Insurance and Payments

Health-insurance-form-small
You will be receiving a letter of your expected financial responsibility; this amount will be expected at time of service. Payment arrangement may be made with the business office prior to date of service. If there is a balance after your insurance carrier processes your claim, you will be receiving a statement. We ask that all statements be paid in full at time of receipt. If you have a past balance this must be paid before additional services are performed.

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Insurance Claims

Your medical insurance policy is a contract between you and your insurance carrier and City Place Surgery Center is not a party to that contract. As a result, your coverage and responsibilities are determined by your policy and you are responsible for understanding and following their required procedures. On your behalf, City Place Surgery Center will submit all claims for our services with your primary and secondary insurance providers. It is your responsibility to provide us with sufficient, accurate and up-to-date insurance information.

Co-Payments, Deductibles, And Non-Covered Services

All co-payments and deductible amounts not yet met in this calendar year and estimated balance of co-insurance is due on the day of surgery. Similarly, if you have no medical insurance, choose not to use your benefits, or request a service that is not covered by your insurance policy, or incur any other amount that may not be covered by insurance, we request that payment for all services be made in full at the time services are rendered.

Based on the operative report, additional procedures may be billed which may change the amount of patient’s estimated balance.

Payment Responsibility

After your insurance has been billed, you remain responsible for payment of the entire balance. When a balance remains we will send you a statement, which is due upon receipt. For your convenience we accept payment by Visa, MasterCard, and Discover.

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Please check with the office directly for the most recent update of this list or for clarification regarding a specific plan.

Aetna HMO / PPO
Cigna PPO
Coventry/GHP
First Health
Blue Cross / Blue Shield
Alliance
Alliance Choice
Blue Choice
Healthlink PPO
Medicaid
Medicare
Mercy Health Plans
PHCS
UHC
Workers’ Compensation
We also accept any PPO plan