Cost of Removing Huge Tumour (Lipoma)?

My mother-in-law is in the UK and has spent the past five years sprouting a massive tumour on her arm. It’s benign but hideous, like a wobbly pockmarked grapefruit: NHS have offered to remove it free of charge but she’s scared to go under the knife.

MIL will be visiting us next year and my wife wants to get her operated on here as a non-citizen. Obviously I’m the one that will end up holding the invoice.

Any ideas how much that sort of thing might cost? Nobody is insane enough to go all the way to Australia for simple day surgery of this sort, so it’s hard to get even a notion how much poorer I risk becoming.

Comments

  • +6

    My uneducated, unmedical guess would be around $20k

  • +60

    Not sure how she'll get her to do so here but alas

    if the issue here is your wife providing support, surely it would be cheaper/easier for her to fly to the UK and spend some time there for the $0 operation under NHS
    no need to fly after such a procedure either etc

    • +12

      exactly. take a month off work for care of a parent.
      spend some quality time with mum and nurse her to health (if she even needs it)
      spend less than 20k and live stress free

      • +16

        Two of my wife’s siblings live within 5km of their mother.

        I think the tumour can stay.

        • +2

          I know this response when it comes to MIL and health concerns.

    • +2

      and you get the house to yourself !!!

    • Well said. Was going to write the same thing.

  • +61

    Question: MIL doesn't want the operation in the UK as she's scared of it, but she will want to have the operation here? That doesn't make sense. I'm pretty sure the doctors over here will do the same procedure as the doctors over there.

    NHS offers to do it for free. I'd say take the offer instead of spending $$$$ here. It will be much cheaper for the wife to fly to the UK to keep mum company for a month while she recovers. If time is of the essence and NHS will lead to delays then obviously pay to have everything done quickly, but that doesn't seem to be the case.

    • +11

      I'm pretty sure the doctors over here will do the same procedure as the doctors over there.

      Yes, we steal our doctors from the same 3rd world countries as Britain's NHS does.

      • +15

        We steal a lot of doctors from the NHS

      • +6

        As the child of a doctor who was stolen from the NHS this made me chuckle. I'm glad I live here rather than the UK.

      • Ireland is far from a 3rd world country, if anything Britain would be

        • +1

          You would be visited by UK police ( in special car ) with a post like that

          • @frewer: i guess it makes the police chases easy to follow

      • +1

        UK/AU do indeed have reciprocal health care agreements, but this surgery sounds like it comes under elective surgery and not immediately required healthcare. I don't know if it's covered.

  • +4

    Obviously I’m the one that will end up holding the invoice

    Why?

    • +19

      Part of the wedding agreement

      • +14

        I better check my agreement for similar clauses!

        • +1

          Better not, there may be too many other clauses to your detriment. Best case = stay the course be it hell or high water. :(

        • +7

          And how much do you think the divorce will cost?

          Pragmatic choices beat stubborn choices 9 times out of 10.

        • Well the thing is, they are related - that's how marriage works

        • You seem like a real catch.

      • +9

        "…To have, to hold, tumour to remove…"

    • That was the first question that came to my head.

  • +33

    I have no idea how you're planning to do this practically (let alone financially). How long is the MIL going to be here for? Have you considered the timeframe involved in …
    * Getting an appointment with a GP to create the referral to the relevant specialist
    * Getting an appointment with the specialist to determine the appropriate course of action
    * Assuming the answer is surgery of some description, getting that surgery scheduled
    * Having the surgery and allowing the requisite time for post-op recovery to occur
    * Allowing a contingency should any complications arise that may require further treatment/extended recovery

    The above could easily absorb eight weeks (possibly more), let alone the contingency aspect. Have you factored all of that in?

    • +8

      There are restrictions on how soon you can fly after surgery as well. That may be too much to fit within three months.

    • +6

      Very good points. Thanks.

      • As eluded to there, from experience, you do need to consider the possibility of complications such as post op infections, even if you have a budget and go ahead, $20K could at worst case turn into $200K with some months recovering in hospital from an infection that turns into sepsis or similar. After all, this is a choice, not an accident, so travel insurance won't cover it, unless reciprocal health care agreement does for that part, but it probably won't cover the voluntary elective non-urgent stuff.

    • +3

      You don't need a referral to a specialist if you are not claiming Medicare.

      • Still, booking a surgeon can take months for the first appointment. And then the surgery can be weeks later.

      • Are you sure? I've tried it a couple times and they wouldn't give me the time of day without a referral 🤷‍♂️

    • +2

      A lot of it can be done with phone consultation from UK with the report from there. The GP referral is only for Medicare benefit, it is not a legal requirement. Maybe ask some specialists if they are willing to do this. Although UK/Aus have a Medicare reciprocal arrangement that may work here

      https://www.servicesaustralia.gov.au/reciprocal-health-care-…

      • +2

        Why bother with any of that - the doctors here will probably see it as non urgent and not treat under reciprocal health care if she voluntarily came here with it and its not an emergency requirement to remove it, and she can easily fly home with it…. and frankly, I hope that is the case because my taxpayer dollars should not be paying for the OP's foreign resident MIL being too scared without her daughter's support to have a giant debilitating thing removed from her arm for her own good. This whole post is absurd and I think OP knows it but just needs to convince wifey. NHS will do the surgery, what magical potion does this daughter bring? Will paying a crap ton to have it done here be any different to there, where amongst other things she can be recovering in the comfort of her own home. What if there are complications, infections etc and the whole thing blows out. The only logical solution is if the daughter mysteriously has to be there for emotional support, is the daughter goes to UK to support. Much cheaper and more logical.

  • +16

    Any ideas how much that sort of thing might cost?

    It'll be cheaper to send the wife back to the UK and for the MIL have it done there.

    You'll be looking at $10k at least if she has to be put under for it, maybe more if things don't go smoothly needing a longer stay in hospital. Basically nothing will be covered under medicare for her here as she is traveller.

    • +7

      Reciprocal Health Care Agreement for UK Residents. If she doesn't want it done under NHS, not sure she'll agree to have it done under Medicare. And the consulting doctor will very likely refuse to reciprocally bill her benign case as a Medicare public patient.

      • +3

        Scrolled a long way down before seeing this. Surprised how few people knew about reciprocal health care agreements we have with several European countries.

        Brits can use Medicare however if its not urgent there will be a waiting period that will be longer than you can tolerate your MIL. Then you would have to go private and now you're talking the big bucks.

      • +2

        yeah not for elective surgeries for a benign lesion which depending on where you are can take 6-12 months and they likely will refuse on the grounds that the same procedure can be done at home.

        • " they likely will refuse ……etc.
          But wouldn't that be a reason not to do any elective surgery, if the person like MIL, came from a country we have an agreement with? If that's so then why bother having an agreement?

          • +6

            @iminabrons: it's so people have access to emergency care when you visit australia, not for people who want to pick and choose about where they want their elective surgery taking up the place of a local when you already have access to the same procedure at home

            • @May4th: The topic was about "elective surgery".

              • +1

                @iminabrons: yes. in reality hospitals won't differentiate between reciprocal vs local or long term residents vs doctor shopping pts - they go onto the wait list like any other in a public system. privately surgeons will be more than happy to take your money

                • @May4th: I suggest you do the same. Try to understand "context" .

      • Unlikely she will be treated as public patient because of the waiting period. She will have to be treated as private patient.

      • That only applies for urgent treatments.
        If it can wait for a tourist visa to return home then Medicare wont do it.
        Medicare wait list is probably a year regardless.

        • Current public hospital wait lists in Australia for a Lipoma of almost any type is around 3+ years.

          GP's are being advised to re-refer patients into the general surgery stream instead, to avoid their patients persistently being dropped down the list by people with non-invasive minor skin cancers.

  • Obviously I’m the one that will end up holding the invoice.

    that's what you think.. in some round about way.. you always pay

    • Sometimes you get to pay both financially and in other ways!

  • +6

    I have a system in place for my pets. If their vet bill exceeds a certain amount, unfortunately they will be euthanized.

    Perhaps you should consider that here?

    • Your first paragraph is going to trigger the overly emotional…

      • +3

        Counterbalanced by the 2nd paragraph

        • +1

          I guess you were correct. I was expecting to see a heap of negs by the easily offended crowd.

          • +1

            @mapax: Ozbargain, makes sense that people are more pragmatic / budget conscious here!

    • But the lump is benign

      • +12

        Need to remove the malignant MIL from the benign tumour. Since it's from the UK, the liberal party will campaign to give the lump citizenship no probs.

    • +2

      What would euthanising your pets achieve for OP's mother in law?

    • What's the amount?

      • $25

    • +1

      Id sell my car if it came to it to pay for vet bills for my cats.

      • What about your MIL?

        • +1

          He'd sell his cat!?

        • +1

          Selling her wouldn't raise very much.

  • +4

    You would not only be paying the surgeon's costs, but also the hospital fee, and the anaesthetist's fees. If there are any complications, get ready for a round 2. And because your MIL doesn't have private health insurance, it will all need to be paid in advance, upfront. And you will need to convince the surgeon, hospital and anaesthetist that you're good for the money before they book in the operation.

  • I'd trust the NHS over my state's health system. I suppose she'd be paying cash to get it done privately though.

  • +5

    Why doesn't your wife fly to the UK while it's done under the NHS? It'd be a lot cheaper.

    • +5

      AND you'd get some time alone.

      AND you wouldn't have to host your MIL

  • +2

    My mother-in-law is in the UK and has spent the past five years sprouting a massive tumour on her arm. It’s benign but hideous, like a wobbly pockmarked grapefruit: NHS have offered to remove it free of charge but she’s scared to go under the knife.

    Just let her do it in the UK, it's literally a world leading public health system?

    You're literally going to be out of pocket for something that could be free in the UK.

    My best estimate, with zero private would be $5-10k depending on how big it is.

    Give her the ultimatum, she stumps up the cash or gets it done in the UK for free.

    • +1

      Sweden, Canada, Finland, Denmark, Norway, Switzerland, Germany & Australia would beg to differ, but she should absolutely get it done at home.

    • I'd be a LOT more than $5K paying full freight

  • +1

    I'd think from step 1 (see a GP) to the end point (wound care) not much change out of $60k.

    I thought AU Drs not much different to UK Drs except they liked sunshine more

    • We're no where near those rates thankfully
      America is not australia.

      Probably closer to $10-15k max if including everything

      • When I had the 5mmx20mmx45mm tumour removed from my salivery gland 10 years ago I was out of pocket $8k after Medicare and HCF full cover did their thing. OPs' relative will be paying full freight.

  • +5

    Uncle Ian will give it crack. He successfully operated on his pet goat armed with nothing but a rusty toolbox and a few too many beers.

  • +4

    NHS have offered to remove it free of charge but she’s scared to go under the knife.

    my wife wants to get her operated on her

    This makes absolutely no sense.

    Do you think we have some sort of special procedure here that doesn't involve a knife and surgery or something?

    Honestly this sounds like an absolutely terrible idea. Just get her to do it under the NHS or if she doesn't want to then just leave it.

    I don't see why you should foot any bills for this.

    • Everyone should stop commenting on this thread until OP clarify this because it make no sense at all.

      This is a time waster.

  • +1

    Get MIL to get it done under NHS and fly over and look after her for a month as a holiday as it will be allot cheaper than getting it done in OZ.

    It should not be a day surgery and she will need to be be here for a few months to see the surgeon before the op can be scheduled and then there is the op and overnight /few days stay depending on the drains etc that are required, then eis the followup and the no fly period after the op.

  • +5

    We're already maxing out our healthcare system capacity…..she needs to just to get it done at home.

    She sounds insane

  • +6

    NHS have offered to remove it free of charge but she’s scared to go under the knife.

    MIL will be visiting us next year and my wife wants to get her operated on here as a non-citizen.

    what the actual… this makes zero sense.

    Tell her to get it done for free by the NHS.

  • +3

    For continuity of care she should have the operation in the UK. If something goes wrong after she returns to the UK the local doctors will only be guessing about what the doctors in Australia did.

  • +1

    Make sure the grapefruit can handle the cabin pressure on the plane before going.

    • +1

      That could be messy, although problem solved I guess 😅

  • +3

    why would you not have it done in NHS? shambles of a healthcare system notwithstanding the training and quality of surgeons is similar to here.
    if you do it privately here it's going to cost an arm and a leg (pun intended) - the real risk is not the cost of hospital and surgery it self but if there is any post-operative complications and if you need a prolonged stay / ICU / HDU bed the cost can run up into hundreds of thousands.

    • +1

      These are all very valid points. I think it’s time to douse mother and daughter with the gentle firehose of reality.

      As the breadwinner, I do get a say in this.

      • never easy to stand up to the in laws, godspeed

  • +1

    Sorry to hear about your MIL. I've got many of these lumps since childhood and some are only just starting to become visible, especially the one on my left wrist right next to where the watch goes.
    I've been putting off surgery out of laziness but it shouldn't be too painful.
    My mom had a massive one just above her eye that was removed without much drama.
    IMHO, you may want to offer flying over to the UK to lend your support and get the surgery sorted there. You'll know the cost of the flight, plus you get a small holiday out of it. Probably earn you a gold star from the wife too

    • +1

      This thing is a monster - she can’t even don most shirts. The doctor over there was calling in his buddies to check it out. They offered to take care of it in a matter of weeks, all on NHS, but she balked at the idea of surgery.

      • +1

        Ngl

        She sounds like a PITA

  • NHS have offered to remove it free of charge but shes scared to go under the knife

    So they are using a different tool here, what's the difference if she has it here or there? Or she needs someone to hold her hand?

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