Fees and Billing

Consultation Fees

Consultation fees are in accordance with the AMA recommended schedule of fees. You will be advised of the cost of the consultation when you make an appointment. We will inform you of the rebate claimable from Medicare at the time of consultation. A GP referral (valid for 12 months) is required to claim the Medicare rebate. Please bring your referral with you on the day of your consultation.

Payment at the time of consultation is appreciated. EFTPOS is available.

Please note that we do not bulk bill for consultations.

If this is a Worker’s Compensation or Third Party Insurance matter, then an approval for the consultation will be required beforehand. We will then be able to send an account directly to the insurer for payment.

Veterans Affairs patients are fully covered and are billed directly with no out of pocket expenses.

Surgery Fees

Surgery carried out in a private hospital will be billed in one of 2 ways.

  • No gap billing is where we send the bill directly to your health fund which then pays the bill for you with no out of pocket expense. Most straightforward joint replacements are billed this way.
  • More complex procedures may incur a higher fee than the Health Fund rebate and hence an out of pocket ‘gap’ expense will apply. A quote (informed financial consent) will be provided before any such procedure for your acceptance.

You will need to contact the anaesthetist for their fee estimate as well as the hospital to ensure that you have appropriate Health Fund cover for your particular procedure.

If you do not have private health cover, there are 2 options available.

  • Your name can be placed on the public hospital waiting list for surgery in Lismore Base or Casino District Hospital. Apart from consultation fees, you will not incur additional fees.
  • You can elect to pay for surgery performed in a private hospital. You will be able to claim some of the medical expenses throughMedicare, but there will be fees charged by the hospital. We can provide you with a quote (informed financial consent) for this service.