Fees and insurance
Dr Liubov Borukhson's published fees, and the insurers she is fee assured with
Our fees
A scan covers one area, such as a knee, a shoulder, a wrist, a hand or a foot. Where more than one area is scanned, the total is agreed with you first and is never more than £200 for each area.
The hospital makes no charge of its own for the consultation or for a point-of-care scan. For an injection it usually makes a charge of its own for the procedure, separate from our fee; we tell you the hospital's charge before you agree to the injection. Any such charge, and the hospital's charges for blood tests, imaging and medicines from its pharmacy, are billed by the hospital at its own rates, on its own terms, to you or to your insurer. If you want to know the hospital's charge for anything before it is done, tell us and we will find out for you.
The fees are the same at all three hospitals, and the same for a consultation in person, by video or by telephone; no VAT is charged. Ultrasound, injections and other procedures are agreed with you before they are done. The fees for a repeat prescription and for a letter or form apply whether you pay for yourself or use insurance.
Insurance
Dr Borukhson is fee assured with every insurer she works with: where your policy covers the appointment and it has been pre-authorised, her consultation fee is covered in full and there is no shortfall for you to pay. Fee assurance does not widen what your policy covers, and any excess your policy carries remains yours.
If you are using insurance, obtaining pre-authorisation before your appointment is your responsibility as the policyholder. Once the appointment is pre-authorised, we invoice your insurer directly and you pay us nothing on the day; if your policy carries an excess, we ask you for it after your insurer has settled. If you have a question about insurance or pre-authorisation, contact the practice.
Recognised insurers
The insurers Dr Borukhson works with:
Practical information
Paying for your appointment
For self-paying patients, the consultation fee is paid when you book. You can pay by bank transfer, or by debit or credit card, including Apple Pay and Google Pay, through the secure payment link we send you; we do not accept cash, and no method carries a charge. The fee covers the consultation itself, including the examination, Dr Borukhson's opinion and plan, any prescription written during it, the clinic letter and any referral letter: point-of-care ultrasound and any procedure carried out, such as an ultrasound-guided injection, are charged in addition, at the fees above, and are always discussed and agreed with you before they are done. They are invoiced after the appointment and are due within 14 days of the invoice. Blood tests, imaging and the hospital's other services, including the charge of its own that it usually makes for an injection, are charged separately by the hospital, at its rates, to you or to your insurer. Dr Borukhson has no financial interest in the facilities or equipment used. Section 6 of our terms and conditions gives the details, including our bank details and how to check them. You can compare independent information about the quality of private treatment offered at the hospital and other private healthcare providers from the Private Healthcare Information Network (PHIN) website: www.phin.org.uk.
Ultrasound images
Ultrasound during your consultation is point-of-care scanning, and images are not recorded or kept unless this has been arranged with you beforehand; your clinical record holds a written account of what was scanned, what was found and what was decided. Section 12 of our terms and conditions explains, including how to ask for images when you book.
Using private medical insurance
If you are using private medical insurance, most insurers want a referral from your GP, or a similar document, before they authorise the visit. Please check the terms of your policy, particularly the level and type of outpatient cover you have, including any limit on consultation fees; anything your policy does not cover is payable by you at the published fee. Our insurance guide explains the steps, and section 7 of our terms and conditions sets out the arrangements in full.
Embassy and sponsored patients
We welcome patients whose care is funded by an embassy, a high commission, an employer or another sponsor, and Dr Borukhson consults in English, Russian and Ukrainian. Please arrange for a Letter of Guarantee covering Dr Borukhson's fees to reach the practice before your first appointment; it should name you, give a settlement contact at the sponsor, and say what is covered. The hospital's charges are arranged separately with the hospital's international office. If a Letter of Guarantee is not in place, we ask you to pay on the day and reclaim the cost from your sponsor; we provide the receipted invoice and any supporting paperwork you need. A charge for a late cancellation or a missed appointment is yours to pay unless the Letter of Guarantee covers it; section 8 of our terms and conditions explains.
Cancellations
Please give at least 48 hours' notice if you need to cancel or rearrange your appointment, so the time can be offered to another patient, and tell the practice, not the hospital, by telephone, email or WhatsApp. With 48 hours' notice or more there is no charge, and anything you have paid is refunded in full or carried to a new appointment, as you prefer. With less than 48 hours' notice but at least 24 hours, 50% of the fee for the appointment is charged; with less than 24 hours' notice, or if you do not attend, the full fee. Cancellation fees are not usually reimbursable by insurers. If you booked by telephone, email, WhatsApp or through this website, you also have a legal right to cancel within 14 days after the day you booked, before the appointment, without charge; section 9 of our terms and conditions explains. We understand that emergencies happen: contact the practice as early as you can and we will always take genuine circumstances into account. We do not apply these charges where a disability or an access need prevented you from giving notice.
Prescriptions
A prescription written during your consultation is included in the fee. Between appointments, if you are under Dr Borukhson's active care (reviewed within the last six months), you can ask for a repeat by emailing prescriptions@rcl.london with your name, date of birth and the medication you need. A repeat carries the £25 administration fee shown above and is usually ready within 2 to 3 working days, so please ask at least a week before you run out; if you need one more quickly, contact the practice, as a same-day prescription can usually be arranged. The cost of the medicine itself is separate, and the service is not an emergency service: if you are seriously unwell, seek urgent medical care. Section 13 of our terms and conditions explains, including where a prescription can be dispensed and what Dr Borukhson can ask your GP to continue.
Billing queries
For any question about an invoice or payment, contact the practice on +44 (0) 20 8152 3999 or email accounts@rcl.london.
Terms and conditions
Our terms and conditions set out how appointments are booked, paid for, cancelled and rearranged, what the fees cover, and what to do if something goes wrong; the fees on this page form part of them.
Have a question about fees?
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