This page explains of practice and payment policies relating to:
Our practice treats the following types of patients.
Privately insured patients:
If you choose to be treated as a private patient you will be able to:
After discharge, your care and follow-up appointments will be carried out by your specialist and team in our private rooms.
As a private patient our surgeon, Dr Luke Wang 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 our private rooms.
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.
Please keep in mind that you are responsible for your total obligation should your insurance benefits result in less coverage than anticipated.
You should be aware that:
Depending on your level of coverage, some health funds also require you to pay an excess. We are not responsible for these costs but our staff will do their utmost to guide you to a better understanding.
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.
If your account is being paid by a third party, we will require a letter from the third party stating that they will cover a particular service prior to your appointment or procedure. Without this we are unable to send the account to a third party and we will require you to settle your account on the day of your appointment.
Workcover and Workplace Injuries
We offer full Workers Compensation and work-related injury treatments.
If you are seeing the doctor for an existing Workcover claim or if you have recently been involved in a work incident and are unsure of whether you fall under the category of WorkCover, please inform the receptionist on arrival.
We know the importance of good communication with employers to minimise lost time from injuries, and we work with employers to find alternative duties for injured staff where possible.
Motor Vehicle Accident (CTP) Claimants
We offer full CTP Injury treatments.
If you are seeing the doctor for an existing CTP claim or if you have recently been involved in a transport accident and are unsure of whether you fall under the category of CTP please inform the receptionist on arrival.
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.
These can include both 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 or Un-insured patients:
If you do not have private health insurance, you can still choose to be treated in a private hospital, by self-funding your medical care. If you choose to self-fund your care, you will not be eligible for any rebate of your hospital fees. You would be eligible for a Medicare rebate for a portion of your surgeon’s fees, surgical assistant fees and anaesthetist’s fees. Dr Wang's staff will compile a quote for the anticipated surgeon's fees, his surgical assistant, his anaesthetist and if possible hospital costs. It might take a few days to arrange this, as we need to liaise with the hospital administration.
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 testing), however some of these services may be bulk billed to Medicare, that is no ‘gap’
Essentially this means you must meet all costs of admission yourself except those covered by Medicare.
For further information about being a private patient, contact our rooms
Non Reciprocal Health Care Agreement - 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.
Reciprocal Health Care Agreement - If you are a visitor from a country where Australia does have a Reciprocal Health Care Agreement (RHCA), you may be eligible for treatment that is deemed immediately necessary for any health problem or injury whilst in Australia. RHCA does not cover pre-arranged or elective treatment. Overseas patients who are covered by the RHCA will not be covered if they choose private admission.
Please contact us for more information.
If you are not covered by private health insurance or other claiming system you do not need to be worried about it.
Dr Wang offers a wide range of diagnostic, medical and surgical services, if your require surgery there are two alternatives:
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 sometimes performed by a registrar (specialist in training) but the registrar is supervised by a consultant urological 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 urgency and severity of your condition. Your follow up visits after surgery will be arranged through the hospital or your specialist’s rooms.
We offer informed financial consent to all our patients prior to surgery. This is a pre-treatment estimate of your surgical costs.
While the fees charged may depend on the specific course of treatment, our practice's standard fees are in line with the Australian Medical Association recommended fee schedule. This means that there might be a ‘gap’ between our surgical fee and what is covered by Medicare and your health insurance fund. Dr Wang is committed to charging a fair and reasonable fee and will take individual circumstances into consideration.
The pre-treatment fee estimate includes the specific item numbers to be used and enables you to discuss with your health insurance company what you are covered for and if benefits are applicable.
If there is any problem with either the fee estimate or any other billing issue, it is important that you ask our staff. They can help you navigate what can be a complex process by either advising and helping explain the charges and rebate structure.
Our practice fees for either Consulting or Surgery may sometimes only be part of your treatment cost.
Other possible fees or disbursements involved in your care are dependent on which course of action is chosen for your treatment. You may need to also check with your health fund to see what is covered for additional areas of service. Potential fee categories to be sure of can include:
Our practice believes strongly in the importance of appropriate surgical care. We offer clear fee schedules for our patients, with service fees ranging across: No Gap, Low Gap, and Known Gap
Every person who has surgery cover with any Australian health fund and who are in financial hardship or pensioners may be covered by our No Gap Policy. This means some patients may receive no out-of-pocket expenses for some treatments .
Conditions for the No Gap Surgical Service include you must have:
Where you are not eligible for No Gap services, you may also be eligible for Known Gap or Low Gap Fee Schedules. Please contact our practice for further details.
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