Anaesthesia Fees Explained
The anaesthesia fee structure can vary on a case-by-case basis and is influenced by a variety of factors. This includes the nature and specific details of the procedure, the duration of the anaesthesia service, as well as the patient’s overall health condition. The assessment of these factors plays a crucial role in determining the rates charged by the anaesthetist.
Anaesthetists calculate their fees based on an established system known as the Relative Value Guide. This system bases fees on the nature, complexity, and duration of the administered anaesthesia service.
Anaesthesia fees are normally separate from the hospital and surgeon’s fees. Hence, one should not confuse them with standard charges for hospital stay and surgery.
Depending upon the terms and coverage of your health insurance, some anaesthesia fees might be fully covered by your insurance provider or Medicare, while others might require you to pay any remaining ‘gap’ or ‘out of pocket.’ The term ‘gap’ refers to the difference between the fee established by the anaesthetist and the amount covered by Medicare and your health fund. This is the portion of the anaesthetic fee that you would need to pay for personally.
What is a ‘gap’ fee
The anaesthetic ‘gap’ fee is a cost that you may encounter when undergoing procedures that require anaesthesia. This fee is additional and distinct from those charged by the hospital or any other medical practitioners involved in your care.
It refers to the portion of the anaesthetic fee that is not covered by Medicare or your private health insurance. Essentially, it’s an out-of-pocket cost you’re expected to cover beyond what your insurance fund pays.