What can you expect when you arrive?
Dr Schlemmer practices from suite 1 on the ground floor of the beautiful and conveniently situated Hillcrest Private hospital.
A warm welcome awaits with Elaine and Nicole ready to help you with the necessary paperwork on arrival.
How does payment work?
- We aim to be open and honest about all aspects of the consultation including diagnosis, treatment and the cost thereof so please do not hesitate to ask should you require any additional information
- The fees of this practice are based in accordance with the fees suggested by the ENT Society of South Africa following extensive research and independent cost analysis by the South African Private Practice Forum
- Each medical aid has their own ‘scheme rate’ based on the previously used NHRPL or National Health Reference Price List. In July 2010, Acting Jude Ebersohn of the North Gauteng High Court judged the RPL to be ‘unreasonably low’ with health care practitioners not able to cover their costs at this rate and therefore declared invalid.
- As such, there will almost always be a difference between the costs involved and what your medical aid is prepared to cover.
- The account remains your personal responsibility and must be settled with the practice as detailed below after which you may approach your medical aid for reimbursement.
Consultations In Rooms
Consultation fees are payable on the day of appointment and are set at R1200.00. Zapper or cards are welcome with a machine available at the practice reception for your convenience.
A payment receipt will be provided so that you may claim some if not all of these costs from your medical aid.
Emergency or after hours consultations will be liable to an additional fee
Procedures in the rooms
Procedures performed in the rooms are billed for separately and include an instrument fee. An example of these costs include R300 for the use of the microscope to R950 for the use of the flexible video endoscope/ specialized hearing tests or video nystagmoscopy. Where a combination of diagnostic procedures are required the total will not exceed R2150 including the consultation
Due to the National Lockdown, our Practice will be offering a telemedicine consulting service via Skype during this time.
Billing for the telemedicine consults via Skype will be at R 950
Billing for consults via email or Telephone will be as per electronic consults at R 450
Payment will need to be received before scheduling any of the above consultation methods.
Requests for repeat scripts, chronic forms, writing of special motivations and insurance forms are billed for separately. An example of these costs include R300 for a repeat script to R950 for completion of insurance forms or special motivations.
A detailed estimate of the costs involved as well as an estimate of what your medical will likely cover will be provided to you before the procedure. The difference between practice cost and estimated medical aid reimbursement must be paid before the date of procedure with the total amount to be settled within 30 days of surgery irrespective of third party e.g Medical aid / Gap cover claims.
What is Gap Cover?
Gap cover is a short-term insurance product designed to provide extra protection for those who already have medical aid. It covers the deficit between your medical scheme tariff and the rates charged by private healthcare professionals. By subscribing to gap cover, you protect yourself and your family against this financial disparity, potentially avoiding significant out-of-pocket medical expenses.
Gap Cover Benefits
Gap cover products offer in-hospital and specified out-patient benefits, up to 500% of your Medical Scheme Tariff. In addition, Gap cover may cover co-payments related to hospital admissions, certain medical procedures, certain consultations and scans.
Many Medical aid schemes require members to make co-payments if they use a hospital out of their scheme networks. With Gap cover, the mandatory co-payment may be covered up to a certain amount per family per year.
With Suitable gap cover you may also qualify for lump sum benefits to cover costs related to the medical treatment of certain cancers, internal prostheses and treatment and care in casualty.
Gap cover closes the gap, ensuring that you can afford the care that you and your family need.
Please contact your Gap cover provider for more information.
Admission to Hospital
What do I do now?
We will provide you with a copy of the consent form as well as a letter detailing the relevant codes and an estimated surgical cost of the planned procedure.
Armed with this information, we kindly ask that you contact your medical aid for authorization for the procedure.
Dr Schlemmer works with the professional team of anaesthetists in Drs Beck, Danchin and partners and they can also be contacted prior to the operation in order to obtain an estimated cost for the procedure on (031) 202 6619 or www.bdp.co.za
Should there be a difference between our practice rate (or that of the anaesthetists) and your medical aid rate, many patients will make use of what is known as ‘gap’ cover to top up on their insured amount.
The night before
Most operations are performed under general anaesthetic meaning that you will be fast asleep during the procedure and not be able to feel any pain or discomfort.
In the interest of safety, all patients should have an empty stomach before being given an anaesthetic so please take note of the following:
Adult patients – nothing to eat or drink 8 hrs before surgery
Adult patients with reflux/ heartburn – nothing to eat or drink 12 hrs before surgery
Children (2-12yrs of age) – nothing to eat or drink 6-8 hrs before surgery
Infants (0-2yrs) – nothing to eat or drink (including milk) 6 hrs before surgery with 125 ml of clear fluids (water/apple juice etc.) allowed up until 2 hrs before surgery
On the day
If you are scheduled to have surgery in the morning, please report to hospital admissions by 06:00 am
Please do not forget to bring your ID book, pre-authorisation number and your favourite soft toy along!
After the procedure
Once you are awake and comfortable and usually have had something to eat and drink you will be seen and discharged by Dr Schlemmer
If you have had a more complicated or lengthy procedure you may be required to stay overnight in which case you will be cared for on the ward where Dr Schlemmer will make regular visits until you are ready to go home.
Post-operative care and follow-up appointments are just as important as the surgery itself. Please choose a convenient time within a week of your operation to see Dr Schlemmer in his rooms for review.
Some operations may require more than 1 or 2 follow-up visits but please keep in mind that post-operative consultation fees (up to 1 month afterward) are included in the surgical cost and will not be billed for separately.