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Financial Information

The following is a guide to the fees charged by AM Orthopaedics. Please do not hesitate to contact our staff on (02) 9587 6184 if you require further information or assistance.

 

Consultation Fees
Each consultation attracts a fee, which is reimbursed in part from Medicare. The consultation fee will be advised to you at the time of booking your appointment.

Please be aware that payment is to be made in full at the time of your consultation. You will be given a receipt so that you can claim part of the fee back from Medicare.

 

Operation Fees

If you require a surgical procedure, a detailed outline of Dr Farah’s fees will be provided, including the amount you can expect to receive back from Medicare and your Private Health Insurer, as well as an estimate of your remaining out-of-pocket expense.

You will be given the contact details of the anaesthetist and assistant before your operation so that you can obtain an estimate of their fees as well. Please check with your Private Health Insurer regarding whether an excess is payable to the hospital under your level of cover.

You will be invoiced after your operation. Upon payment you will be given a receipt so that you can claim part of the fee back from Medicare and your Private Health Insurer.

 

Workers’ Compensation

If you have your claim number, your consultation and operation fees will be charged directly to your workers compensation insurer with no personal charge to you.

 

Veterans’ Affairs (DVA)

If you have a valid DVA number, your consultation and operation fees will be charged directly to the Department of Veterans’ Affairs with no personal charge to you.

 

Health-Care Financial Terminology

The Medicare Benefits Schedule (MBS) is a list of medical services subsidised by the Australian Government.  Each service covered by the schedule has an Item Number.  The MBS details how much Medicare will pay for each Item Number.  The Medicare Schedule Fee is what you can expect Medicare and your Private Health Insurer to pay for a particular Item Number.

gap is the difference between the Medicare Schedule Fee and the fee charged by the doctor.  It represents an ‘out-of-pocket’ expense for the patient.

No Gap (or Gap-cover) is an agreement between private health insurance companies and medical specialists whereby the health insurer covers the cost of the service with no out-of-pocket expense to the patient for the doctor’s fees.

The AMA Schedule is a list of recommended fees for medical services published regularly by the Australian Medical Association (AMA).  These fees are generally higher than the MBS.

An Item Number is a code which identifies a particular medical service.  These numbers are used when generating accounts for patients, Medicare and insurance companies.  A single operation may involve a number of different item numbers.  If you need an operation, the relevant item numbers will appear on your “Estimate of Fees.”