Our Financial Policy
Because insurance coverage varies, it is important that you understand your individual health plan and what it covers, including deductibles, coinsurance and copays. We recommend that you call the customer service number on the back of your insurance card, or contact your employer’s benefits department, to verify your coverage and for any questions regarding your health insurance plan. Urology Associates will work with your insurance company to confirm eligibility and coverage for procedures and/or services provided.
If at any time you have questions about your bill and what is covered by insurance, please contact a Urology Associates patient accounting liaison at (615) 261-6000, option 1, Monday – Friday from 8:00am – 5:00pm.
IMPORTANT HIGHLIGHTS OF UROLOGY ASSOCIATE’S FINANCIAL POLICY
Recent changes in health insurance plans, brought about by the Patient Protection and Affordable Care Act, have required us to update our financial policies. Please read the following information carefully as as these updates to our financial policy may impact your future appointments and scheduling for surgical procedures, treatments and injections. Patients will need to satisfy the following conditions in order for us to schedule your surgical procedure, treatment or injection, as well as your office appointment:
Surgical procedures treatments and injections: Prior to Urology Associates scheduling any surgical procedure, treatment or injection, whether performed in our offices, surgery centers or by our physicians in any hospital, you will be required to make arrangements to pay all estimated out-of-pocket costs associated with your surgical procedure, treatment or injection in advance.
The amount you will be required to pay will be determined based upon your individual insurance plan and will include any deductibles, co-payments and co-insurance which your insurance carrier indicates that you will owe. In addition, you will be required to make arrangements to pay any other outstanding balances that you may owe to us at that time.
Office Appointments: Prior to us scheduling your office appointment, you will be required to make arrangements to pay any outstanding balances that you may owe to us at that time.
Our patient accounting liaisons will work with you to provide assistance in satisfying any amounts that you may owe.
Fees for Services Rendered
We cannot waive co-payment, deductibles, co-insurance or any service amounts defined as patient responsibility under the terms of our contractual agreement with the insurance plans listed in our Billing Policy. You will be asked to pay on any past due balance at the time of check-in.
Your co-payment is due at the time of your visit. If you are unable to pay your co-payment we will be glad to reschedule your office visit.
If we determine you have a deductible or co-insurance amount due, you may be asked to pay this amount at the time of your visit.
If you are required to obtain a referral from your Primary Care Physicians, it is your responsibility to bring this with you to your visit. If you do not have a referral, we will be glad to reschedule your visit so that you can obtain one. Patients seen without a referral may be subject to Out-Of-Network billing options.
As a courtesy, our office will assist you in obtaining pre-certification from your insurance plan, if it is required. However, insurances vary in coverage, and it is the patient’s responsibility to understand his/her medical benefits and requirements. We recommend that you verify your insurance benefits for any procedures/tests scheduled. Failure to bring pre-authorization may result in lower or no payment from the insurance company, and the balance will be your responsibility.
It is the patient’s responsibility to know if we participate with your insurance plan. If your insurance company is out of network with us, we are glad to submit a claim form on your behalf; however, you are responsible for payment in full.
For all elective surgery, a 50% deposit is due at scheduling; the balance is due the day of surgery. We do not discount elective procedures.
For self pay patients, $150.00 is due at check-in. The account balance is expected to be paid in full upon check-out. We do our best to estimate your financial responsibility up front, but please understand this is only an estimate. If you feel you qualify for a financial hardship, please see our staff for the appropriate paperwork.
If you have overpaid your estimated patient responsibility, Urology Associates will process your refund after the claims for your procedure have been fully processed by your insurance company.