What are the Fees:
The fees charged at initial consultation, subsequent consultation and surgery are
Guided by the Australian Medical Association.
This means, Medicare and the private Health funds will only cover some of the total costs associated with surgery.It is important that patients ask about this Gap. Our staff will be able to help you with this.
Do I Need Private Insurance?
Private health insurance allows you to choose your own surgeon. It also allows yourself and your family to access the right health service at the right time without delays. You also have access to an extensive range of private hospitals. Most importantly your health will be in good hands.
More recently, with dwindling public funding to carry out public orthopaedic procedures, we recommend patients to start thinking about investing in health insurance early as this will enable them to have their surgery atleast after 12 months (depending on individual funds). The aim is to give patients a better quality of life with no pain.
Patients who do not have private health insurance can still have their surgery performed in the private system if this were at short notice. They will need to cover all the hospital and surgical costs prior to hospital admission.
Overseas Patients: They can be seen by the specialist with a referral from the local doctor (GP) and if surgery is required, this can be discussed at consultation. It is a requirement that overseas patients who are not insured cover hospital and surgical/anaesthetic costs prior to admission.
The Surgeon Fees:
These are guided by the rates of the Australian Medical Association and may differ according to the nature and complexity of the surgical procedure.
Each orthopaedic procedure usually has a Medicare item number. The Medicare rebates are determined by the government and further supplemented slightly by private health insurance.
The Medicare rebates unfortunately haven’t actually kept up with rate of inflation and changed little since the early 80’s.
Due to rising costs of medical indemnity insurance for surgeons, personal, work, practice related insurance premiums and continued running practice costs, most surgeons charge a Gap.
Anaesthetist fee: (the doctor who provides the anaesthetic) – Most anaesthetists charge a Gap, which is variable. This can be discussed with the anaesthetic team at consultation.
Assistance fee: A surgical assistant is usually present during most orthopaedic procedures. They may charge a small fee.