5th of April 2013

Surgical Quoting Process

A surgical quote involves many parties, such as the surgeon, anaesthetist, surgical assistant, hospitals and the operating theatres, all of which work independently of each other.

Your quote will show the total cost you need to pay, the Medicare rebate for the operation, and the total out-of-pocket cost.

If operations qualify for a Medicare rebate they are given an item number (Medicare Benefits Schedule number) by the government, and it determines how much you will get back from Medicare.

Medicare does not cover cosmetic operations, such as, breast augmentation, however labioplastyabdominoplastybreast lift and/or breast reductions are often rebateable, by both Medicare and private health funds. After the procedure takes place a receipt is issued which is used to claim the rebates.

Hospital fees depend on the hospital you choose and operating theatre costs are time dependant.

If you have private health insurance and the operation you are having has a Medicare item number then you may be eligible to claim part of the hospital and operating theatre costs back from your private fund.

The amount you can claim will depend on many factors, such as, your level of cover, type of cover and membership time with the fund. The other factor to check with your fund is if you have to pay an excess, or a co-payment.

These are options that you may have selected when you joined your fund.

The quoting system for a surgical procedure can be complex. We endeavour to explain and itemise the information and costs associated with your procedure, and encourage questions should you need clarification.

What happens after my consultation if I am keen to go ahead with surgery?

An important factor for you is feeling comfortable with your surgeon and, confident that you have had all your questions answered so you can make an informed decision to proceed with surgery. During your appointment a lot of information is discussed about the surgery, post-operative care and the financial aspects, and we encourage people to revisit this information until they feel confident with their decision.

A package containing all the information discussed during your consultation with Dr Paterson will be yours to keep and may contain drawings, photos and a surgical quote.

Operating lists are scheduled every Wednesday so you can either choose by date or by hospital. The choice of hospitals is, the Epworth Richmond (Richmond) or the Epworth Cliveden (East Melbourne).

When you have selected a date you will receive in the post:

  • A Confirmation of Surgery Letter:
    Confirms your procedure date, time and hospital.
    A simple checklist you can follow before the months or weeks leading to your surgery to ensure you have completed all the necessary paperwork, what to do the night before and morning of your procedure and what to bring with you to hospital.
  • Post Operative Appointment Card:
    1 week post-operative appointment card.
  • Hospital Admission Forms:
    The blue hospital forms are very comprehensive and need to be completely filled in. They are then posted into the hospital with the attached, self-addressed and stamped envelope.
  • Payment Form:
    Credit card or bank transfer details form.

The hospital will phone you 2 – 3 days before your operation date to confirm your admission time and your fasting instructions.