Prior to your scheduled procedure when your insurance benefits have been verified, we will call to advise you of your insurance deductible and the co-payment that you will be required to pay. We expect this payment to be paid on the day of your surgery when you register at our admission desk.
If you require special consideration for paying the amount due, you must contact us prior to the date of your planned procedure so we can evaluate your eligibility. You may be eligible to pay your balance monthly over a period of three months. This is based on whether your income and expenses meet criteria of our charity care policy. While you may not meet federal poverty guidelines for charity care, you may qualify for a payment plan if we can verify your income is less than four times the federal poverty level.
If we receive denial of payment from your health insurer or HMO, we will notify you. If we receive payment from your insurer or HMO that is less than projected, we will notify you of additional payment due. Payment will be expected within 15 days of notification of the balance due. Failure to pay the balance due by the deadline will result in your account being turned over to a collection agency.
If you notify us in advance of your scheduled procedure that you have no insurance and will pay cash, you may be eligible to receive up to 50% off your estimated charges. You must attest that you have no insurance and you must pay the full estimated charges in advance. If the procedure performed by your physician differs from the one scheduled, you may owe the difference between the scheduled procedure and the actual procedure performed. The balance, if any, will be due within 15 days. Failure to pay the balance will result in the 50% discount arrangement being null and void, and full payment will be due.
As a courtesy to our patients, we file insurance claims to the patient’s insurance plan on their behalf. Patients are expected to respond to their insurance plan’s request for information in a timely manner to minimize claim processing delays. Patients are expected to pay their financial obligation in a timely manner, including the estimated portion on or before the day of service and remaining portion once the claim is finalized by their insurance plan. Unpaid claims by the health insurer may result in our transferring the account’s outstanding balance to the patient for payment.
We will attempt to reach patients by any internal or external method available to us to secure payment on outstanding balances. If an account becomes delinquent, it may be placed with an attorney or collection agency, and their fees may also become the obligation of the patient.
