Fees

TYPES OF INVOICES

There are several different categories of invoicing (detailed below) depending on your individual circumstances:

• Simplified Billing - Invoice sent to health fund and gap letter to patient
• No Gap Fund - Invoice sent direct to health fund
• No Gap Fund - Invoice sent direct to patient
• Uninsured Patient - Prepay invoice sent to patient
• Prepaid Procedures - Prepay invoice sent to patient
• Department of Veterans Affairs - Invoice sent to DVA
• Workcover Claims - Invoice sent to insurer
• TAC Claims - Invoice sent to TAC
  
  
  

SIMPLIFIED BILLING

Invoice sent to health fund and gap letter to patient

Some major health funds will pay increased benefits depending on your level of cover with the fund, providing that you have received a written estimate of costs prior to your procedure.

In such cases we utilise the “Simplified Billing” method and send the invoice direct to your health fund who in turn will pay the health fund rebate and the Medicare rebate direct to the anaesthetist.

We send a letter to you advising the total amount of “gap” or out of pocket expense that is now due.

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NO GAP FUND

Invoice sent direct to health fund

Some of our anaesthetists have an agreement with various “No Gap” funds. In such cases the invoice will be sent direct to the health fund, with no gap to the patient.

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NO GAP FUND

Invoice sent direct to patient

If you are in a “No Gap” health fund that our anaesthetist does not have an agreement with we will send the invoice direct to you.

You can pay the invoice in full and take the itemised receipt to Medicare and your health fund to claim the appropriate rebate as a cash payment to you.

Alternatively, you can take the unpaid invoice to Medicare or your health fund and complete a “2 way claim” form. Medicare and your health fund will forward cheques to you which you will then need to forward to our rooms together with your payment of the outstanding gap amount.

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UNINSURED PATIENT

Prepay invoice sent to patient

If you do not have private health insurance you will be required to pay a deposit prior to your procedure. Along with your Informed Financial Consent you will receive an invoice which is equal to the anticipated out of pocket expense that you will incur and is required to be paid 2 days prior to your procedure.

At this stage you cannot use this invoice to claim a Medicare rebate. After your procedure you will receive an itemised invoice for the total cost less the prepaid deposit.

You can settle this invoice and then claim a cash rebate from Medicare (if eligible). Alternatively, you can submit this invoice to Medicare and forward the cheque and any outstanding amount to our rooms when received from Medicare.

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PREPAID PROCEDURES

Prepay invoice sent to patient

There are certain procedures where we require the total cost of your anaesthetic service to be paid prior to your procedure. You will receive an invoice with your Informed Financial Consent which must be paid 2 days prior to your procedure (you cannot use this prepay invoice to claim a Medicare invoice). After your procedure you will receive an itemised invoice which you can submit to Medicare (if eligible) and your health fund (if applicable). If the amount you prepaid is greater than the actual cost of the anaesthetic service, you will be issued with a refund from the anaesthetist.

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DEPARTMENT OF VETERANS AFFAIRS

Invoice sent to DVA

For patients who are holders of a valid DVA Gold Card, you will not receive an Informed Financial Consent letter prior to your procedure and an invoice for the anaesthetic service will be sent direct to DVA on your behalf.

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WORKCOVER CLAIMS

Invoice sent to insurer

If your procedure is covered by an approved WorkCover claim, your surgeon will provide us with the claim number, case manager and specific contact details to enable us to send the invoice direct to the relevant organisation.

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TAC CLAIMS

Invoice sent to TAC

If your procedure is covered by an approved TAC claim, your surgeon will provide us with the claim number, case manager and specific contact details to enable us to send the invoice direct to the TAC.

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