Billing and Insurance
We will bill your insurance company directly for services provided by Comprehensive Surgical Care. We may bill your insurance for the following:
- Our facility fee
- Physician fee/Surgeon fee
- Physician assistant fee/Assistant Surgeon fee (if applicable)
- Anesthesia fee (if applicable)
- Lab fee/Pathology fee (if applicable)
There are numerous insurance plans and each one is different. Your ambulatory surgical services coverage may include a co-pay, deductible, and/or co-insurance. Understanding your insurance plan can be difficult, but we are here to help. We will call you before your scheduled surgery to verify your insurance and give you an estimate of what you will owe based on your plan. Your estimated patient responsibility is expected at the time of service.
The following may help you better understand your insurance plan:
Some insurance plans include co-pays for surgeons and surgical facilities that are the responsibility of the patient. If you have one of these plans, your co-pay or co-pays are expected at the time of service.
Some insurance plans use a co-insurance model (for example, they pay 80% of covered services while you pay 20%). Co-insurance may be in addition to your co-pay and may apply to both the physician’s fees and the surgery center’s fees. Payment for your portion of co-insurance is expected at the time of service.
Many insurance plans include deductibles. A deductible is an amount you must pay before your insurance plan pays their portion. If you have a deductible and co-insurance, the deductible will need to be met first. The co-insurance percentages will be applied to the balance. Payment towards your deductible is expected at the time of service.
Before Your Procedure
You’ll receive a second call from us to confirm the information we received from your insurance company and doctor’s office and to let you know what you will owe, if anything, on the day of your surgery. If you do not owe a co-pay, co-insurance, or deductible amount, or if you have secondary insurance in addition to your primary insurance, you may not be expected to pay anything on the day of your procedure.
Day of Your Procedure
Even though we will have confirmed all insurance and payment information with you ahead of time, do bring your insurance cards and other pertinent documents to Comprehensive Surgical Care on the day of your procedure so we can process your insurance claim for you.