We understand that money matters are a sensitive topic, but we would prefer you to be aware of potential costs rather than receiving unexpected bills afterwards. The first consultation is billed directly to the patient. Most medical aids will reimburse the patient if the invoice is submitted to them by the patient.
All our accounts, except for the first one, are submitted electronically (via EDI) to the medical aids. The medical aid then pays us in accordance with the authorisation that they had agreed to. At the risk of labouring the point, at times we have problems with the medical aids settling our accounts timeously. The contract with the medical aid lies between you and your medical aid, not between us and your medical aid. Should your medical aid fail to settle our accounts, you will personally be held responsible for outstanding amounts.
All payment needs to be made by EFT, cash or cheque. No credit card facility is available. Please refer to the invoice for the banking details. Please use your name and surname as the reference for EFT payments.
Drs Callaghan, Marais, Narsai and Associates Inc. charges above the scale of benefits for consultations. You are responsible for settling your account personally and claiming the balance from your medical aid society.
The billing structure is determined by your medical aid. In some cases, all the chemotherapy costs appear on one account. In other cases, the costs appear on two separate accounts. Some medical aids reimburse us directly for the chemotherapy. In those cases, the invoice will contain an itemised bill for a facility fee, professional fee and chemotherapy drugs, supporting drugs and consumables. We submit this invoice to your medical aid. Other medical aids reimburse the wholesale pharmacy for the chemotherapy drugs, supporting drugs and consumables. The wholesale pharmacy submits its invoice to the medical aid. We then invoice separately for a facility fee and a professional fee and submit a separate invoice to the medical aid. Minor variations on the above are determined by each individual medical aid.
We primarily use Dis-Chem wholesale pharmacies to supply our pharmacy. If you do not belong to a medical aid, we can order the drugs on your behalf from Dis-Chem. The wholesaler will invoice you directly and they require proof of payment before dispatching the drugs to us. The payment needs to be done two days before your scheduled treatment day to ensure that the order is processed and delivered on time. We require that you pay the chemotherapy administration and facility fee two days prior to the treatment day. Unfortunately, no discounts apply. This process needs to be repeated before each dose of chemotherapy. The same procedure applies should your medical aid not cover your treatment, or requires you to pay a portion of your treatment. Some medications require special permission from the Medicines Control Council (MCC) for use on a “named patient base”. This process can delay the procurement of drugs and is beyond our control. Unfortunately, we must recoup the expense for these applications from the patient (R300 per application).
Patients are liable for chemotherapy costs that are incurred when there is no authorisation for the treatment or when medical aids don’t honour their authorisations.
The billing structure is determined by your medical aid. In some cases, all costs appear on one account. In other cases, the costs appear on two separate accounts. The billing structure for radiotherapy consists of two separate components. The first is related to the doctor’s professional fee for prescribing and overseeing the treatment. The second is related to the preparation for treatment and the delivery of treatment by the radiotherapy staff.
If the radiotherapy is approved by SAOC, then two invoices are generated, one for Drs Callaghan, Marais, Narsai and Associates Inc., and the second for Drs Callaghan, Landers and Associates Inc. If the radiotherapy is approved by ICON, then two invoices are generated, one for Drs Callaghan, Marais, Narsai and Associates Inc., and the second for Dr S.J. Fourie and Partners Inc.
The centre where your treatment is delivered also affects the billing details (e.g. The Oncology Centre, Umhlanga Oncology Centre, Amanzimtoti Oncology Centre or Msunduzi Oncology Centre in Pietermaritzburg). Private radiotherapy patients are charged at medical aid rates. Accounts are payable weekly on presentation. A 10% discount will apply to the doctors’ professional fee if the amount is paid in full before the start of treatment. Should you go through the preparation process and not proceed to treatment, you will be liable for the costs incurred during the preparation.