Insurance

You must provide our office with your insurance verification card. Should you change your insurance coverage, please contact our office with any updated insurance information. We also recommend that you contact your insurance company prior to surgery to determine the extent of your coverage, including:

• Anesthesiology
• Diagnostic testing
• Hospitalization
• Physical therapy
• Recovery
• Rehabilitation (needs, equipment)
• Second opinion requirements
• Surgeon fees
• Surgery

Please note, verification and/or pre-certification is not a promise of payment from your insurance company. You are still responsible for payment of the bill. To assist, we will submit a claim for any services to your primary insurance carrier and provide you with the information you may need for secondary insurance. If you have additional questions, please contact us.

You are personally responsible for payment of your account regardless of your medical insurance coverage. Our policy requires that all office visit charges be paid at the time of service. We accept cash, personal checks, Mastercard and Visa for payment of charges. You will receive a monthly statement itemizing charges and your current balance. Any arrangements for extended payments must be addressed with our business office at 602-553-3113. If your account is past due and you have not made payment arrangements with the business office, we will need to take additional collection measures.

A deposit may be required prior to your surgery, depending on your type of insurance coverage. If a deposit is required, you will be contacted by the business office prior to surgery.

Office visits following surgery are included in your surgery fee for a specified period of time (usually up to 90 days), depending on the type of surgery performed. X-rays and other services or supplies provided after surgery are not included in the surgery fee and are your responsibility to pay.

We accept Medicare. Medicare will pay us directly for 80 percent of the allowed charges. You are responsible to provide payment of the remaining 20 percent of Medicare’s allowed charges, if your deductible has been met. We will provide you with the information you may need for your supplemental insurance carrier.

On your first visit for an industrial injury, you must complete a 102-Form. If you have not completed this form, please speak with the practice’s industrial account representative. Information and forms must be submitted to the receptionist at the time of check-in.

We are contracted with certain managed health care plans to accept their established fee schedule amounts. The various plans have different deductible, co-payment and co-insurance requirements, which you must pay at the time of service. Please familiarize yourself with your plan’s financial requirements as well as protocol requirements for referrals, preauthorization and second opinions.

Indemnity insurance plans pay according to their reasonable and customary fee schedules. We are not contracted with these insurance companies. You are responsible for paying the difference between the practice’s charges and the insurance plan’s reimbursement.