Surgical Fees
Should you require surgery, you will not incur any costs if you have approval for surgery and are covered by:
Workers Compensation
Department of Veterans Affairs (DVA)
Compulsory Third Party Insurance (CTP)
Defence health
Overseas Insurance
- Use private health insurance as a private patient
- Be a public patient without private health insurance
- Be a self-funded private patient
Private Patient with Private Health Insurance
If you choose to be treated as a private patient you will:
Have Dr. Seeto perform your surgery personally, if needed.
Receive treatment at private hospitals affiliated with Dr. Seeto.
Be accommodated at a convenient time for you.
Experience a waiting time of weeks until surgery.
Receive post-discharge care and follow-up appointments with Dr. Seeto at his private rooms.
If you have any billing issues or concerns, our staff is available to assist you in understanding charges and rebate structure.
Fee Estimates
Prior to surgery, we provide comprehensive financial consent to our private patients. This estimate outlines your surgical costs. Our practice follows the Australian Medical Association fee schedule, but there may still be a "gap" between our fee and your Medicare and health insurance coverage. The estimate includes item numbers for discussion with your insurance company regarding coverage and benefits.
No Gap, Low Gap and Known Gap Policy
Every person who has surgery cover with any Australian health fund and who are in significant financial hardship may be covered by our No Gap Policy. This means some patients may receive no or low out-of-pocket expenses for some treatments . Our practice believes strongly in the importance of appropriate surgical care.
We offer clear fee schedules for our patients, with service fees ranging across
Conditions for the No Gap Surgical Service include you must have:
Basic Surgical cover with your private health insurer
Your health fund card with you at the appointment
Ensure your insurance covers the treatment cost. If your coverage limit is reached, you will be paying the remaining amount.
Questions to Ask Your Health Fundy
When talking with your Health insurance company you should be clear on the following matters:
Public Patients
If you choose to be a public patient you will
Waiting list
Place on the elective waiting list at for your surgery under the supervision of Dr Seeto
Date of surgery
Your surgical date will be determined by the public hospital
Part of Dr Seeto’s obligations at the Public Hospital is to train future Orthopaedic Surgeons. These Trainees will perform some or all of your surgery under Dr Seeto’s supervision.
Waiting time
The waiting time till surgery is roughly six to twelve months
Post surgery monitoring
Your follow up will be by the trainees in the public hospital clinic
Australian residents choosing to be public patients receive free treatment under Medicare. While there are no fees for surgery in public hospitals, there is a waiting list. The severity of your condition determines your position on the waiting list.
Self Funded Private patients
If you don't have private health insurance but prefer not to undergo surgery in the public health system, you have the option to be a self-funded patient.
As a self-funded patient, you will cover the treatment costs at a private hospital. Dr. Seeto will personally perform your surgery, reducing waiting time to weeks instead of months, and your follow-up appointments will take place in his private rooms.
The cost of treatment varies depending on the type of surgery, need for implants or prostheses, and length of hospital stay.
About Our
Fee Policy?
Australia's medical fee rebate system is complex.
The Medicare Benefits Schedule (MBS) sets fees for medical services, but surgeons can charge their own fees. Medicare covers 75% (in-hospital) and 85% (out-of-hospital) of the MBS fee. Our fees consider various factors and costs, while Medicare rebates remain the same. Surgeons determine fair fees based on individual cases and circumstances. Due to variations, estimates for operative procedures may require a clinical consultation.
Do you need a
Knee replacement?
Dr Seeto in affiliation with Medibank Private and East Sydney Private hospital, offers a program for eligible Medibank Private Members, to eliminate medical out of pocket costs for your Knee Replacement.
The program includes a pre-surgery preparation program, spending the minimal time necessary in hospital, as well as home rehabilitation if necessary.
Book a consultation
today
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