Jump to content

WA Specialist dont take Public patients?
Help


  • Please log in to reply
22 replies to this topic

#1 FeralPerthFembo

Posted 04 February 2013 - 02:51 PM

Hi this is not baby related but not sure where else to ask.

DH has had a problem with his wrist for about a year. He went to the GP who referred him to physio. He went to physio for a few months no improvement. Went back to GP and got referral for ultrasound, still couldnt find what is wrong. GP asked if he had private health insurance and he said no and wrote him a referral to a wrist specialist.

DH called the specialist today and was told they only see patients who have PHI, no exceptions. So DH calls the GP and gets a new specialist name and when he called got same answer (only take private patients).

He calls the GP surgery again and tells them what happened and they basically said dont know "maybe we can refer you to a teaching hospital, will see what we can do" and they have no idea what that would involve or how long it would take.

We had no idea that specialists wont take public patients when deciding not to get PHI. And now it is a "pre-existing" condition we can't just go out and get PHI as we wouldnt be covered for it.

Does anyone know of a WA wrist specialist that will see people without PHI? We know it might be expensive but at this stage we just want to see someone and figure out what is wrong?! We are SOR but will travel.

#2 envs

Posted 04 February 2013 - 03:04 PM

Try going to a GP that bulk bills...they will have a list of specialists that treat public patients, but can be long...don't know any specialists myself. sorry

#3 kay11

Posted 04 February 2013 - 03:08 PM

Wow. I'd go the teaching hospital route. It might take a while, but we go through it for immunology and they've been good.

#4 Fossy

Posted 04 February 2013 - 03:10 PM

Seems odd they wouldn't see you if you're willing to pay. Did you advise them you're willing to pay all fees upfront?

Otherwise, look on your public hospitals website and see what doctors practice there, or ring and ask for a list? Im sure they'd be able to help you out. Good luck.

#5 FeralPerthFembo

Posted 04 February 2013 - 03:20 PM

Thanks for the replies. Yes we did say we are willing to pay upfront but they still said no.

I will try to find a list of public hospital specialists...

Kay, does a teaching hospital just mean where all the new doctors train at when they finish their degrees? Do you have any idea how long things take (eg months or a year?)



#6 SeaPrincess

Posted 04 February 2013 - 09:55 PM

You could also try calling PHI companies and find out what the waiting period would be for coverage.  It might not take as long as the waitlist (assuming you can even find one).  Or call one of the private surgeries and ask them if they know of a public specialist.

#7 au*lit

Posted 04 February 2013 - 10:03 PM

He probably needs to be referred to an outpatient clinic at a public hospital.

A teaching hospital is basically a big public hospital. In Perth they include Charlie's/QEII, Royal Perth, Joondalup and Fremantle (and Princess Margaret & King Eddies, but they won't help your DH).

#8 ReadySetRace

Posted 04 February 2013 - 10:07 PM

You'll need to go back to your GP and he / she can send off the referral to the local public hospital.  The wait is likely to be long. Has your GP done an MRI? That may give you answers (I assume from your post that the cause is uncertain.). It will cost you but is worth it.

If you can, join private health insurance now as the waiting time may be shorter than the public hospital waiting list.  Sad but true, especially for orthopaedics.

I find it strange that the specialists won't even see you, so keep asking around and you may find someone.

#9 redglittershoes

Posted 04 February 2013 - 10:20 PM

PHI will cover pre existing conditions after a 12 month wait. You should also be able to get cover for a wrist on a low / medium level of cover. Others are right, that might be quicker than waiting on a public waiting list.

#10 Feralishous

Posted 04 February 2013 - 10:54 PM

id just get PHI as well. I have a hernia and its been a 5 month wait to ever SEE the specialist, let alone have the op (Im rural, and wasnt able to drive to perth and go private so Im stuck waiting down here)

#11 iwanttosleepin

Posted 04 February 2013 - 11:06 PM

I don't understand why they won't see you as a private patient?

I see my Dermatologist in Australia privately and I don't even get Medicare. I don't have private health insurance either.  (I do have travel insurance while in Australia).

The private health insurance won't cover an outpatient consultation anyway....so it's a bit odd.  What does it matter to them if they have a consultation and then from there you can make an assessment of where you want to go if treatment is warranted.

#12 Luvmy4ferals

Posted 04 February 2013 - 11:59 PM

I have had the same issue.  In my experience no doctor would see me even with the offer of payment upfront.
We ended getting PHI & had to wait 12 months as it was a pre-existing condition. I'm sure the wait at a teaching hospital would have been just as long.

#13 FeralPerthFembo

Posted 05 February 2013 - 12:02 AM

QUOTE (iwanttosleepin @ 04/02/2013, 10:06 PM) <{POST_SNAPBACK}>
I don't understand why they won't see you as a private patient?

The private health insurance won't cover an outpatient consultation anyway....so it's a bit odd.  What does it matter to them if they have a consultation and then from there you can make an assessment of where you want to go if treatment is warranted.


That's what we don't understand! What does it matter to the doctor if the money comes from us personally or from a PHI fund?

When we got rid of our PHI years ago we started putting the money we saved into a separate account so we could afford to pay if something like this ever came up. We had no idea it would ever be an issue of not getting to SEE a specialist without PHI.

We've decided to take out PHI now in case something like this happens again in the future (and we will avoid the over 30 penalty as DH turns 30 this year). Sounds like the 12 month wait for pre-existing conditions may end up being less than the wait with public system anyway sad.gif

Edited by JBaby, 05 February 2013 - 12:04 AM.


#14 Guest_LeChatNinjah_*

Posted 05 February 2013 - 12:05 AM

It sucks, OP and I think it should be illegal.

I'm effing furious on your behalf right now.



#15 Rhoxie

Posted 05 February 2013 - 12:21 AM

All doctors need to operate somewhere .. those who operate out of private hospitals( need PHI)  and those out of public hospitals (the best of which are the 'teaching hospitals")

My DH had both hands operated last year through a referal from a bulk billing GP to Kaleeya Hospital in Fremantle. He had a 5 month wait for the first hand and a further 6 weeks after that for the second hand.

Could not fault the treatment and his carpal tunnel is gone original.gif  

Get your referal to a public hospital and you'll probably be in and done this year.

#16 iwanttosleepin

Posted 05 February 2013 - 03:19 AM

Rhoxie - you are assuming an operation is needed.
The OP only wants a consultation at this stage.  That isn't covered by PHI anyway.



#17 Luvmy4ferals

Posted 05 February 2013 - 09:10 AM

QUOTE (iwanttosleepin @ 05/02/2013, 01:19 AM) <{POST_SNAPBACK}>
Rhoxie - you are assuming an operation is needed.
The OP only wants a consultation at this stage.  That isn't covered by PHI anyway.


For me they didn't care & their reasoning was "if you did need surgery how do we know you can afford it. The doctor wont waste his time on consults with people who may need to go elsewhere for surgery."  The attitude was the same everywhere I tried I even had people hanging up on me when I dared to question them about it.

The only option was go public teaching hospital or get PHI & wait. Which we did as we were finally in a position to afford it.

Edited by Luvmy4, 05 February 2013 - 09:11 AM.


#18 shelly1

Posted 05 February 2013 - 09:39 AM

I would atleast ask for an MRI. I had a problem with one of my wrists, Dr refered me to physio and it didnt help, xray didnt show anything, catscan didnt show anything and finally I went for an MRI which showed inter articular ganglion - nothing sinister but I did need surgery to remove it

#19 Soontobegran

Posted 05 February 2013 - 09:54 AM

That is very unfortunate OP. sad.gif
I have not met specialist who will not take on a patient without PHI as it really doesn't affect him at all? Medicare pays him not PHI.

The only thing I can think of is that he only works out of the private system and will not take on patients he can not treat through a private hospital knowing that for most people paying up front for private hospital stays and treatment without PHI is out of the question?

Mind you having PHI does not assure you of an earlier appointment with a specialist. Wait times are often months with popular specialists and popular hospitals.

You had a question about tertiary educating public hospitals and who provides the care. Very many of the same specialists that work privately also work in the public system. They are consultants and the registrars and residents work 'under' them. The consultant will usually be involved in decision making and surgery so you will never have major diagnosis and treatment decided by those still learning.

#20 Feral Madam Mim

Posted 05 February 2013 - 11:40 AM

If you have taken out PHI I would still also ask for a referral to a public hospital (I went through a public hospital for my ankle), that way if a spot comes up in the public system before your wait period is over you can still take it, if your wait periods ends first then you can just cancel the appointment with the public hospital and go private (hope that makes sense). I would also get whats tests you can done now while waiting, that way when your appointment comes up you can save time by handing over everything you have and then coming up with a game plan sooner. If he has already had an ultrasound I would also ask for an Xray and an MRI (I know freo hospital does MRIs and from memory it took me about 4 weeks to get in for it).

#21 FeralPerthFembo

Posted 05 February 2013 - 01:50 PM

Thanks everyone. DH has already asked them to refer him to the teaching hospital tho it didnt seem like they had done it before so we will check up on them and make sure it is done.

He is also going to try and find a bulk billing GP who might know a public specialist and also to request an MRI. Hopefully that might at least help with diagnosis so we can figure out if surgery will be required at all.

It's not so much the wait that is the problem, but more of the run around with being told we could see a specialist and then told we cant and the GP acting like we are such an inconvenience to them and not knowing what to do.

When DD was favouring one side as a newborn our CHN was able to say "we are referring you to x, it takes 4-6 weeks and they will send you a letter with an apt date which will be about 4-6 weeks after that". If the GP had handled it similarly and was able to give us some kind of indication of the process, even if it did take over a year, we wouldnt have minded.

#22 ~CTCT~

Posted 05 February 2013 - 03:43 PM

There will be no Medicare rebate on an MRI if you are referred by a GP. The only way to get the rebate is if a specialist refers you. So you can expect to have to pay a few hundred dollars to cover this.

#23 FeralPerthFembo

Posted 05 February 2013 - 03:45 PM

QUOTE (~CTCT~ @ 05/02/2013, 02:43 PM) <{POST_SNAPBACK}>
There will be no Medicare rebate on an MRI if you are referred by a GP. The only way to get the rebate is if a specialist refers you. So you can expect to have to pay a few hundred dollars to cover this.


Thanks for the heads up. Without having any indication how long the wait will be to see a specialist in the public system it might be worth going ahead with it ourselves...




1 user(s) are reading this topic

0 members, 1 guests, 0 anonymous users

 

Share the little things that make you smile

We're giving away a Mountain Buggy nano, the ultimate travel stroller - and here are some of the great entries so far.

Toddler pleads for return of "stolen" nose

A two-year-old's reaction to a game of "got your nose" shows it doesn't take much to make a toddler cry.

The 15 photos new parents share (and five they don't)

From the first scan photo to the baby covered in cake at their first birthday party, there are 15 photos most parents seem to share - and some they don't.

Doctor sings first Happy Birthday to newborns

His job is to deliver babies, but this US obstetrician also has a unique way of celebrating the miracle of life.

Breastfeeding friendly café goes viral

A photo of a breastfeeding-friendly sign in a cafe has been posted to Facebook and shared by hundreds of mums around the world.

First look at the Bugaboo Bee3

The newest Bugaboo Bee ? the Bee3 ? offers a variety of improved features, including a much asked-for bassinet and a rainbow of colour combinations.

Childcare costs, not paid leave, the real issue for parents

Given the choice between maintaining their wage for six months to have a child, or having a reduced rate of pay for a time but a better deal on childcare when returning to work, there are no odds on what most working parents would choose.

Win a Mountain Buggy nano

We?re giving away the new Mountain Buggy Nano - the lightweight travel buggy! So show us the little things that make you smile for your chance to win.

We lost three babies in two years

Our first pregnancy ended the way we all expected it to - with a healthy, happy baby in our arms. What a true blessing he was, for we were not to know the heartache we were about endure.

Family turned back from doomed flight MH17

'There must have been someone watching over us and saying, 'You must not get on that flight,' says mother who narrowly avoided boarding the Malaysian Airlines flight which exploded in mid-air over the Ukraine last night.

The myths and facts about "normal" breastfeeding

When it comes to successful breastfeeding, there is a wide variety to what is "normal", according to new research.

Adorable Skeanie loafers for kids

Your little toddler or preschooler can now get their nautical on with a new range of classic loafers by Australian show brand Skeanie.

My baby is hypermobile

For months, I have been telling myself not to worry that Jasmin isn't crawling or walking. This week I heard the term hypermobile for the first time.

When you don?t bond with your baby

They say that there is no bond greater than the bond between a mother and her child. But for some women, the mother-baby bond takes more time and effort to develop.

Yumi Stynes: Having a baby after a 10-year break

After a long break, Yumi Stynes gets a reminder of the pain - and the pleasure - of giving birth.

Grieving father asks for help to Photoshop his daughter's image

When Nathan Steffel's daughter Sophia died from a liver condition at just 6 weeks old, he reached out for someone to create a beautiful image of his little girl.

Raising kids in a 'low media' home

Can you imagine a life without TV or computers? Some parents are opting for a low-tech, screen-free life for their kids.

Download now: Essential Kids Activity Finder app

Got bored kids? Quickly find the best activities for kids wherever you are in Australia with the Essential Kids app.

 
Advertisement
 
Advertisement
 
 
 

What's hot on EB

Win a Mountain Buggy nano

We?re giving away the new Mountain Buggy Nano - the lightweight travel buggy! So show us the little things that make you smile for your chance to win.

Be careful what you say, your baby is listening

The importance of speaking to your baby even if they are not old enough to answer back has been highlighted by new research.

The beautiful moment a baby was born at the side of a road

It's not where she expected to give birth, but mum Corrine Cinatl is delighted that her daughter's roadside arrival was captured in a series of beautiful photos.

Doctor sings first Happy Birthday to newborns

His job is to deliver babies, but this US obstetrician also has a unique way of celebrating the miracle of life.

The Nappy Collective starts new drive

It's that time of year when the dedicated volunteers at The Nappy Collective do their bit to help out mums and children in need - and they need your help.

Baby shower cake wrecks

From misshapen cake babies to questionable text, from odd colour choices to internal organ recreation, these are the baby shower cakes that taste forgot.

Photographer captures the beauty of adoption

The love of a family is usually tough to capture on camera. This is an exception.

Pregnancy progression photo ideas

Want to record your pregnancy as your belly grows? Here are some creative, fun ideas for photo shoots along the way.

The myths and facts about "normal" breastfeeding

When it comes to successful breastfeeding, there is a wide variety to what is "normal", according to new research.

Tin can craft and DIY ideas

Got a few old formula, Milo or coffee cans around the house? Use these fantastic upcycling ideas to create items for around the house and yard.

Dads meet their newborn for the first time

Emotional photos of two fathers meeting their newborn son have resonated with viewers worldwide, attracting thousands of Facebook likes and shares.

Skin safety isn't just a summer worry

Lax about the slip slop slap with your kids as weather turns cooler? Here's a reminder as to why we have to remain vigilant for our children?s future health.

Personalised baby gifts

We've scoured the internet to find gorgeous personalised keepsakes and nursery decor to record baby name and dates. They make great gifts for christenings, name days and birthdays! (All prices in AU.)

Creative sleeping baby photoshoots

See how some parents and photographers have captured sleeping babies in unusual positions and using different props.

DIY kitchen and food hacks

DIY your way to a better kitchen and make cooking easier with our clever hacks. (Some content reproduced with permission from mashable.com.)

Winter warmers for babies and toddlers

Your baby or toddler will be nice and snug in these beautiful and fun winter pieces. Most are hand-made or knitted, and they're all designed to keep your little one toastie - and adorable!

 

Mind, body, beauty, life

Making time for me

We look at your wellbeing, covering health, relationships, beauty and fashion, mind and body.

 
Advertisement
 
 
Essential Baby and Essential Kids is the place to find parenting information and parenting support relating to conception, pregnancy, birth, babies, toddlers, kids, maternity, family budgeting, family travel, nutrition and wellbeing, family entertainment, kids entertainment, tips for the family home, child-friendly recipes and parenting. Try our pregnancy due date calculator to determine your due date, or our ovulation calculator to predict ovulation and your fertile period. Our pregnancy week by week guide shows your baby's stages of development. Access our very active mum's discussion groups in the Essential Baby forums or the Essential Kids forums to talk to mums about conception, pregnancy, birth, babies, toddlers, kids and parenting lifestyle. Essential Baby also offers a baby names database of more than 22,000 baby names, popular baby names, boys' names, girls' names and baby names advice in our baby names forum. Essential Kids features a range of free printable worksheets for kids from preschool years through to primary school years. For the latest baby clothes, maternity clothes, maternity accessories, toddler products, kids toys and kids clothing, breastfeeding and other parenting resources, check out Essential Baby and Essential Kids.