Medical fees
The standard fees for this practice are above the Medicare
Benefit Schedule fee, so there is usually a 'gap' that needs to be
met by the patient.
You can find various tables (CONSULTATION
FEES, procedure: ENDOSCOPYPROCEDURE
FEES) of our standard
fees and a calculation of the patient 'gap' for the more common
consultation items and endoscopic procedures. We are happy to have
our accounts
staff calculate a formal quote for more complicated procedures
and for the operations that Dr Jeans performs. The rules that govern
the
Medicare rebate are quite complicated for such procedures.
The doctors in this practice do however take into account the patient's
circumstances
in setting the fees of individual patients. Patients receiving
pensions from the Australian Department of Veterans Affairs
are not expected
to have any out-of-pocket expenses for medical services.
The doctors will also discount their fees to any patient who has financial
hardship - particularly those with chronic illness. Please bring
such
difficulties
to the attention of our staff or the specialist at an early
stage so that an adjustment to the fees can be considered.
Some
of
our
doctors participate in the 'No-gap' agreements with some of
the
Health Funds
which means that the patient does not need to pay any
'gap' for medical services provided in a hospital or endoscopy centre.
The schedule
of which doctors have such agreements with particular
Funds
is linked.
The practice will continue to attempt to make arrangements
with as many Funds as possible to minimise the out-of-pocket expenses
to our
patients.
Endoscopy Centre Billing
The hospital fees vary
from
health fund to health fund and according to your particular
fund and their
contract/agreement that we have with them. The amount
a health fund will pay is dependent on the type of policy that has
been
taken out.
Payments are made by the health fund subject to the
following;
- Covered for treatment in a private hospital
(This does
not
mean 'public hospital')
- An excess type policy
- Any pre-existing conditions
- Being financial
member
- Any co-payment requirement
The best way to
ensure that you will be covered for your admission is to request
a written
quotation and always check with your fund prior to your
admission date.
This
way you can make your choice and be aware of any
out-of-pocket expenses. We will also provide a quotation for your
medical
expenses
(this is
the doctor providing the medical services).
Simplified
Billing
Brindabella and Mugga Wara are now able to offer Simplified
Billing: One bill
will include the charges for the Endoscopist,
Sedationist, and pathology services.
All you need to do is bring the
following;
Medicare
Card
Health
Fund Details and
the Gap payment is payable
by cash,
cheque or EFTPOS
and we will process the accounts
with Medicare and your
Health Fund directly. The Gap can be paid
on the day, leaving nothing further for you to do. If there are any
outstanding
amounts after
the Medicare and Health Fund have been processed
we
will forward a statement to you showing the balance payable.
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