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
- 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
- Each medical aid has their own ‘scheme rate’ based on the previously used NHRPL or National Health Reference Price List. In July 2010, Acting Judge 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.
Consultation fees are payable on the day of appointment and are set at R1100. Cash 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. 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 of appointment, 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 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.
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 email@example.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 doctor.