Informed Financial Consent

This is to advise that Dr Costa Karihaloo, Dr Chris O’Neill, and Dr Adeeb Majid participate in the no-gap arrangement or gap-cover scheme with most major health funds, which means in effect that you will be charged the amount that your fund rebates for “TOP COVER” for most procedures.  The account for your inpatient procedure will be sent directly to the participating fund.  This does not include bariatric (weight loss) surgery.

IF YOU DO NOT WISH THIS ACCOUNT TO BE SENT TO YOUR FUND
PLEASE ADVISE OUR OFFICE BEFORE YOUR PROCEDURE DATE.

Bariatric operations (for weight loss) are not covered by this arrangement – please review the following quotation documents:

All bariatric procedures are subject to fund checks by you, the patient.  Re-do/subsequent bariatric procedures may or may not be covered by no-gap scheme with our Practice – please speak to the administration staff.  These re-do/subsequent procedures are also subject to fund checks by you, the patient, as unless you have “top cover” some funds DO NOT participate in the no-gap scheme for these types of procedures.  If, at the time of your bariatric surgery, you require another procedure to be performed synchronously this will incur an extra charge.

Under normal circumstances Surgery Central has a reciprocal arrangement with many private health funds including:

AHM AUH BUPA CBHS CDHBF Central West
Defence GU Health HCF health.com Health Ins Fund Man Unity
Medibank Navy NIB onemedifund Peoplecare Phoenix
Police rt Health St Lukes Teachers Transport Westfund

This advice does not relate to services provided by other doctors, including assistant surgeons, anaesthetists, radiologists, physicians, or pathologists, nor any other costs associated with your stay, e.g. accommodation, theatre fee, pharmacy or physiotherapy.  It relates to the Surgery Central doctor’s fee only for in-patient services.

With regards to the anaesthetist’s fee the date for your operation has been allocated on a next-list basis and these lists are shared by a number of anaesthetists.  For information regarding the anaesthetist scheduled for your procedure please speak to our administration staff.  A number of anaesthetists can be contacted by telephoning NAPS on 4935 9300.  If you know the date of your operation and require information regarding their fee structure you can contact them directly.

Please refer to your health fund for additional information not provided above.

Dr Karihaloo, Dr O’Neill, and Dr Majid have no financial interest, other than the fee for service, in any products or hospital services.