Step 1. Your General Practitioner Consultation
Patients with a suspected orthopaedic condition must see a General Practitioner or GP for a referral before they can see an Orthopaedic surgeon for an advanced assessment of their suspected condition. A GP will be able to assess the immediate severity of the condition. If the condition is not so severe, your GP will be able to offer immediate conservative treatment such as pain and anti-inflammatory medication (NSAIDs), referral for an X-Ray or Ultra Sound or referral for physiotheapy for optimal care and rehabilitation. If your GP is unsure conservative treatment of your condition will suffice, you will need a referral from them to see an orthopaedic surgeon for an advanced assessment of your condition.
Step 2. Your X-Ray or Ultra Sound appointment
If your GP has recommended you to get intermediate scans from an image centre, they will offer you a referral for X-Ray or Ultra Sound. If you are referred to an image centre by a GP for X-Ray or Ultra Sound, you are entitled to a medicare rebate on the fee for service.
Step 3. Your Orthopaedic Consultation
Dr Manish Gupta is a specialist orthopaedic surgeon. If your GP suspects you have an orthopaedic condition and wishes to refer you to an orthopaedic surgeon, you may request the referral to be addressed to Dr Manish Gupta. If your GP does not know Dr Gupta, you can ask your GP for a paper referral to take to Dr Gupta or ask your GP to make an online booking here.
At your initial orthopaedic consultation at MG Orthopaedics with Dr Gupta, you will be asked a series of questions about your condition. Your pain and function will be assessed with a physical assessment and you may be given a referral for XRay, MRI or CT arthrogram imaging for a conclusive diagnosis of your condition. If your condition is indicated for surgery, you will be asked to consent to a surgical procedure and determine a suitable date and location for the service.
Step 4. Additional Imaging Consultation
If Dr Gupta requests additional imaging for you, you will be given a referral and required to book an appointment at a recommended image centre. Note that in NSW, taking a referral from an orthopaedic surgeon to an image centre entitles you to a medicare rebate on the cost of the imaging service requested. Once your scans and reports from the image centre have been completed, you will be required to make a follow up appointment to see Dr Gupta to discuss the results.
Step 5. Your Follow Up Orthopaedic Consultation
In some instances you may be required to get scans or other tests before a diagnosis can be made. If this is the case you will need to book a follow up appointment to see Dr Gupta.
Step 6. Physiotherapy Consultation
Depending on your circumstance, you may or may not be eligible for medicare or private insurance entitlements for physiotherapy treatments. You should consult your GP at the time of treatment to ask about your medicare entitlements to physiotherapy and consult your health insurer for advice relating to your private health insurance level of cover for physiotherapy treatments.
Estimated Fees and Charges for Surgery
Note that fees and charges vary from patient to patient, depending on the level and type of health insurance each patient may or may not have. Medicare and private health insurance entitlements make up part of the total bill, but there may also be a gap amount owing after both these entitlements have been paid.
Step 1. Orthopaedic Consultation Fees
AT MG Orthopaedics, there are initial and follow-up consultations which are priced differently. A follow-up consult may be required if you are requested to go for additional imaging scans for a better diagnosis of your condition. You are entitled to a medicare rebate for all orthopaedic consultations, if you come with a referral from your GP. Private health insurance does not often offer rebates for orthopaedic consultations, but check with your insurer if you are unsure.
Step 2. Surgical Procedure Fees
You should expect to receive 4 bills for your surgical procedure.
1. MG Orthopaedics will charge you a surgeon fee for your operation. The fee for surgery is the AMA recommended fee for the procedure you consent to. The surgical procedure fee includes the fee for the procedure and the fee for the normal amount of follow up consultations required during recovery from surgery. You are entiteld to Medicare rebates for this service and may be eligible for Private Health insurance rebates depending on your level of insurance cover.
2. Dr Gupta may require assistance during your surgical procedure. If required, you will receive a surgical assistant's fee. Your surgical assistant is responsible for contacting you and billing you after surgery for the surgical assistant fee for your surgical procedure. You are generally not entitled to medicare nor private health insurance rebates for surgical assistants.
3. You will be charged an Anaesthetic fee for your procedure. MG Orthopaedics will provide you with contact details of your anaesthetist for surgery. Your Anaesthetist will be responsible for billing you the anaesthetic fee for your surgical procedure. You are entiteld to Medicare rebates for this service and may be eligible for Private Health insurance rebates depending on your level of insurance cover.
4. You will be charged a hospital fee. MG Orthopaedics will provide you with contact details of the hospital for your surgical procedure. Your hospital will be responsible for billing you the hospital fee for your surgical procedure. You are entiteld to Medicare rebates for this service and may be eligible for Private Health insurance rebates depending on your level of insurance cover.
Step 3. Rehabilitation Fees
MG Orthopaedics recommends, but does not offer, a rehabilitation service. Please consult your recommended physiotherapist to confirm pricing of their rehabilitation programs.