How much will my care cost?
The cost depends on the care you need and on your Medicare and private health insurance cover. No fees are listed on this website: the Chatswood team can explain the likely costs for your situation, and give you a written estimate before you decide on treatment.
What does a consultation cost?
You pay the clinic’s consultation fee. With a valid referral from a GP, optometrist or medical specialist, you can claim a Medicare rebate for part of it; without one, you pay the whole cost privately.
Some scans and measurements have a separate charge, and not all of them attract a Medicare rebate. Private health insurance does not pay towards consultations or scans outside hospital. Ask about the consultation fee and any tests when you book.
Do I need a referral?
What makes up the cost of surgery?
If surgery is recommended, the total usually has several parts, each charged separately. Your estimate should list them all.
| Part of the cost | Who charges it | What can help pay |
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| Surgeon’s fee | Dr Chen, for the operation | Medicare and your health fund; a gap may remain |
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| Anaesthetist’s fee | The anaesthetist, who bills separately | Medicare and your health fund; a gap may remain |
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| Hospital or day-surgery fee | The day surgery or hospital, for the operating theatre, nursing care, equipment and recovery | Your health fund, if your policy covers the operation; you pay any excess or co-payment |
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| Lens implant (cataract and lens surgery) | Supplied through the hospital | Health funds pay a set benefit for listed lenses; some lenses cost more, and the difference is yours |
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| Other possible costs | For example, measurements before surgery, laser-assisted cataract surgery if you choose it, and eye drops from the pharmacy | Some have no Medicare rebate or health fund benefit; ask what applies to you |
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How do Medicare and health insurance help with surgery?
For surgery as a private patient, Medicare pays 75% of the Medicare Benefits Schedule fee for each doctor’s service, and your health fund pays the remaining 25%, or more if the doctor bills through the fund’s gap-cover arrangement. Anything a doctor charges above that is the gap, which you pay.
Check that your hospital policy covers the operation and that any waiting period has been served (up to 12 months for a pre-existing condition). Cataract surgery is guaranteed only on Gold hospital policies, although some Bronze Plus and Silver Plus policies include it. Retinal surgery falls under the “Eye (not cataract)” category, which Bronze policies and above include.
Without private health insurance, Medicare still contributes towards the doctors’ fees, but you pay the rest, including the full hospital fee.
Public or private cataract surgery?→
You do not need to decide on the day. For practical questions about costs, phone 02 9424 9999.