"Dedicated to Providing the Highest Quality Specialty Orthopaedic Care"
 
Patient PAYMENT POLICY

Background

We are committed to the sucess of your medical tratment and care.  Please understand that a mutual financial understanding is part of our relationship.

For your convenience, we have answered a variety of commonly asked financial policy questions below.  If you need further information about any of these policies, speak to our Billing Specialist.

What type of payments are accepted?

We accept payment by cash, check, VISA, MasterCard, and CareCredit.

We participate in some health plans:

We do not accept HMO plans.  If you are Tricare, Medi-Cal (CENCAL), Tribal Health, or Worker's Compensation, you need authorization to be seen.  If we do not recieve authorization prior to your arrival at the office, your appointment will be rescheduled.  As of January 1, 2008 we are participating providers in Medicare.  For all other plans, please call your plan's customer service department to verify if we are contracted providers.

Your financial responsibility for office visits and services depends on a variety of factors:

If you have commercial insurance, also known as "indemnity", "regular" insurance, or "80%/20%" coverage: The patient responsibilty is 20% of all office visit, x-ray, injection, and other charges incurred at the time of the office visit.  There may also be a yearly deductible or cap on some services.  Our office files an insurance claim as a couurtesy to you.

If we are contracted with your plan: For covered services the patient is responsible for all applicable co-pays, co-insurance and deductibles for services provided at the time of the office visit.  Our office files an insurance claim as a coutesy to you.  For non-covered services the patient is responsible for payment in full.

Point of Service Plan or Out of Network PPO:

The patient may have a higher out of pocket expense, which can include deductible, co-pay, co-insurance and any non-covered services at the time of the visit.  Our office files an insurance claim as a courtesy to you.

If you have Medicare:

The patient is responsible for the Medicare Part B annual deductible and any services NOT covered by Medicare.  We may ask you to sign a Medicare ABN form, or Advance Beneficiary Notice of Noncoverage, for services not covered by Medicare.

If you have Medicare as primary, and also have secondary insurance or Medi-gap, no payment is necessary at the time of the visit.

If you have Medicare Advantage or Medicare C plan, this gives the beneficiaries the option to receive benefits through private health insurance plans.  These Private Fee for Service (PFFS) plans vary and you should call the customer service line to clarify your co-pay, co-insurance and deductible amounts.  Our office files an insurance claim as a courtesy to you for all Medicare plans.

Worker's Compensation:

If we have verified the claim with your carrier, no payment is necessary at the time of the visit.  If we are not able to verify your claim, payment in full is requested at the time of the visit.

If you have Out of State Worker's Compensation, payment in full is requested at the time of the visit.  Our staff will provide you with a receipt so you can file the claim with your carrier.

Occupational Injury:

Payment in full is requested at the time of the visit.  Our staff will provide you with a receipt so you can file the claim with your carrier .

No Insurance:

Payment in full is requested at the time of visit.

 

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Santa Barbara Office: 511 Bath Street • Santa Barbara, CA 93101
Telephone (805) 963-9377 • Fax (805) 962-2154

Solvang Office: 2027 Village Lane, Suite 101 • Solvang, CA  93463  
Telephone (805) 688-8821• Fax (805) 686-9676  
  
© 2007 Alta Orthopaedics 

Web Site Disclaimer:  This information is offered solely for purposes of general patient education and may not be relied upon as a substitute for professional medical care.  Consult a physician in person for evaluation and treatment of your specific condition.