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about Dr. Fagin and daVinci Robot surgery |
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| FINANCIAL POLICIES |
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To reduce confusion and misunderstanding
between our patients and practice, we have adopted the
following policies. If you have any questions regarding
these policies, please discuss them with our Account manager.
We are dedicated to providing the best possible care and
service to you and regard your complete understanding
of your financial responsibilities as an essential element
of your care and treatment.
Insurance:
We have made prior arrangements with many insurers and
health plans to accept an assignment of benefits. This
means that we will bill those plans for which we have
an agreement and will only require you to pay the authorized
co-payment/co-insurance at the time of service. This office's
policy is to collect this co-payment/co-insurance when
you arrive for your appointment
HMO:
The co-payment made at the front desk is for the visit
only and often considered the time you spend with the
physician. If an HMO patient follows the referral or authorization
guideline before their visit to a specialist, medical
necessity and service is a covered service as determined
by your insurance company.
All other
Insurances:
The co-payment made at the front desk is for the visit
only often considered the time you spent with the MD.
If you have any procedures performed during your visit
to Urology Team, the procedure co-payment, deductible
and or co-insurance (most-likely) is not covered in the
co-payment made at the front desk. Unless otherwise stated
by your insurance company, all other insurances have -CO-PAYMENTS
& OR COINSURNCE, ENCOUNTER FEES, YEARLY DEDUCTIBLES,
MUST MEET MEDICAL NECESSITY AND 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 received a
bill for all services rendered, process and paid your
claim.
Miscellaneous:
You acknowledge that the insurance card and information
provided each visit is the correct and current information.
You understand that it is your responsibility to inform
THE PROSTATE CENTER OF AUSTIN if a change in your insurance
coverage occurs
If you have insurance coverage with a plan for which we
do not have a prior agreement, we will prepare and send
the claim for you on an unassigned basis. This means that
your insurer will send the payment directly to you. Consequently,
the charges for your care and treatment are due at the
time of the service.
In the event that your health plan determines a service
to be "not covered," you will be responsible
for the complete charge. Payment is due upon receipt of
a statement from our office. SERVICES MOST OFTEN DENIED
BY INSURANCE COMPANIES: FERTILITY AND RELATED WORKUP TO
INCLUDE MESA AND VASECTO your REVERSALS, SEXUAL DYSFUNCTION
AND RELATED WORKUP MOST OFTEN ERECTILE DYSFUNTION, SOME
LAPAROSCOPIC PROCEDURES. Please call your insurance company
to verify coverage of these services. The customer service
number is located on your card.
We will bill your health plan for all services provided
in the hospital. Any balance due is your responsibility
and is due upon receipt of a statement from our office.
You understand that should a Urology Team physicians visit
you in the hospital or perform surgery, that these physician
fees are separate than surgical assists, hospital, anesthesia,
lab or pathology fees. |
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