PATIENT DETAILS

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MEDICARE

AGE PENSION CARD (Excluding Seniors Card)

DEPARTMENT OF VETERAN AFFAIRS

PRIVATE HEALTH INSURANCE

We encourage you to thoroughly consider the likely treatment costs prior to your consultation including costs for potential complications.  Alternatively investigate private hospital insurance, bearing in mind there is usually a 12 month exclusion for cover of pre-existing conditions.

In order to claim through Private Health Insurance and Medicare, your planned procedure must fit Medicare item number criteria to cover the theatre fee and any hospital stay. Even when there is a Medicare item number, you may incur expenses that may not be fully covered by Medicare or your health fund. These costs may include a ‘gap’ between the surgical fee and what is covered by Medicare, anaesthetic and surgical assistant fees, implants and prostheses, non-rebatable single-use surgical equipment, radiology and pathology tests, scar management treatments, allied health care and clinic visits beyond usual after-care. 

WORKCOVER

Please note:  For patients lodging a claim through Workcover or another third party entity, it is essential for us to provide them (upon written request) information regarding your injury and planned treatment. This is particularly essential if you require surgical intervention as prior approval is required.  If your claim has not been accepted as yet, or you have not lodged a claim, you are required to pay all costs yourself on the day and claim back from Workcover. If your claim is later rejected, you will be liable for all medical costs incurred to date.


MEDICAL INFORMATION

Not on the list ? Please contact the rooms on 8213 1800 to discuss further

Item Number 45523

Reduction mammaplasty (bilateral) with surgical repositioning of the nipple:

(a) for patients with macromastia who are experiencing pain in the neck or shoulder region; and

(b) not with insertion of any prosthesis;

Item Number 45551

Breast prosthesis, removal of, with excision of at least half of the fibrous capsule, not with insertion of any prosthesis. The excised specimen must be sent for histopathology and the volume removed must be documented in the histopathology report

Item Number 30177

Lipectomy, excision of skin and subcutaneous tissue associated with redundant abdominal skin and fat that is a direct consequence of significant weight loss, in conjunction with a radical abdominoplasty, with or without repair of musculoaponeurotic layer and transposition of umbilicus

(a) there is intertrigo or another skin condition that risks loss of skin integrity and has failed 3 months of conventional (or non-surgical) treatment; and

(b) the redundant skin and fat interferes with the activities of daily living; and

(c) the weight has been stable for at least 6 months following significant weight loss prior to the lipectomy

Item Number 30175

Radical abdominoplasty, with repair of rectus diastasis, excision of skin and subcutaneous tissue, and transposition of umbilicus, not being a laparoscopic procedure, if:
(a) the patient has an abdominal wall defect as a consequence of pregnancy; and
(b) the patient:

(i) has a diastasis of at least 3cm measured by diagnostic imaging prior to this service; and
(ii) has either or both of the following:

(A) at least moderately severe pain or discomfort at the site of the diastasis in the abdominal wall during functional use and the pain or discomfort has been documented in the patient’s records by the practitioner providing the service;
(B) low back pain or urinary symptoms likely due to rectus diastasis and the pain or symptoms have been documented in the patient’s records by the practitioner providing the service; and

(iii) has failed to respond to non-surgical conservative treatment, that must have included physiotherapy; and
(iv) has not been pregnant in the last 12 months


FEE STRUCTURE

Medical Consultations   -  A valid referral is required to claim your rebate from Medicare

Standard Consultation                                 $200                      Medicare rebate: $84.15

Long Consultation                                       $300                       Medicare rebate: $84.15

Follow up consultation                                 $110                       Medicare rebate: $42.30

 

Age pensioner initial consultation               $120                        Medicare rebate: $84.15          

Age pensioner follow up consultation          $80                         Medicare rebate: $42.30

 

Cosmetic Consultations   - A valid referral is required

Initial consultation                 $300                           

Follow up consultation          $120                           

**Additional fees will apply if you need an appointment with the Hand Therapist

**If Surgical treatment is required, you will be given an Informed Financial Consent outlining your expected out-of-pocket “gap” after Medicare and Health Fund rebates (where applicable). All surgical fees include 6 weeks of post-operative consultations. Any follow up after the 6 week post-operative period, will be billed as outlined above.

  ** All fees are payable in full on the day of your consultation.  We accept credit cards, EFTPOS or cash/ A 1.2% surcharge will apply for all AMEX transactions.  No cheques.

**We do not accept Health Care Cards


Hand Therapist

Initial Consultation – Short          $135          Review – Short           $95

Initial Consultation - Long            $165          Review – Long          $125

** You can claim from your Private Health Fund if you have “Extras” cover which includes “Occupational Therapy”

Nurse Consultations

Initial Consultations with our nurses are Complimentary.

Consultations for tattoo removal and laser rejuvenation will be quoted during your initial consultation.

Dermal Consultations

Consultations with our Dermal Nurses are Complimentary. Treatment costs will be discussed with you prior to any treatment taking place.

Cancellation and No-Show Policy

We understand that situations arise in which you need to cancel your appointment, however, we do require at least 24 hours' notice (any change to a Monday appointment needs to be confirmed by 12pm the Friday prior). This will allow us to schedule another patient and keep our wait lists to a minimum. If insufficient notice is given, or you do not attend your appointment, a  cancellation fee may apply.


YOUR PRIVACY AND MEDICAL RECORDS

1. In accordance with section 6(1) of the  Privacy Act 1988 (Cth) ( Privacy Act),  all information collected in this practice is treated as ‘sensitive information’. To protect your privacy, APSA Services Pty Ltd (ACN 085 393 700) trading as Adelaide Plastic Surgery Associates (“ APSA”) operates in accordance with the Privacy Act and its Privacy Policy.

2. A copy of our Privacy Policy is available free of charge from reception or on our website at apsa.com.au.

3. Your Specialist Plastic Surgeon and/or nurse uses the information you provide to manage your health care which may include using the information for the following purposes (including instructing APSA to use the information for the following purposes on your plastic surgeon’s behalf):

  • collect, record, and store my personal and health information that will form part of an individual computerised medical record including through the use of transcription software;

  • issue reminders for specific health checks I may require, if any, as part of my consultation with my plastic surgeon and/or nurse;

  • provide me with health information updates, general medical updates and provide my personal and health information to the relevant state and/or national recall reminder registers; and

  • use my personal and health information to undertake administrative tasks involved in the running of APSA, and for my plastic surgeon, billing tasks which includes compliance with Medicare, Health Insurance Commission, and other relevant Government agency requirements.

4. You can assist in maintaining the accuracy of your information by advising your plastic surgeon or reception of changes in your contact details.

5. Selected information may be disclosed to various other health care providers involved in supporting your health care management (e.g. pathology and imaging providers, hospitals, or other specialists). You hereby acknowledge and consent to the disclosure and/or use of your personal health information by APSA, your plastic surgeon and persons directly or indirectly involved in your personal health care or medical treatment for that purpose, including:

  • sending specimens obtained from me to the necessary pathology provider for analysis. As a result, I understand that I may incur an out-of-pocket expense, by which a separate invoice will be issued by the relevant pathology provider. I understand that I will be liable for all expenses incurred;

  • disclosing my personal and health information to the relevant medical and allied health service providers involved in my care;

  • disclosing de-identified personal and health information for research and quality assurance purposes undertaken by my plastic surgeon to improve the quality of both individual and community health care needs and practice management. APSA will inform me when such activities are being conducted and give me the opportunity to ‘opt-out’ of any involvement at any time; and

  • using my personal and health information by my plastic surgeon and other authorised individuals involved in my medical care and treatment, both directly and indirectly

6.  If you have any questions regarding the management of your personal health information or need to arrange access to your records, please ask reception or your plastic surgeon, as appropriate.

7. I am not obliged to provide information requested of me, but that my failure to do so may compromise the quality of care provided to me by my plastic surgeon.

8. I understand my right to access both my personal and health information held by APSA, except in circumstances where access is legitimately withheld. If my personal and health information is to be used for any other purpose, other than what is set above, my further consent will be obtained.

9. I understand it is my responsibility to inform APSA at the earliest of any changes to my personal and health information. If any information held about me is inaccurate, I may request to have this altered accordingly.


PRIVACY COLLECTION STATEMENT

APSA collects your personal information for purposes related to (or in the case of sensitive information, directly related to) our functions or activities, including facilitating the delivery of health services to you from your Plastic Surgeon or our nurses, informing you of services which may be relevant to you and to communicate with you on behalf of your Plastic Surgeon. We may not be able to facilitate the delivery of health services from your Plastic Surgeon to you if you do not provide this information. Your personal information may be disclosed to our related bodies corporate, Plastic Surgeons, and third-party services providers. Your personal information is kept private and secure, as required by federal and state privacy laws.

Please refer to our Privacy Policy for full details of how we handle your personal information, including how you may access and seek correction of your personal information, complain about a privacy breach, and how we will deal with that complaint.

CONSENT - USE OF CLINICAL PHOTOGRAPHS

Please note:  All clinical images are stored on a secure system, & can only be accessed by clinical staff.  



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