Fees & Medical Aid Information
Guidance before your appointment.
This page explains consultation fees, how outpatient and inpatient accounts usually work, and what to keep in mind when checking your medical aid benefits. The aim is simple: clarity before you arrive.
Consultation Fees
Initial consultation
R2,450
Includes ultrasound.
Follow-up consultation
R1,150
For ongoing care for the same condition within 12 months.
- The follow-up fee applies to ongoing care for the same condition within 12 months of the last consultation.
- After 12 months, or for a new problem, the initial consultation fee applies.
Outpatient Visits
Outpatient consultations are payable by the patient. Patients may submit their account to medical aid themselves for possible reimbursement depending on their benefits.
Inpatient Procedures
- Dr Jan Adlam is contracted with Discovery Classic for inpatient care.
- Eligible Discovery Classic patients generally have no co-payment for inpatient procedures performed by Dr Adlam.
- Other medical aids may have co-payments or shortfalls.
- Patients may in some cases recover shortfalls from gap cover depending on their policy.
Rooms Procedures & Pre-authorisation
Some in-room procedures, such as colposcopy in selected cases, may be covered directly by some medical aids if pre-authorised. This depends on the medical aid and plan.
FAQ
Can I claim consultation fees from medical aid?
In most cases, outpatient consultations are paid by the patient first. You can then submit the account to your medical aid for possible reimbursement depending on your benefits.
When does the follow-up consultation fee apply?
It applies to ongoing care for the same condition within 12 months of your last consultation. After 12 months, or if you are being seen for a new problem, the initial consultation fee applies.
Will my inpatient procedure definitely be fully covered?
Coverage depends on your medical aid scheme, plan, and benefits. Discovery Classic patients eligible for inpatient care with Dr Adlam generally do not have a co-payment, but other schemes may have shortfalls or co-payments.
Are in-room procedures covered by medical aid?
Some are, including colposcopy in selected cases, if pre-authorised. This varies between medical aids and plans.
Important Note
Medical aid benefits vary between schemes and plans. Patients remain responsible for any fees not covered by their medical aid.
Before Your Appointment
- If you would like clarity on likely costs, you are welcome to ask before your visit.
- If you are using medical aid, it is helpful to confirm your available benefits directly with your scheme or administrator.
- If a procedure may need pre-authorisation, the practice can advise you on the next step.
Need clarity before your appointment?
If you would like clarification about fees, pre-authorisation, or how your medical aid may apply, please contact the practice before your appointment. We will do our best to guide you clearly.