We are a private fee paying practice. Every medical practice incurs the cost of employing administrative and clinical practice staff, general running expenses such as computers, software, rent, electricity, professional indemnity insurance and the cost of medical equipment and supplies.
The practice costs must be met entirely from the fee charged by the doctor for the medical services he/she provides to patients.
The Medicare Benefits Schedule (MBS) is a set of fees determined by the federal government. Successive Governments have failed to index the MBS in line with the CPI and average weekly earnings. With year upon year of indexation that has been well below par, today there is now quite a disconnect between Medicare schedule fees and the realistic cost of providing the services.
The same operative procedure can vary enormously in both complexity, operating time and aftercare between individual patients, and as such there may be significant variations in the operation fee for the same procedure, depending on the individual circumstances. For this reason, it is not possible for us to provide estimates for operative procedures over the phone, prior to a clinical consultation.
A significant issue affecting Breast Cancer Surgery and Reconstruction is the “Multiple procedures rule” . This says that the second and third procedures will be rebated at 50% of the usual rebate, then 25% of the usual rebate, if done concurrently. Breast Cancer patients are significantly penalised for requiring breast, axillary and reconstructive surgery, sometimes on both sides. The 3rd, 4th, 5th, 6th procedures take as long as if done as a solo procedure, however medicare and the private health insurers, do not reimburse the patient as such. This issue is currently the subject of a medicare review but is currently still problematic for patients.
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