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About Us
Financial Policy
Insurance Participation

We currently participate with the following insurance plans:

Other Insurance - We are non-participating with some insurance plans; however, we serve many patients out-of-network (Blue Cross, Blue Shield, Aetna, Educator’s Mutual, Etc.) and we will be happy to assist you with your insurance questions.

Fees - All fees will be provided prior to delivery of service. We will also complete necessary forms, request pre-approval, and when desired, submit the forms for you. All pre-certification requirements must be satisfied prior to the procedure. Due to the variation in insurance plans, we believe that it is important that you be aware whether we participate with your plan or not and as to the unique benefits that your plan may or may not provide. Ultimately you are responsible for the cost of surgery. We will be happy to share with you, as best possible, our experience with your particular plan.

Billing - Procedures covered by insurance will be billed to the insurance plan. Facility and anesthesia fees are billed by the facilities and anesthesiologists to your insurance provider. Billing questions related to those services should be directed to those entities.

After payment by the insurance company, your residual bill should be submitted to any major medical plan or secondary insurance that you may have. Your co-payment and an unfulfilled deductible are due within two weeks of the initial payment. If for some reason, your insurance company denies reimbursement for the procedure, you will be responsible for payment in conjunction with our normal billing policy.

Special Circumstances - Alterations to this policy may be discussed and confirmed, in writing, at least two weeks prior to the procedure. The Center has a standard policy that may be enacted in cases of economic hardship, which is instituted at the end of the billing process by our billing specialist.

Combined Cosmetic and Reconstructive Procedures

If a patient desires to have a cosmetic procedure at the same time as an insurance covered procedure. The cosmetic package will include all cosmetic related services and is prepaid for that portion of the procedure; the insurance covered procedure will be billed to insurance: facility and anesthesia fees related to the insurance covered procedure will be billed by those services.

You should not presume that because the insurance covered procedure is performed at the same time as a cosmetic procedure that this will reduce the cost of the procedure.

Insurance - Insurance plans will deduct the percentage of reimbursement for the cosmetic portion of the procedure for the facility and anesthesiologist accordingly if the Center does not formally separate the costs. If we do not participate with your insurance company, we will still complete necessary forms, request pre-approval, and when desired, submit the forms for you.

After payment by the carrier for the insurance covered portion of the procedure, your co-payment and deductible is due within two weeks. All pre-certification requirements must be satisfied prior to the procedure.

If for some reason, your insurance company denies reimbursement for the procedure, you will be responsible for payment in conjunction with our normal billing policy.

Special Circumstances - Alterations to this policy may be discussed with our billing specialist and confirmed in writing at least two weeks prior to the procedure.

Additional Information

If you have any questions about payment, billing, insurance and/or medicare participation feel free to contact our billing and insurance specialist.

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Last Updated:
Fri, October 24, 2003

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