Medicare has a Schedule of Fees, as does the Australian Medical Association (AMA), Australian Dental Association (ADA) and the Department of Veterans Affairs (DVA).
Dr Anker, Dr Sherring and Dr Madden set their own fees based on a combination of factors, including the aforementioned schedule of fees, duration of time and complexity of each procedure. Fees charged have to cover all of our practice costs including employing receptionists and nurses, meeting our operating expenses such as rent, medical equipment, electricity, computer and insurances. The Medicare rebates do not cover the full cost of providing you with medical care. This is because the rate at which successive governments have indexed the Medicare Schedule of Fees has been substantially lower than increases in the CPI and average weekly earnings. Medicare rebates have been frozen since November 2012 and will not be increased until July 2018.
+ CONSULTATION FEES
Estimate of Fees
If surgery is required, you will receive a written Estimate of Fees from you surgeon which will include expected item numbers and surgeon’s fees. We suggest you speak to Medicare Ph: 132 011 and your particular Private Health Insurer to determine the rebates applicable for your treatment. Dental surgery does not attract a medicare rebate. If you have private health insurance with extra’s cover you may be able to claim a rebate from your insurer. All surgical fees are required to be pre-paid. You will be able to claim a rebate from Medicare and/or your Private Health Insurer after surgery.
If surgery is undertaken in hospital or a day surgery facility additional costs will be incurred. These costs are not determined by the Surgeons at Sydney South Oral and Maxillofacial Surgery. They are levied by the Hospital or Day Surgery facility and the Specialist Anaesthetist. Fees charged by the Hospital or Day Surgery facility and the Specialist Anaesthetist are not disclosed to us. The Surgeons at Sydney South Oral and Maxillofacial Surgery work most commonly at Kareena Private Hospital, St George Private Hospital, Kingsway Day Surgery, Miranda, Prince of Wales Private Hospital, Randwick and Sydney Surgical Centre, Randwick. These are all registered health facilities and the major health funds have arrangements in place with these facilities. We are aware that day surgery fee’s for uninsured patients range from approximately $1,000 – $2,500 depending on the facility chosen by you.
We will give you information provided by our anaesthetists so you may obtain information regarding their fee prior to your surgery. Medicare and your your Private Health Insurer will cover part of your anaesthetists costs. If you have any concerns regarding fees and rebates please speak to the relevant hospital or anaesthetist or take it up with your individual Private Health Fund.
We are unable to give any indication as to the “gap” payments as this is determined by the rebate provided from your Private Health Insurer. There are often large differences in rebates on the same item number quoted, depending not only upon which Private Health Insurer you have cover with but also the level of cover for which you are insured. It is important to know that not all Private Health Insurers are the same, your level of cover and any preset annual dental limits will affect how much your rebate will be. Please speak to your individual Private Health Insurer prior to any surgery so you have a full understanding of your rebate and any out of pocket expenses.
The most common item numbers associated with surgical removal of teeth are Item 322, 323 and 324. At the time of consultation you will be provided written Estimate of Fees from your surgeon. Fees vary depending upon the number of teeth to be removed and the complexity of surgery required to remove the teeth. Dental surgery does not attract a Medicare rebate. You may receive a rebate from you Private Health Insurer if you have extras cover.
There may also be incidental costs involved with your surgery. Most commonly these will be for specimens submitted for diagnosis by a Pathologist. If a specimen is sent to Pathology for testing, the Pathology company will send an invoice to you for payment. This invoice may attract a Medicare rebate.