Firstly, thank you for attending the consultation and I hope I was able to answer all of your questions and give you a clear direction on what your options might be.
I appreciate that normally we cover a lot of information in a short space of time.
It is important to be clear on what your options are and that you make any decisions in the cold light of day, rather than a snap decision. This is particularly easy to do if you are in a lot of discomfort presently.
Hopefully the associated information on the website covers∑ everything you will need to know regarding hip joint replacement surgery and will complement what we have discussed today.
If you simply need to talk through things again, perhaps after a period of trial of non-operative management, or a period of contemplation, please let me know and I am very happy to see you for a follow-up appointment.
I’ve Decided- How do i proceed?
Once you’ve decided that you wish to proceed with hip joint replacement surgery, please contact my practice manager directly.
If you would like to discuss things further prior to surgery then please advise the practice manager and we will arrange a follow-up appointment for this purpose. At this point, the logistical side of arranging surgery can be commenced.
If your consultation has been within the last 6 months, and you are happy that you have all the information that you need to proceed, and are happy to proceed directly to surgery, then please advise the practice manager, who will make arrangements accordingly.
If you have not been reviewed (or X-rayed) within the last 6 months, then a follow-up appointment will be required.
The arrangements vary depending on how the surgery is being funded.
If your surgery is being funded by health insurance, the insurer requires 5 pieces of information that we will help provide for you. These are the date of surgery, the name of the operation, the surgeon, the facility, and an estimate of costs.
As we are a Southern Cross Affiliated Provider for primary hip joint replacement surgery, the application for surgery and approval is done via the practice manager at the rooms. The Southern Cross healthcare portal will then advise if there is a shortfall on your coverage. If so, this needs to be paid directly to Grace Hospital prior to the surgery.
Other insurance companies will advise you on their payment and reimbursement arrangements. This normally requires submitting a series of invoices to the insurer, either prepaid for reimbursement or direct reimbursement by the insurer. In this case, there are likely to be invoices for the surgeon’s fee, the implant fee, the anaesthetic fee, the hospital charges and physiotherapist services. You may also be required to pay for equipment hireage such as crutches, raised toilet seat etc.
If your surgery is to be covered by ACC, an Application for Treatment needs to be submitted by Mr Lamberton’s rooms to gain approval to proceed with surgery. Surgery cannot be scheduled until the ACC approval is given. The time between submission of the application and approval can vary between 3 weeks and 3 months. Generally speaking, all costs are covered by ACC. It is always worth confirming your entitlements with ACC regarding any expenses that might not be covered. Separately, it is always worth clarifying your entitlements to earnings-related compensation. Medical certificates will be provided by Mr Lamberton after surgery if required.
Can I Go Public?
As a New Zealand citizen, you are entitled to treatment through the public healthcare system. This of course is free of charge, but does require assessment and placement on a surgical waiting list.
Currently this is a two-part procedure.
The first step in the process is a “first specialist assessment”. This has to be offered within 4 months of referral. Note that referrals are all graded and not all referrals are judged of sufficient severity to receive an appointment.
If at the first specialist assessment you are judged appropriate for surgery, and your priority score is above the treatment threshold, you will be added to the waiting list for surgery. This is the second part of the procedure where treatment is undertaken within 4 months of being placed on the waiting list.
If your condition is judged not severe enough for surgery or not severe enough for assessment, your referral will be returned to your GP, who is then entitled to refer you for reassessment if and when your condition deteriorates.
For further information please visit the Ministry of Health website at www.health.govt.nz and search “elective services” or press the following link: