Usually patients are referred by GP but self referrals will also be seen without problem. If patients are insured I like to communicate with the insurance company beforehand to find out what their reimbursement will be. If patients are not insured they need to pay for the consultation on the day by credit card, cash or guaranteed cheque. Embassy patients will be seen if the have letter of guarantee and the embassy billed directly.
Patients need to be aware that my contract for the whole fee for any surgery is with them and not the insurer. Certain major operations are priced at higher rates than the insurer will reimburse. Please make sure this is discussed with me or my secretary before the surgery. As a general rule I claim the amount that the insurance company is prepared to pay and the patient is sent an invoice for the shortfall. For certain cases a deposit or the full amount might be requested prior to undertaking the surgery.