Guide To Costs
There are separate fees involved in your surgical procedure. This will depend on how the procedure is performed.
General Anaesthetic (asleep) may include:
Local Anaesthetic (awake) may include:
Local Anaesthetic facility fee
There may also be pharmacy and pathology costs if your condition requires it.
What does each of the costs mean?
Surgical fee – This will be discussed with you at the consultation with your surgeon. An estimate of treatment costs will be provided to you for consideration and reference. This fee is based on the following factors:
The complexity of the surgery
Time to complete the surgery
Prosthetic materials (if needed for your condition)
The estimate will include item numbers, which are used by Medicare and health insurance companies to describe procedures. Each Item number attracts different rebate amounts. The reimbursements are variable and dependent on the level of cover and the schedule of fees.
Private health insurance and Medicare are designed to share some of your Oral and Maxillofacial treatment costs, there is a small GAP or out of pocket expense. Please be aware that different private health fund covers also vary and may result in different out of pocket expenses, ensure you check with your health fund before your procedure.
In addition, each health insurance company has its own rules and regulations with multiple policy choices. You need to understand the advantages, disadvantages and limitation of your policy. If you have any questions regarding your insurance or have problems with a reimbursement level, contact your insurance company. If you are still having problems, our surgery can help only to a limited degree. Remember health insurance is a contract is between you and the Health Fund.
Payment of surgical fee is required before surgery. Our friendly staff, will discuss this in detail with you should you have any further questions.
Once you have had the procedure you will be able to make your claim through your health fund and/ or Medicare.
We are unable to provide you with a quote for general anaesthetic.
This fee will be provided by your anaesthetist.
Once the hospital and date of the operation is booked and confirmed your contact details will be forwarded to the anaesthetist who will be working with your surgeon on that day. You can also contact you anaesthetist’s practice before surgery to discuss anaesthetic fee.
Generally, this fee is determined by the time it takes for the procedure. Different surgical procedures will attract different fees. Normally, you should be able to claim a rebate from Medicare for part of this and if you have private health insurance further rebate may be applicable.
Your surgeons generally operate in a health fund partnered hospital.We strongly recommend that you contact your health insurance and/ or the hospital to confirm the costs prior to admission. Your level of cover may dictate if there’s an excess needed for your hospital stay.
Please bring your health fund card or membership details on the day of the surgery to the hospital.
If you do not have any private health insurance, the hospital fee is payable on the day of the surgery. The hospital will be able to provide you with more detailed information.
If during your surgery, any tissue is found to be abnormal, your surgeon will remove it and it will be submitted to a pathologist for examination, identification and diagnosis. This maybe planned or unplanned as an incidental finding during the surgery.The pathology tests will further aid in your surgeons management of your condition.
Pathology services will send you a separate invoice which you can submit to Medicarefor rebate. Gaps may apply.
Generally, your surgeon may prescribe medications for you after the surgery. These may include pain relief and antibiotics for example. You should make allowances for the prescribed medication which will help your post-operative recovery.