NOTICE REGARDING PROFESSIONAL FEES (2017)
This is a private practice that is not contracted to medical aid tariffs and you are responsible to settle the entire account on the day of consultation. You will receive a statement to claim back from your medical aid via email.
This practice values our relationship with patients and would like to ensure complete transparency on the patient’s possible medical healthcare costs associated with this practice. We hereby inform our patients, insurance companies, medical aids & colleagues that the billing policy of this practice does not necessarily follow the different rates at which the various medical insurance companies reimburse at, or with that of colleagues or any price reference lists.
First consultation fees and follow-up consultation fees will be confirmed when appointment has been made.
In-hospital consultations and procedures are charged at private practice rates. We claim all in-hospital consultations and procedures directly from the medical aid, but the patient stays responsible to settle any balance immediately. If your medical aid does not pay within 30 days, it will be your responsibility to pay the full amount outstanding. Accounts that are not paid will be handed over. An admin fee and 2% interest will be applicable.
For in-hospital elective procedures, this practice will provide a patient with a written quotation. Because medical aids and their plan options vary and have different benefits, exclusions and rules, it remains the patient’s responsibility to ascertain with their medical aid what will be reimbursed on the procedure codes and to obtain an authorisation. Take note that an authorization or 100% does not mean that the medical aid will pay in full. Each quotation will provide a patient with the applicable procedure codes & fees.
Note that this practice might charge procedure codes that will not necessarily get paid by your medical aid. The patient is responsible for any short payments. It is the patient’s responsibility to make sure what tariff their medical aid will pay and of their medical aid rules regarding Designated Services Providers (DSP) and Prescribed Minimum Benefits (PMB). Medical Aids pay (PMB) cases at fund tariffs which does not necessarily cover the practice tariff. Should a patient make use of GAP cover, the patient must first pay the full account to the practice and then personally claim from their medical aid.
In the case where a patient does not show up for an appointment or cancels an appointment within 24 hours prior to the appointment time, a consultation fee will be charged that is payable by the patient immediately. In the event where the patient receives a telephonic consultation or a script (without consultation), a fee is applicable and will be sent to the medical aid. The patient will be contacted with the outstanding amount.
1. Terms of Payment
For all planned/elective in-hospital procedures a 50% deposit is payable on the day of theatre. All accounts are payable within 7 days after rendering of the account. It still stays the patient’s responsibility to make sure they receive an account. The fact that the practice sends a claim to the medical aid, compensation commissioner or insurance company does not release the patient of any responsibility for payment and thus the patient is still responsible for settlement of the account. An interest rate of 2% will be charged on late payments.
In the event where the undersigned commits a breach of contract, the practice is entitled to take legal action.
3. Personal Information
The undersigned hereby authorises the practice to collect, share and exchange credit information concerning them with any credit bureau or any other person or corporation with whom they may have had or have financial dealings, as well as, where applicable, any other information requested to, or in any circumstances contemplated in the National Credit Act, Act 34 of 2005. Furthermore, the practice is given the right to disclose personal medical information such as ICD10 diagnostic codes and clinical information pertaining to the patient to its legal representatives or debt collectors provided that such information is treated as confidential and in good faith and only insofar as it is necessary for debt collecting purposes.
The parties choose the address on the overleaf of this document as the domicilium citandi et executandi.
5. Legal Actions
Should the account not be paid timeously and legal action be necessary to recover any amounts in arrears, the undersigned shall be liable for the payment of all legal costs including attorney fees on an attorney-own-client scale, collection fees and commission, interest and tracing costs.
The undersigned, hereby acknowledge that he/she fully understand the above mentioned and accepts liability as the principal debtor, alternatively as co-debtor jointly and severally with the patient, for payment of any claims by the practice for services rendered.