Billing Policy
1. This practice charges the fees it regards as appropriate in terms of the experience, services and
training of the professionals working in the practice, as well as the cost-base of the practice.
Competition law dictates that practices may not agree to charge the same or similar fees.
2. A general fee list of the most common codes we charge is available from our reception staff.
3. Fees may be increased on an annual basis and patients will be notified of this by notice in practice
and on our website.
4. The practice will provide patients with a price of goods and/or services, and where it is unable to do
so, it will provide a cost estimate to the patient. It should be noted that healthcare is not an exact
numerical science, and the duration of services, or the number of items used cannot always be
exactly estimated. Especially working with prosthesis and possible fixation devices.
5. In many cases other health facilities, such as hospitals, theatre’s, clinics, other doctors (such as
anaesthetists, pathologists, etc.), or other healthcare professionals (occupational therapists,
physiotherapists, etc.) will be involved in the patient’s healthcare. Such facilities and professionals
will charge their own fees in addition to the fees of this practice if they also render healthcare
services to you.
6. We may contract to certain medical schemes (or medical scheme options) in a particular year. In
such cases we will be obliged to charge at the levels so agreed with that scheme.
7. Note that unless we have agreed fees with your medical scheme, the fees that we charge and the
benefits awarded by your scheme may not overlap. This would mean that you may be required to
pay the difference, or in some cases, depending on the patient’s medical scheme, pay for the
treatment in full. Should you feel aggrieved by the decisions of your medical scheme, you can
approach the:
Council for Medical Schemes at: complaints@medicalschemes.com or fax (012) 431-0608. Note
that the CMS would want patients to exhaust internal remedies (appeals in the scheme) first.
8. Also note that your medical scheme may require pre-authorisation and/or a motivation prior to
certain treatments. Pre-authorisation or scheme approval is, according to schemes, no guarantee of
payment.
9. Should you (the patient, if you are an adult, or the parent of a child-patient) not pay your account
within 30 business / calendar days, we will give you notice of 10 business days whereafter we will
refer your account to an attorney / a debt collecting agency. This will attract additional collection-
and other fees. We reserve the right to charge interest of 2% per month on overdue accounts.
10. Please ensure that we always have your latest contact details to prevent you from missing any
important communication from us. We may contact the person(s) indicated on your personal
information form if we cannot get hold of you and your account remains unpaid.
11. Patients are encouraged to approach us early on if they experience problems with the payment of
the account.
12. In deserving cases, we may reduce our fees to accommodate such patients. This practice also
participates in charitable activities.
13. Employment, insurance, Road Accident Fund and Compensation Fund (workplace injuries/disease)
are not dealt with in this practice.