Register to Comment
Page 1 of 11 123 ... LastLast
Results 1 to 10 of 101
Like Tree27Likes
  1. #1
    terence terence is offline
    terence's Avatar
    Join Date
    Mar 2009
    Posts
    981

    question.. can a consultant charge fees plus claim from health insurance for minor procedures done during consultation?

    Basically I saw a consultant in a private hospital for 25 mins in total. I had an ear examination, nothing too extravagant, a scope down my nose and a general check over with a few questions and also had a cauterisation done for nose bleeds on one of my children.
    Paid consultant e230 for the two of us...don't mind
    Got statement from health insurance to say they claimed for surgery e128 for me and e186 for child.
    So this doctor made e526.

    If I go to my GP and get a blood pressure check , can my GP claim for that off my insurance....eh no. I would assume that my fee is paying for the doctors expertise in diagnosing and also for fixing my problem if its possible. So why am I paying consultant for their time and treatment and then they claim extra from my insurance.
    I would like to know if they are allowed to do this and I am expecting to hear that they are but I am ringing their office on Monday and I want to be doubly sure.
    I do not object to them charging if the treatment involves out of consultant room treatment as there are probably fees involved for them if this happens but if I am paying them for their time and expertise surely their treatments should be part of that expertise????
    This drives up our insurance premiums and if I have a proper complaint I will take it further.
    Incidentally a couple of years ago I got a breast check from a consultant when I found a lump (nothing serious thank God), anyway insurance firm rang me several weeks later to ask about the claim, the doctor had sent in a claim for treatment outside of his consultant rooms and in the hospital, worth e600 approx., this did not happen and I told the caller this....made my blood boil, this same consultant has a private clinic, works in a particular hospital and lectures...how much money does one need.....
    Sign in or Register Now to reply

  2. #2
    Telemachus Telemachus is offline
    Telemachus's Avatar
    Join Date
    Apr 2004
    Posts
    7,794

    Dont you need to see a GP before you can even meet a consultant in this sh1tty country? How did you avoid that?

    What was the basic charge to just get a consultant privately? and was he a specialized consultant?

    I remember i was in a foreign hospital and they had a menu like in a cafe, cheap rate was for junior doc, mid rate was for normal and then a super rate for consultant.

    PS: good chance they will delete this thread as we CANT GIVE MEDICAL ADVICE. Crazy.
    Sign in or Register Now to reply

  3. #3
    damus damus is offline
    damus's Avatar
    Join Date
    Jun 2011
    Posts
    10,452

    Where you admitted as a day or in-patient or did the consultant perform this procedure in his rooms? If the latter, I don't think that they can submit a claim to the insurer but to be doubly sure check the T&C's of the policy and what your level of day to day cover is. I know with my policy that it'll only cover day and in-patient treatment, and all consultant fees are paid by míse upfront.
    Sign in or Register Now to reply

  4. #4
    terence terence is offline
    terence's Avatar
    Join Date
    Mar 2009
    Posts
    981

    Quote Originally Posted by Telemachus View Post
    Dont you need to see a GP before you can even meet a consultant in this sh1tty country?

    What was the basic charge to just get a consultant privately? and was he a specialised consultant?
    Yes , my own GP referred me to this person and they are an ENT? The e230 was the consultation fee for both of us. So are we only paying them the fee to talk but any action after that is claimed from insurance??? I just thought that the fee was for the overall package...25 mins of expertise!
    Sign in or Register Now to reply

  5. #5
    terence terence is offline
    terence's Avatar
    Join Date
    Mar 2009
    Posts
    981

    Quote Originally Posted by damus View Post
    Where you admitted as a day or in-patient or did the consultant perform this procedure in his rooms? If the latter, I don't think that they can submit a claim to the insurer but to be doubly sure check the T&C's of the policy and what your level of day to day cover is. I know with my policy that it'll only cover day and in-patient treatment, and all consultant fees are paid by míse upfront.
    No it was not a day or in patient scenario and yes the procedures were done in their consultation rooms....this is where my query is, as I see it we hire (e230) them and their expertise for the duration of the appointment.
    I would prefer to sort this out with them first but need to know but if it comes down to t+c's I will prob have to take it to the insurance company
    Sign in or Register Now to reply

  6. #6
    nonpartyboy nonpartyboy is online now
    nonpartyboy's Avatar
    Join Date
    Dec 2006
    Posts
    7,410

    What some in the medical profession seem to get away with, in many other walks of life would be classed as fraud.
    Sign in or Register Now to reply

  7. #7
    nonpartyboy nonpartyboy is online now
    nonpartyboy's Avatar
    Join Date
    Dec 2006
    Posts
    7,410

    Just to provide some evidence.......

    Health insurers being

    5,000 more ghost patients in medical card scam | Irish Examiner


    People in many other walks of life have been sacked and brought through the criminal courts for similar actions........
    Sign in or Register Now to reply

  8. #8
    Analyzer Analyzer is offline
    Analyzer's Avatar
    Join Date
    Feb 2011
    Posts
    26,158

    Stop picking on them. They are still nursing (sic) losses from the collapse of the banks, and Quinlan Private.....

    Seriously, though - is there an ombudsman ?

    I am VHI, and I take note of what is said to me.

    I am now thinking of using the smartphone to record what is said, in case I need to query it.
    Sign in or Register Now to reply

  9. #9
    asset test asset test is offline

    Join Date
    Oct 2008
    Posts
    8,122

    What about dentists?

    I could go on....
    Sign in or Register Now to reply

  10. #10
    Sister Mercedes Sister Mercedes is offline
    Sister Mercedes's Avatar
    Join Date
    Dec 2011
    Posts
    9,999

    Quote Originally Posted by Telemachus View Post
    I remember i was in a foreign hospital and they had a menu like in a cafe, cheap rate was for junior doc, mid rate was for normal and then a super rate for consultant.
    Hospitals in Singapore have to list all their charges. Patients there are required to pay part of their medical expenses themselves (even with insurance), so it encourages them to shop round for best prices. Singapore is considered to have one of the best medical systems in the world (in terms of medical outcomes and costs).
    Sign in or Register Now to reply

Page 1 of 11 123 ... LastLast
Sign in to CommentRegister to Comment