Mr Middleton sees both insured and non insured patients.
Mr Middleton bills patients directly by post after a consultation or surgical procedure. The patient will receive a written quote for the estimated costs of the consultation or procedure. Invoices can be settled by cheque or for insured patients by forwarding them to their insurance company. Please note that additional costs such as x-rays, blood tests etc are not billed by Mr Middleton but by the hospital where the patient received the treatment either directly to the patient or to the insurance company. For procedures such as injections there is an invoice from Mr Middleton for performing the injection and an invoice from the hospital for the actual injection and use of hospital premises for the treatment.
For patients paying for their own treatment who are not insured there is the option of fixed price surgery. This is offered by the private hospital and for a fixed price the patient receives a package which includes medical fees, hospital fees, drugs and surgical implants, physiotherapy in hospital, any medical treatment whilst in hospital, and for an extended stay for complications directly related to the procedure for 30 days following surgery. This means the patient can have a written quote for a fixed amount that will include all of the treatment and no extras. Sonia, Mr Middleton's secretary, can arrange this for any patient.
For insured patients an invoice will be sent to the patient's home address following the Out-patient consultation or In-patient surgical treatment. The patient normally forwards this invoice to their insurance company to settle it directly with Mr Middleton. There are many different insurance companies and many different policies. Some do not cover Out-patient fees or have certain limits therefore you may wish to send the invoice directly to Mr Middleton and settle it independently.
One increasing problem that has been noted with Insurance Companies is that many of them have not increased their cover for surgical fees for ten to fifteen years. This is despite annual inflation and the fact that the costs of medical practice, especially medical insurance, have increased significantly. Depending on the policy there is sometimes a shortfall. A shortfall is where an insurance company will pay up to a certain limit and leave the patient to pay the shortfall on the surgical fee. The patient is responsible for paying the amount of the shortfall directly to Mr Middleton. The other fees, including the implant and hospital stay, should be paid in full by the insurance company. There is also sometimes a shortfall in the anaesthetic fees.
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