Fee structure

Firstly before we outline our fees, it is important to explain how fees are charged.

In 1985, the Federal Government introduced a scheme called the Medicare Benefits Scheme that covers all medical procedures for which there is a Medicare rebate. It lists item numbers for operations and consultations, a schedule fee and a benefit (which you as a patient can claim under the Medicare scheme).

The Medicare rebate is set at 75% of the schedule fee for in-hospital expenses (such as operations) and 85% of the schedule fee for out-of-hospital expenses (such as consultations). Over the years, the Medicare rebate has not moved in line with inflation (the Consumer Price Index).

The Australian Medical Association ( AMA ), the peak medical representative body in Australia, sets its own schedule of fees, which has increased to keep pace with inflation. This fee is higher than the Medicare rebate. The Gold Coast Upper Limb Centre is an AMA practice.

Due to the increased cost of providing health care and meeting insurance premium costs, Gold Coast Upper Limb Centre ( GCULC ) does not “gap cover” and is not part of any health insurance alliance. GCULC does treat patients under WorkCover. Separate fee schedules are used for these patients and are typically billed directly to the appropriate organisation. GCULC does not offer discounts for Health Care Card holders. Dr Kalamaras attends the Gold Coast Hospital for those in financial need.

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