Self Pay or No Insurance
Patients without insurance coverage will be asked to make
payments at the time of service, unless the business office
manager has approved other specific arrangements. If you
are a private pay patient, the Prostate Center requires
a deposit of $150 prior to seeing the doctor. It is very
important to ask your MD about the cost of services recommended
prior to the service being
provided. You will be asked to pay for services rendered
and accepted or refunded any balances due. Medicare
The Prostate Center will file all charges for patients
on whom we have a Medicare number registered.
Since The Prostate Center participates with Medicare,
the payments will come directly to our office. You
will receive statements for the information to advise
you when there is an amount you owe for your
deductible or insurance.
Medicare as
Secondary Insurance
If Medicare is the patient's secondary insurance coverage,
The Prostate Center will file the primary insurance. We
will then file your supplemental Medicare for you and
coordinate benefits with your secondary insurance carrier.
Co-Payments
Office co-payments are due at the time of service each
time you visit the physician.
If an HMO patient follows the referral or authorization
guideline before their visit to a specialist (i.e. Prostate
Center), medical necessity and the service is a covered
service as determined by your insurance company. The only
fee you may have to pay is the co-payment.
Unless otherwise stated by your insurance company, all
other insurances have:
Co-payment
for visits
Encounter Fees
Yearly Deductibles
Must
meet medical necessity established by your insurance company
Must be a covered service
IN OTHER WORDS, THE AMOUNT YOU PAY DURING YOUR VISIT MAY
NOT BE ALL YOU OWE. Your final responsibility will be
determined after your insurance company has processed
and paid your claim. At that point, Prostate Center will
bill you the outstanding balance.
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