Insurance and Cost
Insured Patients: We know medical billing and insurance can be confusing, our office staff works with patients every day to help them understand what costs, if any, may be required. No procedures or authorisations will be obtained without your direct input and knowledge. The out of pocket fees are dependant on the 'item numbers' related to your surgery, and we use the No Gap/Known Gap scheme*. All our patients find our fees very fair given the high level of care we provide.
Uninsured Patients: We do not differentiate between patients with or without health insurance requesting a consultation with Mr Karametos. If an operation or hospital admission is required, this is usually organised through the public hospital system. Mr Karametos will obtain your consent for the surgery during consultation. We will then submit it on your behalf which will place you in the queue. Sometimes, uninsured patients decide to elect to use the private system. Please note there are three parts to the overall costs: private hospital fees (the greatest), surgeon fees, anaesthetist & surgical assistant fees. We will provide you with the 'item numbers' required for your surgery at your consultation along with a quote for surgeon fees, it will then be your responsibility to obtain quote from the hospital and the anaesthetist. After surgery, you will be able to make partial claim on the surgeon fees and anaesthetist & surgical assistant fees through Medicare.
Workcover/ DVA Patients: we offer No-Gap consultation and surgery to all eligible Workcover and DVA patients.
In-hospital checkups (usually daily) until discharge and post-operative appointment at the rooms are included.
* Subject to choice of insurance and level of cover.
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