Fees and Payments
Overview
This page outlines our explanation for patients payment options depending on their circumstances. The page covers the following explanations and payment options:
- Explanation of Fees
- Private Patients
- Public vs Private
- Dept of Vet Affairs
- Workers Compensation
- Payment Policy
- Tax Refund Scheme
- No Private Health Insurance
Initial Consultation
The initial consultation will incur a fee.
Please enquire for the cost at the time of booking.
Possible Additional Costs
Please note that if the consultation requires an extra procedure such as: colposcopy services, biopsy services, intrauterine device insertions or Monalisa laser therapy these would incur additional fees. We usually quote on the day, before the consultation.
A quotation of this fee can be provided at the time of your booking if you have an idea of what services are required.
As we are a busy practice, if a consultation appointment is cancelled without notice, you may be asked to pay the full amount at the time if rebooking.
An Explanation of Fees
The standard fees charged by our rooms are in line with the Australian Medical Association recommended fee schedule. This means that in most instances there will be a ‘gap’ between our surgical fee and what is covered by Medicare and your health insurance fund.
If there is any problem with this it is important that you ask about this gap. Our staff are fully informed with charges and rebates and will be able to help you navigate through what can be a complex process. These fee explanations can cover:
- Consulting Fee
- Surgical Fee
- Treatment Estimates
If you require more information, please do not hesitate to call the practice during office hours.
Other Possible Disbursements
There may be other charges involved in your care depending on which course of action you choose. You need to also check with your health fund to see what is covered for additional areas of service. Potential areas of cover are:
- Hospital
- Surgical Assistants
- Implants or Prosthesis
- Anaesthetics
- Tests (Radiology, Pathology)
- Postoperative Care
Estimates
We always provide informed financial consent to all our patients prior to surgery. This is a pre-treatment estimate of your surgical costs. This estimate enables you to discuss with your health insurance company what you are covered for a if benefits are applicable. You are responsible for checking with your private insurer as to your level of cover. We provide the procedure and item numbers that the fund will need to assess your elibigility.
Private Patients
Overview
If you have private health insurance that covers the types of procedures we perform, then your health fund excess is payable of the day of the procedure.
If you choose to be treated as a private patient, you will be treated at hospitals that our doctor is affiliated to or is a visiting medical specialist. After discharge, your care will be carried out in either an outpatient clinic or in my private rooms, or will be referred to your local general practitioner.
Types of Private Patients
This practice caters for a range of Private patients, these include:
- Private Health Insured
- Department of Veterans Affairs (DVA)
- Self Insured (Uninsured)
- Overseas Patients
Private Health Insurance
Private Health Insurance allows you and your family to access the right health services at the right time. You have control of your health care and can choose the provider, facility and timing of your treatment. With the security and protection of private health insurance, you have access to an extensive range of private hospitals and can rest assured that your health is in good hands.
Depending on your level of private health cover cover, some health funds also require you to pay an excess.
Our practice accepts most private health insurance programs. Our staff can also help with your claim for benefits, but we remind you that your specific policy is an agreement between you and your insurance company.
Please keep in mind that you are responsible for your total obligation should your insurance benefits result in less coverage than anticipated.
Your policy may base its allowances on a fixed fee schedule, which may or may not coincide with the AMA fee schedule.
You should be aware that different insurance companies vary greatly in the types of coverage available. Also, some companies take care of claims promptly while others delay payment for several months.
We are not responsible for these costs but our staff will do their utmost to guide you to better understanding.
Known Gap Policy Dr Burrows
For patients who are in eligible funds, we participate in KNOWN GAP surgery policy. Dr Burrows’ gap fees will range from $80 to a absolute maximum of $500.00. This is provided your fund participates in the KNOWN GAP scheme.
OTHER COSTS (NOT DR BURROWS)
To enable a clear understanding of for full costs of surgery we can direct you to the anaesthetist, the pathologist, and the surgical assistant (if applicable) for a fee estimate. We do not, and are not able to set or control the fees from the other providers.
Department of Veterans Affairs (DVA)
The Australian Government’s Department of Veterans’ Affairs (DVA) provides support to current and former serving members and their families through a range of benefits (including ongoing or one off payments). for further understanding on how you can apply these benefits to our service and the scope of cover please refer to: http://www.dva.gov.au/benefits-and-payments
Self Insured (Uninsured)
If you are self-funded (no private health insurance), the full hospital fee is payable on admission.
Patients may be able to choose private admission even if they do not have private health insurance. Self-funded patients will be liable to pay the following:
- The gap between the Medicare benefit and any specialist’s charge
- The gap for diagnostic services (medical imaging and laboratory), however some of these services may be bulk billed to Medicare, that is no ‘gap’
- Hospital accommodation fees (bed charge)
- Surgically implanted prostheses
Essentially this means you must meet all costs of the admission yourself except those covered by Medicare.
For further information about being a private patient, contact our rooms
Overseas Patients with Non Reciprocal Agreement
If you are an overseas visitor, you will be required to pay the full hospital fee on admission.
If you are an overseas patient from a country where there is no Reciprocal Health Care Agreement, you are not eligible for Medicare and you are responsible for payment of all fees and services.
Non-Medicare patients are billed for inpatient and outpatient services regardless if they choose public or private admission.
Please contact us for more information.
Private vs Public Fees
You may choose to be a public or a private patient. This page provides patients with the different options are for surgery in the private or public hospital system.
Public Hospital Patients:
Australian residents who decide to be a public patient are entitled to free treatment under Medicare. Your treatment will be carried out by an appropriate specialist which will be arranged prior to your admission. After discharge, your care will either be continued in an outpatient clinic or you will be referred to your local general practitioner.
In the public hospital the surgery is usually performed by a registrar (doctor in training as a specialist) but the registrar is supervised by a senior surgeon who is responsible for your care.
There are no fees for surgery in the public hospital, however, there is a waiting list. Your position on the waiting list will be based on the severity of your condition. Your follow up visits after surgery will be arranged through the hospital.
Private Hospital Treatment:
In the private system I will perform your surgery personally and will also look after you if you are advised to be an in-patient. All follow up appointments will be in my office.
Payment Options
Overview
Our reception staff will be happy to advise you of the consultation fee upon booking an appointment over the telephone.
- Surgical fees are billed directly to the Health Insurance Providers.
- Where out-of pocket co-payment are required which can vary depending on the type and complexity of surgery or procedure. Patients will be advised, in writing, after the consultation, the amount of gap payment.
- Fees for uninsured patients are advised by the accounts manager upon request.
Payment on the day of consultation is our policy.
How to Pay?
For your convenience we accept a number of payment methods in the rooms, by post and online:
- Cheque and Cash
- Credit Card: VISA, Mastercard, Amex (logos),
- Electronic other – (Credit Card, EFTPOS, BPay)
No Private Health Insurance
If you are not in a Private Health Fund or DVA and you need surgery, you have two alternatives:
- Go on a Waiting List at the Public Hospital, or
- Pay for the operation yourself (“Self Insure”)
Waiting List
However, the Waiting List for operations in the Public system is considerable, currently upwards of twelve months and patients are admitted to hospital on a “first come, first served” basis.
Self Insured
An increasing number of people are choosing to “Self Insure” or pay for their own surgery, so they don’t have to wait. This is often a worthwhile investment as it means you can have your operation done straight away or whenever it suits you. This can allow you to get back to your work and sport as soon as possible.
The costs may not be as high as you think, especially for some less invasive surgeries.
All the private hospital fees associated with your surgery are an out-of-pocket expense, but we will assist you in obtaining an estimate of costs from the private hospital before you go ahead with your surgical procedure.
Call my practice and they will be happy to provide you with an accurate costing. A proportion of my fees and the anaesthetic fees attract a small rebate from Medicare. Sometimes this quote requires the consultation first, so we can determine what actual procedure ( and thus the item number) , can be quoted.
If you require more information, please do not hesitate to call us on during office hours.
EXPERIENCE
Dr Burrows is an active participant in the Royal Australian and New Zealand College of Obstetrics and Gynaecology CME ( Continuing Medical Education) programme, as well as the MIGA risk management programme. This is an audited and regulated way of ensuring quality care. In addition, she participates in the Surgical Performance Audit, and the C-Quip ( Colposcopy providers audit). She is a member of the Medical Insurance Group of Australia medical advisory committee.
These audits document her vast and longstanding experience in Colposcopy, Hysteroscopy, Endometrial Ablation and Laparoscopic surgery. She is happy to share her vast level of experience including actual numbers of procedures performed, upon request.