Forum Discussion

Gadgetmumma's avatar
14 years ago

Save money - Public vs Private for Radiation

HI all,

I just thought I would let you know of a $3,000 pitfall that I managed to avoid . . .

I was treated in a private hospital for IBC and underwent breast conservation surgery in August. My surgeon referred me for radiation to the same private hospital BUT, I had been forewarned that this would cost in th region of $3,000 whereas it could be all free in the NSW public hospital.

I asked my surgeon to refer me to the public hospital but he refused. In fact, he even asked his secretary to phone the private provider and make an appointment for me - while I was sitting in front of him.  I asked no less than 5 times. HIs responses varied : "I don't know anyone there", "Ask the Rx clinic for a referral", "Have a look at both, by all means.", "Your out of pocket expenses won't be much!" (the one that sticks in my craw!!!).

So, I did go to that private clinic appointment (with a friend for support) with no intention of paying anything for the privilege. I asked to look over the facilities and to see the payment schedule. I also asked if there was a fee for that?The receptionist said that all that would be discussed in the consultation. I asked her to therefore cancel my appointment, but could I please have the payment schedule. Eventually I received it, all beautifully presented. And? Correct! I would have to pay the full fee weekly and then claim back from Medicare and my private health insurer. Out of pocket expenses? Yep - $2,500, in writing. But I needed to have the money up front.

I went back to my GP and told her the story and she referred me to the public hospital where I received EXCELLENT treatment and service. At NO cost to me.

What makes me mad is that the surgeon just dismissed my need to be careful with MY money as 'It wouldn't be much'. To HIM maybe not, but to ME that is a lot of money on top of the surgeon's and assist surgeon, anaesthetist's out of pocket expenses (about $3,500).

So, be warned everyone who reads this. Make sure you ask all the right questions. Take an advocate with you if necessary. You are in a vulnerable position and not always capable of making the best choice. Your advocate will look out for you. The McGrath breast nurses can go to some of these appointments if they are not too rushed at that time.

If I could have my time over . . . I would go to the surgeon recommended by my GP. I chose the surgeon based on the Breast Screening NSW visit where I received  my diagnosis. The surgeon happened to be rostered on that day and he gave me his phone number. (I did follow up to see if that is ethical practice - it appears to be!).

I would be interested to know if anyone else has experienced similar referring practices.

Regards,
Jenny (Gadgetmumma)

5 Replies

  • Hi All,

    I live in Melbourne and whilst i have seen my surgeon privately he arranged for me to be operated on in a public hospital and did the surgery i waited 20 days for that to occur and am now waiting on the next step.  It must of been awful to have been given your diagnosis and then a doctor give you his card because he happened to be there.

    I know it doesn't help much but keep all your medical receipts, dental, physio for you and your family and once it reaches $2,000 claim the out of pocket expenses as a tax rebate you will get some money back this way.

    Good luck

    Jo-Anne

     

     

  • It all depends where you live. Radiation therapy is free in the public system, my hospital claimed direct from Medicare and I received a cheque made out to my Radiation Oncologist that I had to take back to the hospital. In Victoria there is a public admitted patients agreement between Western Radiation Oncology Centre in Footscray and also the Murray Valley Radiation Oncology Centre in Wodonga where they accept a number of public patients and treat them under the public umbrella - costs worked out between the two systems, but no cost to the patient.

    Perhaps the same agreement operates in other states and that is why some who are treated at a private clinic pay and others treated at another private clinic don't pay.

    The out of pocket expenses vary greatly depending on the type of cancer being treated with breast cancer costs being in the mid-range.

    It's hard to insist when your referring Oncologist wants you to go private for radiation and to overcome the horrific stories they tell about the public system to put you off, but it is your right to choose where you are treated. A friend of mine was told that a public radiation centre in Melbourne (only a few minutes walk from her home) had long waitng lists and it was very hard to get into etc. etc. She insisted, had her planning CT scan within the week and is currently in the middle of her 6 week course. You need to be your own advocate in this, but it does depend on where you live.

    With love

    Joy K

  • HI Anne and Leone

    Glad that you were able to be treated appropriately in the public system. Yesterday I also heard of some BC ladies who had to pay a huge amount for their chemo - one lady paid $12,000, another $9,000. The other lady present had hers for free.

    Why is there so much discrepany? I wonder!

    Cheers Jenny

  • Hi Jenny I expected to go to private radiation therapy, but was pleasantly surprised that i was referred to Queensland's public service. I was concerned about the costs, but I've had no out of pocket costs at all as its billed to Medicare. Regards Anne
  • Hi, Back in 2006 at my first diagnosis, I was warned not to go private.  I was a private patient and thought that I would have to go private for radiation.  Luckily I had a friend who has "done the same road" 3 years earlier.  She put me straight.  I am in Queensland.  I had no out of pocket expenses for the service - just transport and accommodation as I had to be away from home for 7 weeks as I live in rural Central Queensland. At my second diagnosis in Dec 2010 and subsequent radiation in Feb/March 2011 I again went to the same public radiation clinic.  Same wonderful service at no cost.  I was given names of the two practising surgeons at the time by my GP and it was my choice so can't comment to your query.  It sure is a costly business without adding on unnecessary costs. XLeone