Forum Discussion

sharon_robertso's avatar
15 years ago

i'm shocked

i cant believe it i pay $300 a month for private health insurance and i have to pay around $5000 out of pocket expenses for my surgery and they want it up front ..... so in other words if you don't have the money you just have to not have the reconstruction when i called the health insurance about it they said that they pay 100% of the government scheduled fee so the doctor must be charging over and above and the surgeon said that the government and health insurance don't pay the scheduled fee recommended by the national health so who knows all i know is its not fair to us woman when all we want is to get rid of this cancer and have our bodies as much back to as normal as possible .......i don't think its fair do you 

shaz

20 Replies

  • Yes I face the same out of pocket expenses. My level of Health cover did not cover reconstruction costs so I would have to pay out of my own pocket. Rather than go private some and public some  So I decided to go public for the whole lot..  Not a regret in the world. I was diagnose with BC on 16/9/2010.  Had a bilateral masectomy, and reconstruction with tissue expanders on 4/11/2010.  The 6 week wait  was due to the fact that had a problem with bleeding and bruising easy, that they decided it was better to have two surgeons operating on me to perform my masectomy then the plastic surgeon came in for his bit.  Considering I had 3 surgeons to tie times together, I only waited 6 weeks for my operation.  I think that was fantastic waiting time. In between those 6 weeks I had so many other tests in relation to my blood and MRI. (oh my god imagine what the extra cost would of been for an extra surgeon if i went private)

    After the operation I recover for 5 weeks and began having my tissues expa?nder?s expanded? to the size ??I? ?wanted. ??????????? ?????Which is only the original size of my breasts. The Tissue expandeers stay expanded at this size fo 3 months.??

     ??I? ?h?a?d? ?m?y? ?l?a?s?t? ?e?x?p?a?n?s?i?o?n? ?o?n? ?1?7?/?1?2?/?2?0?1?0? ?a?n?d? ?b?e?g?a?n? ????????chemotherapy on 24/12/2010.  I ?finish ?my chemotherapy and? ?now ??g?o? ?b?a?c?k? ?t?o? ?s?e?e??? ?p???l??a?s?t?i?c ?????? ?????????????s????u??r?g?e??o?n? ?t?o?m?o?r?r?o?w? ?t?o? ?b?o?o?k? ?i?n? ????o?p?e?r?a?t?i?o?n? ?f?o?r? ?i?n?s?e?r?t?i?o?n??? ??????o????f? ?s?i?l?i?c?o?n? ?i?m?p?l?a?n?t?s?.

    I have not paid one cent for any of my operations or treatments. I have had excellent care and staff were great.

    All of this done within 3 months of diagnosis.  

    Yes I agree what do i pay private for it there such a big out of pocket costs.

    Good luck with all operation.

    Dot

  • thanks girls its not that i cant afford it it just shocked me 10 days before surgery what if i didn't have it 

  • Hi Shaz,

    That's so unfair and yes,health funds are a rip off.You know what makes me mad is all this "pink"fund raising that goes on and we don't benefit from any of it.Apart from this bcna site and the Mcgrath nurses(which are both fantastic) where does all the other "pink"money go?It would be put to good use on us poor buggers that need wigs and reconstructions.I suppose a lot goes on research but it ain't helping cos more women than ever are getting this horrible cancer.This whole breast cancer ride is unfair Shaz-what can I say? Put it on the credit card and clock up a heap of flier points and then go on a free holiday when you are better!

                                     luv Tonya xx

  • Another test!!  Have a you got a friend in a local member. Maybe you could have a chat but at the end of the day Sharon it is only bloody money.  I know it is hard sometimes to find money but please don't stress about it.  If you have to pay it so be it - on the positive side you will be able to claim it back on your tax.  Please let it go and think about getting well and "back to your new normal".   My husband and I don't have an abundance of money - like most people - but we now look at it exactly as it is - just money - paper only.  Take care XLeonie