Our Billing Policy
Thank you for choosing Urology Associates, P.C. as your healthcare provider. The physicians and staff are committed to delivering service, compassion and quality to you. Understanding our Billing Policy is an important part of our professional relationship. Below is an explanation of our Payment and our Cancellation / No-Show policies. Please make yourself aware of both of these policies as you will sign-off on them before your visit.
Urology Associates currently participates in over 2,000 insurance plans. To ensure that Urology Associates, P.C., is In-Network with your policy please contact your Insurance Carrier.
Your insurance co-payment* is due at the time of your visit. If you are unable to pay your co-payment at the time of your visit we will reschedule your office visit.
If we determine you have a deductible* or co-insurance* amount due you will be asked to pay this amount at the time of your visit.
If your Insurance Carrier requires you to obtain a referral from your primary care physician in order to see a urologist it is your responsibility to bring this with you to your visit. If you do not have a referral we will reschedule your visit until you can obtain one.
Urology Associates will assist in obtaining pre-certification from insurance plans if required. However, insurances vary in coverage, and it is the patient’s responsibility to understand medical benefits and requirements. We recommend that the patient verifies insurance benefits for any procedures, tests or services scheduled.
It is the patient’s responsibility to know if we participate with their insurance plan. If the insurance company is out of network with us, you will be responsible for payment in full at the time of service.
You will be responsible for 100% of your total out-of-pocket* responsibility amount prior to your procedure.
For self-pay patients a $150.00 co-payment is due at check-in. A credit card on file is required for the remaining balance which is expected to be paid in full at check-out the day of your appointment.
We do our best to estimate your financial responsibility up front, but please understand this is only an estimate. Due to the specialty of our practice we do not bill Well Visit Exams to insurance.
Cancellation / No-Show / Reschedule Policy
In order to provide the best care and service to our patients we ask that you notify us 24 hours in advance to cancel and/or reschedule your office appointment. If you do not cancel, or fail to show up for the appointment, there will be a $25.00 fee charged to your account. Failure to reschedule less than 24 business hours prior to your scheduled appointment time will result in a $25.00 cancellation fee.
In addition, cancellation of a scheduled procedure requires 72 hours’ notice. Any procedure cancellation not made 72 hours’ in advance will be subject to a fee of $150.00. Failure to reschedule less than 72 business hours prior to your scheduled procedure time will result in a $150.00 cancellation fee. A reschedule fee of $75.00 will be charged each time a procedure or surgery appointment is rescheduled.
The cancellation, no show, and reschedule fees will not be billed to insurance.
- Co-Payment (Copay) – Fixed amount you pay at each visit for services such as an office visit. (You pay your copay at the time of service, even if you have met your deductible, until you meet your Out-of-Pocket maximum).
- Deductible – The yearly amount you must pay before your insurance begins to pay.
- Co-Insurance – The percentage you pay for care even after your deductible is paid in full.
- Out-of-Pocket – Costs you have to pay yourself.
- Out-of-Pocket Maximum – The most money you will pay in one year for all covered services. This usually includes all out-of-pocket costs: copayments, deductible, and coinsurance.