Initial clinic consultation - preceding emails and telephone items - $275
Review consultation - investigations | protocols | implementation - $200
Hyperbaric Oxygenation (HBOT) 1-hour $175 $150 per hour
LOKOMAT (Robotic Gait Assisted Walking) 1-hour (45-min active) - $225 $180 per hour
Additional therapies Available - MonoRail Walking, Vibration Training (Power Plate; Galileo), Neuro-Acupuncture, Nutritional Review
Additional therapies as part of HBOT/LOKOMAT - no additional charge!
A> Medicare and or Third Party Insurance does NOT cover Hyperbaric Oxygenation for Neurologic and or Orthopaedic disorders.
Q> Hyperbaric Oxygenation - What conditions are Medicare Approved?
A> Public funding for Hyperbaric Oxygenation (HBOT) in monoplace or multiplace chambers is limited to the following conditions:
decompression illness, gas gangrene, air or gas embolism, diabetic wounds (including gangrene and foot ulcers), necrotising soft tissue infections (including necrotising fasciitis), Fourniers gangrene and prevention and treatment of osteoradionecrosis.
Medicare Services Advisory Committee (MSAC) Commonwealth Department of Health and Ageing GPO Box 9848 Canberra ACT 2601 Australia - advises that
HBOT is cost-effective for diabetic wounds and necrotising soft-tissue infections, but may cost an average of $28,480 per case providing an average of between 60-80-hours HBOT.
Q> What about LOKOMAT?
A> LOKOMAT (Robotic Gait Assisted Walking) is currently NOT covered by Medicare or Third Party Insurance.
Q> LOKOMAT World Wide?
A> Approximately 400-LOKOMATs are located in most leading Rehabilitation Hospitals world wide. In excess of 70-LOKOMATs feature in the USA - all spinal and most neurodegenerative disorders attract government funding. Most leading hospitals in EU countries also feature intensive LOKOMAT based rehabilitation programs. Mexico installed 12-LOKOMAT systems in 2008 and more recently Apollo Hospital in India features India's first LOKOMAT.
Virtually ALL countries provide Medical Insurance funding for a range of neurologic disorders including: acute (< 6months) and chronic (> 6months) spinal injury, stroke, multiple sclerosis, neurodegenerative gait disorders, cerebral palsy etc.
Q> What is the alternative to LOKOMAT (Robotic Gait Assisted Walking)?
A> Activity based rehabilitation referred to as Body Weight Treadmill Training (BWSTT) has been the International Standard for the past 15-years. Body Weight Treadmill Training (BWSTT) is where the injured spinal patient is suspended over a moving treadmill requiring 2-therapist either side of the patient moving the patients legs repeatedly. This is exhausting for therapists requiring a bank of therapist notwithstanding the lack of accuracy when compared to the accurate repeated action provided by the LOKOMAT robotic exoskeleton. Further only 1-technical staff is required to operate and supervise a patient whilst on the LOKOMAT.
Shriners Pediatric Hospital USA - US $300 per hour session - www.shrinershq.org/files/hospitals/Chicago/.../SHC-Chicago_Connection.pdf
Australian rehabilitation does NOT provide and the government does NOT fund simple Body Weight Treadmill Training (BWSTT)
Q> How many Australian based LOKOMAT?
A> Due to the high capital cost and lack of funding only 1-LOKOMAT exists in Australia - HyperMED
Q> What are the 'real costs' associated with HyperMED?
A> LOKOMAT Adult and Pediatric systems are manufactured by Hocoma International based in Zurich.
HyperMED installed both Adult and Pediatric systems in December 2006.
