees for your surgeon, the hospital and your anaesthetist. Generally, your health insurance will cover the hospital fees with an excess payable to your health fund. Some items necessary for your treatment may not be paid for by some health funds such as physiotherapy, medications or x-rays. This varies between health funds and policies and should be confirmed prior to commencing your treatment.
Depending on your level of cover, you may be entitled to rebates from your health fund for your surgeon fees and anaesthetist fees. You will be provided with an estimate of fees and item numbers by our staff who can assist with confirming your entitlements with your health fund. Cosmetic treatments are not usually covered by Medicare or health funds.
Prior to agreeing to any surgery as a private patient, it is imperative to understand all the costs involved. You will be provided with an estimated cost breakdown of your consultations, operations and hospital fee; if there are any up-front or out-of-pocket expenses, and if they offer convenient repayment options. This is known as informed financial consent and will be provided to you in writing.
You will be provided with information regarding how much Medicare and your private health fund will pay for the surgery. If you are enrolled in a private health fund, it is recommended that you speak to them to confirm your coverage levels and whether an excess payment may be required when admitted to hospital.
Medicare assists Australians with their medical expenses and is funded by the Australian Government; however, not all medical services are covered. The Medicare Benefits Schedule outlines what healthcare treatments are covered, as well as how much the government contributes financially.
If your fees exceed the amount Medicare and your health fund will pay for, then there will be an out-of-pocket cost commonly referred to as a ‘gap’ payment. However, I am part of a number of no-gap schemes and charge the Australian Medical Association recommended fee. We suggest reading this article as a great start.