Appointments, Fees & Health Insurance
Do I need private health insurance?
You do not have to have health insurance to have a private consultation or treatment. You can fund your own private treatment.
Do I need referral from my GP?
Insurance providers generally require a GP referral letter to enable you to claim for treatment costs. Sometimes a referral from a physiotherapist will suffice, but check with your insurer.
A referral is preferable but not essential if you are paying for your own treatment.
You might be in a situation where you need to see us in a hurry, in which case the referral letter may not be available. That does not really matter, as long as you have spoken to the insurer.
Can I be treated by Yorkshire Knee Clinic on the NHS?
No. Although the YKC surgeons all have specialist NHS consultant posts, YKC itself is for private assessment/treatment of knee injuries and other conditions, either through private medical insurance or self-pay.
What should I bring to my consultation?
You should bring the referral letter from your doctor or physiotherapist if available.
Details of your private medical insurance, including your insurance number and authorisation code for the consultation, may also be required.
If you are paying for yourself, you will usually be sent an invoice if you have a permanent address.
What happens if I need an operation?
If you are recommended surgical treatment, you will be provided with a procedure code (CCSD- clinical coding and schedule development-
www.ccsd.org.uk/Home. You need to let your insurer know this code.
Information on where to go, time, when to stop eating etc. will be sent to you by the hospital where you are going to have your treatment.
What will the cost of my treatment be?
Professional fees at YKC are within the normal and accepted range for specialist consultants. These fees are based on figures payable by the majority of private health insurance companies, and also reflect the specialist experience of your surgeon.
Costs for the first consultation, and follow-up consultations, can be obtained by phoning the YKC 0800 number or your consultants’ secretary.
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If you are insured:
Consultation fees, and investigations (such as x-rays, scans and blood tests), tend to be fully covered by the majority of insurers. You may have an excess on your policy which you need to clarify with your insurer.
Consultation costs can be confirmed with you when you make an appointment. You should check this with your insurance provider ahead of treatment to avoid incurring any unexpected costs.
If you don’t have medical insurance, please make sure you are able to meet the costs before proceeding.
Will my medical insurance cover my consultation and investigations?
The cost of your consultation and various tests will usually be covered by your insurer as long as you have a referral letter from your GP or another consultant. However, it is always best to check with your insurer.
If your insurance provider agrees to cover the cost, they’ll issue you with an authorisation code which you need to bring to your consultation.
Will my medical insurance cover my treatment?
Medical insurance cover can vary significantly between insurance companies and specific policies.
Private medical care can be expensive. It is best to check with your insurer to find out if your treatment costs will be fully covered.
The surgical procedure code relates to the operation itself. Insurers base their surgical fees on these codes, but the actual fee payable is set by your surgeon. Most insurers cover the full cost for standard YKC procedures.
If you are not insured, you will be given information about costs.
I am insured with BUPA, and have been told YKC surgeons are “recognised” but not “ fee-assured”. What does that mean?
YKC has been recognised for treating BUPA insured patients for many years.
BUPA insurance has recently (as of 23rd April 2012), reclassified a number of surgical procedures. These include one of the most commonly performed knee operations, therapeutic arthroscopy, where the reimbursement has been reduced by up to 45%. This has caused some concern to patients, but it is important to know that YKC fees have not changed.
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Who should I contact in an emergency?
If you need to be seen urgently for a first appointment, phone the 0800 number on weekdays, or the direct number of your chosen consultant, or the switchboard of your preferred hospital.
If you have an urgent problem after surgery, phone the hospital ward where you were looked after, and they will contact the consultant if necessary. You can also contact the consultant via his secretary.
What about anaesthetic fees?
Anaesthetic Fees are not the direct responsibility of YKC, but are at a customary level. You will be given the name of the anaesthetist if required.
What about physiotherapy fees?
Fees for physiotherapy, either before or after surgery, are not the responsibility of YKC. We will recommend a physiotherapist if necessary. Physiotherapy fees are usually covered by health insurance up to a given number of treatments.
If you are self-funding, you will be responsible for physiotherapy costs. The exception is if you have decided to self-fund surgery, for example knee replacement, ligament surgery, or arthroscopic treatment. In those cases, fixed price surgery may include an adequate number of physiotherapy sessions.
Other useful links and documents
Other useful links and documents