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| Payment for deductibles (if not already met) and co-payments are your
responsibility, and must be paid in full at the time of your visit. If
this is not possible, we ask that you make special arrangements with
our Patient Accounts Manager in advance of your appointment date.
Patients Not Covered by Insurance - If your visits will not be
covered by insurance, you will be expected to pay your charges on the
day of your visit. If you should have to be scheduled for surgery, we
will arrange a payment schedule for you. Please note that we do accept
VISA and MasterCard.
Patients with Private or Group Insurance - If you are covered by
private or group insurance, we ask that you pay for your initial exam
on the day of your first visit. We will file the claim for that first
visit with your insurance company. Additionally, we will file your
claims for any future visits, instructing the insurance company to pay
us directly. This will save you from having to pay for subsequent
office visits after that first one. If your insurance company requires
special forms, please bring them with you on the day of your first
visit.
Patients with Medicare - OFFICE VISITS: Please note that we ACCEPT
ASSIGNMENT on Medicare. We will file your insurance claim with
Medicare. Your payment will be sent directly to Midwest Orthopedic
Specialists, at which time your account will be adjusted accordingly.
We will file a claim with your secondary insurance after we have
received payment from Medicare. If your secondary insurance requires
that special forms be filled out, please bring them to our office on
the day of your visit.
MAJOR PROCEDURES: We will also file your claim with Medicare for
major procedures. Medicare will send a payment to the Midwest
Orthopedic Specialists. Payment for the deductible and co-payment
should be arranged with our Patient Accounts Manager at the time the
procedure is scheduled.
Patients with Worker's Compensation - If you are covered by
worker's compensation insurance, please bring to your first appointment
a letter from your employer or insurance carrier verifying that you are
covered by worker's compensation. Your letter should include: name of
employer, address, and phone number of insurance company, and claim
number (if possible).
If you do not have enough time prior to your appointment to obtain
such a letter, please have your employer or insurance carrier phone our
office to verify coverage. If we do not have verification by the time
of your appointment, your will be required to pay your charges on the
day of your visit.
Patients with Motor Vehicle Insurance - If you are covered by
motor vehicle insurance, we ask that you pay for each examination on
the day of your visit. We will then file with your insurance so that
reimbursement comes directly to you. Should you have to have surgery,
we will arrange some type of payment plan for you until your insurance
will pay the charges. If your insurance requires special forms, please
bring them with you on the day of your first visit.
All Patients - If applicable, please try to pay for all services
at the time of each visit. This reduces our billing cost considerably
and thus helps keep our costs reasonable. We accept VISA and
MasterCard. Unpaid charges are billed to the patient on a monthly
statement and are due upon receipt.
If you require extra time to pay your account, you may do so by
making arrangements with our Patients Accounts Manager. Every effort
will be made to work out a mutually-satisfactory payment schedule.
Accidents & Attorneys - Liability action against someone is
not a reason to delay payment of your account. Payment is the
responsibility of the person receiving the treatment, not the
individual being sued.
For this reason, as well as the fact that lawsuits can go on for
an extended period of time, we ask that your bill be paid promptly.
Once this is done, we will provide your attorney with the necessary
medical information for your litigation purposes.
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