For all appointments and enquiries (02) 9587 4720
PATIENT INFORMATION
CONDITIONS TREATED AND SURGICAL PROCEDURES
HCF No-Gap Hip & Knee Surgery with Prof Sam Adie
If you're an HCF member considering hip or knee surgery, understanding your cover is a key step. Prof Sam Adie is a participating provider with HCF, offering no-gap arrangements for eligible patients through the HCF and Macquarie University Hospital No-Gap Joint Replacement Program. This can help significantly reduce or eliminate your out-of-pocket surgical fees.
Our goal is to make your surgical journey as seamless as possible, from your first consultation through to recovery.
What Does HCF No-Gap Mean for You?
For eligible HCF members accepted into the program, the no-gap arrangement can cover the following costs associated with your first-time (primary) hip or knee replacement:
- Joint replacement surgery with Prof Sam Adie, including your prosthesis (artificial joint)
- Anaesthetist costs
- Assistant surgeon costs
- Hospital accommodation and theatre costs
- Pre-admission clinic and optimised recovery clinic assessments
- Diagnostic tests (scans and blood tests) taken during your admission or as pre-admission tests at approved pathology and imaging providers
- Post-surgery physiotherapy services, either in your home or at an outpatient clinic
- Post-surgery consultations with Prof Adie during the program
This program is designed to provide peace of mind with no hidden extras for the covered services.
Key Benefits for HCF Members
- No Surprise Bills: For eligible procedures, you won't receive a separate bill for Prof. Adie's surgical fee.
- Expert Orthopaedic Care: Access a leading Sydney hip and knee surgeon with extensive experience in arthroplasty, joint replacement, and complex reconstruction.
- Dedicated Support: Our experienced administrative team will verify your cover, handle paperwork, and guide you through the process.
- Multiple Convenient Locations: Consultations available at St George Private Hospital (Kogarah), Vitalis Medical Practice (Kirrawee), and North Ryde Medical Centre.
A no-gap arrangement means that Prof Adie agrees to accept the benefit paid by HCF as full payment for his surgical services, provided you have the appropriate level of cover. This can give you peace of mind about your costs before you proceed with surgery.
Am I Eligible for HCF No-Gap Surgery?
Eligibility for this program depends on several factors. To be considered, you generally need:
- To be an HCF member with hospital cover that includes joint replacement for at least 12 months.
- To have served all applicable waiting periods on your policy.
- To be accepted into the program by Prof Adie and the hospital based on clinical criteria, which include suitability for discharge directly home with physiotherapy support.
- The program is typically for first-time (primary) hip and knee replacements only.
The program is proposed to run until 30 September 2027 for HCF members. Availability is subject to the surgeon's capacity, so early enquiry is encouraged.
Next Steps
- Call Prof Adie's rooms on (02) 9587 4720.
- Have your HCF membership number ready when you call.
- Book a consultation with Prof Adie to discuss your condition and surgical options.
Frequently Asked Questions
Does HCF cover hip and knee replacement surgery?
Yes, HCF generally covers hip and knee replacement surgery under hospital and ancillary cover, provided the procedure is clinically necessary and you have the appropriate level of cover. Our team can verify your specific policy details.
What costs might I still need to pay?
While the no-gap program aims to cover the surgical fees and related services, you may still be responsible for your HCF hospital excess (depending on your level of cover and if it's your first hospital stay in the calendar year). Medical costs for unrelated conditions or any complications requiring additional services beyond the program's scope may also incur extra charges. Your surgeon will provide Informed Financial Consent for any additional costs.
Are there waiting periods for HCF cover for hip and knee replacement surgery?
Yes. Waiting periods apply if you have recently taken out or upgraded your HCF hospital cover. You generally need to have held joint replacement cover for 12 months. Contact HCF to confirm whether you are currently eligible for hip or knee replacement surgery.
Can I use my HCF cover at all of Prof Adie's consulting locations?
Yes. Consultations are available at our rooms in Kogarah, Kirrawee, and North Ryde. However, your surgery will be performed at an approved hospital where Prof Adie has operating privileges, such as Macquarie University Hospital, as part of this specific no-gap program. Our team can confirm all details during your booking.
How do I find out if I'm eligible for the HCF No-Gap Joint Replacement Program?
The best first step is to contact our rooms on (02) 9587 4720. We can check your eligibility based on the program criteria. You can also log into the HCF My Membership app, call HCF on 13 13 34, or visit your local HCF branch to confirm your cover details.
For all appointments and enquiries please phone (02) 9587 4720 or email admin@drsamadie.com.au
Monday to Friday
9 am to 5 pm
FAX (02) 9587 6927
St George Private Hospital
Specialist Consulting Suites
Suite 201
Level 2, 131 Princes Hwy
(Entry from South St)
Kogarah NSW 2217
