Fees apply for new consultations, follow-up consultations, and there are additional fees for specialist outpatient investigations. We aim to provide a “one-stop” clinic service for many conditions and perform minor procedures or investigations during your first appointment: saving you both time and expense of repeat visits. Examples are shown below.
A hospital ‘facilities’ fee may apply for some outpatient procedures in addition to the consultant fee. You may receive a single bill covering consultants’ fees and hospital fees, or two separate invoices depending on circumstances.
Patients are responsible for settling all fees personally although in many cases we are able to arrange for the invoice to be settled directly by your insurance company. If you have medical insurance you are strongly advised to seek prior approval from your insurance company for the referral, and it is helpful to bring your insurance details and any authorisation code/number to your first appointment.
Self-paying patients are not committed to continuing all future care in the private system. At any stage during the care pathway you may transfer to the NHS for ongoing care should you nominate to do so. Once your care is transferred to the NHS your care will be given the same priority on outpatient and surgical waiting lists as other NHS patients. You should be aware that NHS care provided under the name of a consultant may be delivered by non-consultant grade doctors working as part of that consultant team.
List of common fees applicable:
*separate hospital fees apply in addition to specialist fees
Insurance companies all provide different levels of reimbursement for consultation and procedures. Our fee structure is based on the WPA insurance schedule. We expect to be transparent with our fees and are happy to provide clarification before your appointment. You should check reimbursement rates with your insurance company to establish whether there will be an excess to settle personally.
Costs of surgery vary considerably depending on procedure.
If your condition needs an operation we can advise you of the fees in advance. In most cases insurance companies will provide separate authorisation for surgery from your original consultation reference.
If you are funding the cost of surgery yourself, we can offer ‘fixed price’ packages for surgery in conjuction with Nuffield Health.
To book a consultation call us on 01392 262160 or get in touch online.
Insurance company fees and ‘recommended’ consultants
Some of the larger health insurance companies promote consultants as ‘preferred’, ‘authorised’ or ‘recommended’ consultant partners. Some people mistakenly believe this relates to a quality rating.
The General Medical Council and the College of Surgeons are the only authorities who regulate our professional practice. Insurance companies preferentially recommend consultants on the basis of commercial agreements: generally a contract to charge a slightly lower set fee in return to being recommended for referrals.
The choice of which consultant you see is an important decision. People commonly seek a personal recommendation from family, friends or their GP. Insurance companies will usually only mention the name of consultants with whom they have signed fee-agreement contracts.
We do not enter into these contracts and have a transparent fee structure for our services. In some cases there may be a small excess to pay which isn’t covered by your insurance company, as for many other types of insurance claim. You can establish this in advance by asking what your insurance company will reimburse and comparing it against our fee structure. We believe our relationship is directly with our patients and should be supported, not driven by insurance companies.