Please take a moment to read the following notes regarding the professional fees charged by this practice.
- 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
- This Practice is contracted out of medical aid rates. The fees of this practice are rendered in accordance with the fees set by the ENT Society of South Africa following extensive research and independent cost analysis by the South African Private Practice Forum and NOT Medical aid rates.
- 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. It is your responsibility to ensure Medical aid receives the account. We will submit your account as a courtesy for Surgical procedures on your behalf, but for you to please ensure your medical aid receives the claim.
Consultation fees are payable on the day of appointment and are set at R1100. 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. Please note, if you have made an appointment with Dr Schlemmer and cannot make the appointment please may you contact our rooms to cancel or reschedule, within 24 hours failure to do so will result in you being billed for the consultation.
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 R900 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 R900
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.
A detailed estimate of the costs involved as well as an estimate of what your medical aid will likely cover will be provided to you before the procedure. The quotation is an estimate and is subject to change at the time of the actual 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. It is the patients responsibility to obtain any Medical aid authorisation that may be required.
I hereby consent to my listing with the Credit Bureau should my account be in arears. The account will be handed over for collection if not settled within 30 days. You will be liable for Attorney – own client charges including collection commission and VAT. The Parties consent to the jurisdiction of the Pietermaritzburg Magistrates Court. I choose the Physical address stipulated above under ‘Main Member or Person Responsible for account’ as my domicilium citandi et executandi – chosen domicilium. Any Notice served on the domicilium citandi et executandi shall be deemed to have been received. The patient / Person responsible for the account is entitled to change their domicilium provided that such notice must be given in writing.
The medical practitioner and the practice reserve the right to 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 firstname.lastname@example.org or contact them on, telephone 012 431 0500.
Your signature hereon indicates your consent for our offices to communicate with you. Information relating to your health status, treatment or visit to this practice is regarded as highly confidential. The doctors and staff employed at our practice will share information only with your involved specialists. We will keep your information confidential, including information of children 12 years and older. To motivate specific treatments to your medical scheme we may have to provide them with information on your health history and other health information. Should a report be needed, you will need to complete our consent form for release of personal information. If the person responsible for the account is not available to sign these forms personally, the patient signing these forms admits personal liability for this account.
In terms of the Medical Health Act, you and your family or other persons that comes to the practice with you, should not harass the doctors or other staff members and should treat them with respect. Harassment includes but is not limited to rumours, swearing, verbal abuse, arguments, property damage, vandalism, physical assaults, psychological trauma and anger related incidents – This practice follows a zero-tolerance policy against harassment.
Should any of the above be unclear, or should you have any further questions, please do not hesitate to ask the practice staff or doctor.
Should you require a copy of our billing policy please do not hesitate to ask the practice staff, alternatively our billing policy is available for your convenience on our website www.drkurtschlemmer.com