Billing & Insurance
We participate with most local and many national insurance plans. However it is your responsibility to understand whether your insurance has limits on the doctors you can see, or the services you can receive.
If you provide complete and accurate information about your insurance, we will submit claims to your insurance carrier and receive payments for services. Depending on your insurance coverage, you may be responsible for co-payments, co-insurance, or other deductible amounts.
Please contact our billing office or call your insurance carrier should you have questions.
You are financially responsible for the services we provide to you.
We understand that many patients arrange for insurance companies to pay for a large portion of medical claims. However, the patient (or legal guardian if the patient is a child) is ultimately responsible for the bill if the insurance company does not pay.
Our relationship as your provider is with you and not your insurance company. It remains your responsibility to pay your account in a timely manner.
A delay in payment from your insurance company is not a valid reason for delaying payment to us.
As a courtesy to you, we will file a claim to your primary, secondary, and tertiary insurance plans.
We expect payment of co-payments and payment for services not covered by insurance plans at the time of service – NO EXCEPTIONS.
Any balance remaining after insurance has paid their part of the covered portion will be due upon receipt of a bill (e.g. Coinsurance, Deductible, non-covered, etc.).
Urology Specialists, PC accepts Medicare assignment. We will bill your secondary insurance if you provide us the proper insurance information. You are responsible for the applicable coinsurance and deductibles, and charges for non-covered services. In addition to the bill we send, you should also receive an explanation from Medicare indicating how much you owe.
Patients Without Insurance
Urology Specialists, PC is pleased to be able to provide services to patients that do not have insurance. However, if you do not have insurance you will be expected to pay for your services on the same day received.
For elective surgical procedures, we require a 50% down payment be made 72 hours before the date of your surgery. Once the deposit is received, we would be happy to work with you on the remaining balance to arrive at a monthly payment plan that will fit within your budget.
If you are unable to pay Urology Specialists, PC your co-pay as listed in your insurance policy on the day of services, you will be billed for your co-pay AND an additional processing fee of $15.00.
Methods of Payment
We accept cash, check, VISA, MasterCard and Discover. We do not accept post-dated checks, nor will we hold checks for any length of time. Payment arrangements may be made as necessary. There will be a $25.00 fee assessed for any and all checks returned from the bank for any reason.
Members of our billing department are always available to help you with questions and/or payment arrangements. Once made in writing, agreements are binding. We consider payment by the patient for services rendered to be an important part of the patient’s role in the patient/physician relationship.
Prompt payment for services rendered is expected and failure to comply or respond to repeated communications from our office may result in involvement of an outside collection agency. In addition to outstanding bills, the patient will be responsible for all costs of collections including but not limited to collection agency fees, attorney fees, and court costs.
Patients with a prior balance at the time services are requested will be asked to pay the prior balance in full before being seen. If the balance cannot be paid in full, then we may consider monthly payment arrangements.
If you are involved in an accident or work comp injury we will be pleased to provide medical care for you. You will be asked to complete paperwork to ensure proper billing to the insurance company. If you insurance denies you benefits from your accident and/or work-related injury, your medical bill is your responsibility to pay. Urology Specialists, PC will not await legal action to commence or complete before collecting payment on your bill.
Some insurance companies require referrals in order to be seen by our physicians. If your insurance company requires a referral, YOU are responsible for obtaining a referral for each visit.