Operations performed

  • Laparoscopy
  • Laparoscopic Cholecystectomy
  • Laparoscopic Appendicectomy
  • Laparoscopic Hemi-colectomy
  • Laparoscopic low anterior resection
  • Laparoscopic anti-reflux surgery Nissen fundoplication
  • Laparoscopic anti-reflux surgery Anterior wrap
  • Laparoscopic bile duct exploration
  • Laparoscopic inguinal hernia repair - TEPP
  • Laparoscopic incisional hernia repair - Underlay mesh
  • Umbilical hernia repair with mesh
  • Bariatric / Obesity Surgery - Laparoscopic Gastric bypass
  • Bariatric / Obesity Surgery - Laparoscopic Sleeve gastrectomy
  • Varicose Veins treatment- VNUS procedure, in-office sclerotherapy
  • Endocrine - Thyroidectomy
  • Endocrine - Adrenalectomy
  • Endocrine - Parathyroidectomy
  • Endocrine - Parotidectomy / salivary gland removal
  • Amputations
  • Anal fissure
  • Anal fistula repair - fistulectomy, fistulotomy
  • Colostomy and colostomy closure, ileostomy
  • AP resection
  • Gastroenterostomy / gastrojejunostomy
  • Hemorrhoid surgery - THD or Transanal Hemorrhoidal Dearterialization , banding
  • Breast surgery - Biopsy, Breast cancer surgery - mastectomy, breast conserving surgery
  • Sympathectomy for Hyperhydrosis
  • Laparoscopic splenectomy
  • Laparoscopic Heller's myotomy for achalasia
  • Laparoscopic adrenalectomy
  • Vascular Surgery
  • Lipoma and soft tissue resections
  • Skin grafts and flap closures
  • Wide local excision for melanoma and sentinel lymph node biopsy
  • Anatomic segmental liver resection for colo rectal metastasis
  • Lymph node biospy, incl laparoscopic lymph node biopsy
  • Radical neck dissection
  • Whipples operation - pancreatico-duodenectomy
  • Rectocoele repair
  • Sentinel lymph node biopsies
  • Carpal Tunnel release

 

Procedures

  • Gastroscopy in office - Cost R1100 - R 1500
  • Colonoscopy - including polyp removal, biopsy, stenting
  • Sigmoidoscopy
  • PEG placement
  • Access port placement
  • Endoscopic stents

 

Billing Policy

This practice values our relationship with our patients and would like to ensure complete transparency on the patient’s possible medical healthcare costs associated with this practice. We hereby inform our patients, insurance companies & colleagues that the billing policy of this practice does not necessarily follow the different rates at which the various medical insurance companies reimburse at, or with that of colleagues or any price reference lists.
 
In mid 2010, the High Court made a ruling that there is no longer a legal standardised medical scheme tariff guideline, previously called the National Health Reference Price List (RPL). In 2011 most of the medical schemes are now reimbursing at a percentage of their “scheme rate” and both the percentage and value of the “schemes rate” vary from one scheme to another e.g. 2010 RPL rates plus 5% or 2010 RPL rates plus 6%.
 
Competition law requires each medical practice to disclose its billing practice which is determined according to the practice’s own costing structures and which is also in line with the provisions of the Consumer Protection Act.
 
The tariff charged for healthcare services rendered in our practice is as follows:
 
1. Private patients will be charged R500 per consultation and procedures at 200%.
2. Follow-up visits are billed at R350
3. Insured rates of the patients’ scheme will be charged for consultations and booked procedures according to a payment arrangement signed with certain medical schemes, currently only Discovery Classic plans.
5. Un-scheduled, Emergency and trauma fees are charged at 300% of scheme rate.
 
For booked procedures, this practice will provide a patient with a written quotation. It remains the patient’s responsibility to decide or ascertain with their medical aid, what will/will not be covered. Each quotation will provide a patient with the applicable procedure codes & fees. A 5 day cooling-off period applies after the quotation has been accepted.
 
Because of the varying and different benefits and exclusions on the different medical aid plan options in the market, it remains the patient’s responsibility to validate with their medical aid what procedure codes and reimbursement tariffs are applicable on their plan. Even if the patient’s medical aid covers a certain procedure, it does not necessarily imply that the medical aid will reimburse all the procedure codes charged by the practice. Please inform the practice if there are any specific pre-conditions which you may have to adhere to on your medical scheme plan e.g. medicine formularies, preferred or designated service providers etc. These aspects can have an influence on the fees you might have to pay, what portion your medical aid will pay and any co-payments that may also be applied.
 
Our practice will charge for any additional paperwork requested by your medical aid e.g. pre-authorisations, motivation letters, chronic medication forms or reports.
 
Even if the practice submits the account to a medical aid for re-imbursement, the patient ultimately remains liable for the full costs, the interest as specified in the National Credit Act, and for any costs incurred in the recovery process in the event of the account not being settled in full by the medical aid. Patients should discuss all fees related to the other healthcare professionals’ involved in the treatment plan (e.g. anaesthetist charges, physiotherapy, pathology laboratory tests, x-rays, scans) directly with them.
 
Should your medical aid not be able to clarify at which rates you are insured at, submit your complaints to the
Council for Medical Schemes at complaints@medicalschemes.com or contact them on, telephone 012 431 0500.
 
 
Should any of the above be unclear, or should you have any further questions, please do not hesitate to ask the practice staff or surgeon.