Insurance and Billing

Allied Physicians Surgery Center believes that a good facility / patient relationship is based upon understanding and communication. We are providing the following information to avoid any misunderstanding concerning payment for our facility services.

Call 574-544-2200 with any questions or concerns.

INSURANCE INFORMATION

Your insurance policy is a contract between you and your insurance carrier. As a courtesy, Allied Physicians Surgery Center will verify your benefits and file your insurance claim for you. Contact your insurance carrier prior to your surgery date with specific questions about your policy coverage.

After insurance verification, a member of our team will contact, and/or email, you with an estimate of your financial responsibilities. Our goal is to provide an accurate estimate; however, the final amount is subject to change based on various factors outside of our control.

For your protection, we require a photo ID and current insurance or Medicare cards for every visit to our facility.

CO-PAYS

Co-pays must be paid prior to or at the time of registration. The amount is determined by your insurance contract, payable by the patient, each time a medical service is provided.

DEDUCTIBLES AND/OR CO-INSURANCE

Deductibles are the amount you pay for covered health care services before your insurance carrier begins paying. Our policy is to collect a portion of your remaining deductible prior to or at time of registration.

Co-insurance is a percentage of costs for covered health care services you pay after you have satisfied your deductible. Our policy is to collect a portion of your remaining co-insurance prior to or at time of registration.

The amounts requested are obtained directly from your insurance company up to 3 days prior to your surgery date.

ADVANCE BENEFICIARY NOTICE (ABN)

An ABN is a notice given to beneficiaries with original Medicare to convey that Medicare is not likely to provide coverage for the services being provided. The ABN should provide notification of the financial liability for these non-covered services so the member has time to consider if they wish to proceed.

WAIVER

A waiver, like an ABN, will be given to patients when their healthcare insurance will/may not cover the services being rendered. The waiver will show the services not covered and the cost associated with the service. The services and the amounts listed will be the responsibility of the patient, or in the case of minor, the financial responsible party.

PRECERTIFICATION AND AUTHORIZATION

Some insurance providers may require preauthorization and/or precertification for your procedure. It is the responsibility of your physician’s office to obtain this if necessary. Please contact their office for confirmation.

FACILITY FEE

Fees charged by the Surgery Center are in addition to your surgeon, anesthesia provider, and any other third-party provider fees.

PAYMENT METHODS

We accept cash, checks, major credit cards, and CareCredit. You can pay your bill with a credit card in the “Pay My Bill” section on the website or by calling (574) 544-2200.

If you would like to pay with your CareCredit credit card, you can do so at carecredit.com/pay. CareCredit may not be used for cosmetic procedures, specialty lenses during cataract surgery or balances that are greater than 90 days old. Other restrictions may apply.

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