Fees & Medical Aid
Medical aid benefits and payment arrangements can vary between schemes, plans and individual circumstances. We aim to make the financial side of your care as clear as possible before treatment, including what your medical aid may cover and where you may be responsible for a shortfall.
Understanding Your Consultation Fee
Consultation fees depend on the nature of your appointment and the services provided. Medical-aid reimbursement is subject to your individual plan and available benefits.
- Consultation fees are payable according to the practice’s current fee structure.
- Medical-aid reimbursement may differ from the practice fee.
- Patients are responsible for any amount not covered by their medical aid.
Please confirm your available benefits and reimbursement with your medical aid before your appointment.
Medical Aid & Claims
We submit eligible claims to medical schemes, but payment is determined by your medical aid and is subject to your plan benefits and available funds.
- Please provide valid medical-aid details when requested.
- Claim submission does not guarantee payment by your medical aid.
- Benefits and reimbursement may vary between schemes and plans.
Patients remain responsible for any consultation or treatment costs not covered by their medical aid.
Co-payments & Uncovered Costs
Medical schemes may reimburse healthcare providers according to their own scheme rates, which can differ from the practice fee.
- A shortfall may apply where your medical aid reimburses below the practice fee.
- Certain procedures or services may require a patient co-payment.
- Please confirm your benefits and expected reimbursement before treatment.
Medical-aid authorisation does not necessarily mean that all costs associated with your treatment will be covered.
Planning for Your Procedure
Surgical treatment can involve several healthcare providers and associated costs. We aim to provide clear information about the surgeon’s fees before your procedure.
- Surgical fees are discussed according to the planned procedure.
- Hospital, anaesthetist and other specialist fees may be charged separately.
- Medical-aid authorisation and hospital admission requirements should be completed before surgery.
Please contact your medical aid directly to confirm authorisation, benefits, co-payments and any applicable exclusions before admission.