Surgery is a stressful event, so we do not want you to be overwhelmed by the insurance and billing process. Ideally, this information can help answer your questions. However, if you do have any further concerns, don’t hesitate to contact us.
Health insurance is confusing. Bon Air chooses to remain “Out of Network” with certain insurance carriers in order to maintain flexibility and provide the most optimal treatment options for our patients. When we do this, our facility is able to tailor its operations to suit specific surgeries, our surgeons and you. Our goal is to offer you and your surgeon the best options for treating your condition.
- A Bon Air Surgery Center billing office rep will contact you before the procedure day to review our estimate of your personal portion of the procedure. This is based on the procedure and your insurance plan.
- Note that this is only an estimate. If the surgeon needs to do more or less during the procedure than what was originally scheduled, there may be a change to your final financial responsibility to Bon Air Surgery Center.
- Since there are several healthcare practitioners providing services to you, there are separate bills generated from each provider; therefore, expect bills from multiple providers for one procedure at our Surgery Center. This bills may include:
- The bill for Bon Air Surgery Center, which is the facility fee.
- A bill from your physician.
- A bill from your anesthesia provider (if given).
- If necessary, you will also receive a separate bill from the pathologist.
We do accept assignment of benefits through Medicare; a bill is sent to you for balance due. If you have signed your Medicare rights over to a separate insurance company, (like Freedom Blue Cross or Health Net Pearl) we require a copy of that card at the time of registration.
Frequently Asked Questions
What does “Out of Network” mean?
Many specialty clinics and surgery centers fall under the category of an “out of network” facility. This doesn’t mean we don’t accept your insurance, but instead that we don’t currently have a contract. However, if your policy includes out of network benefits, we may be able to help. Our billing specialists will help you determine what your policy does and doesn’t cover and can answer all your questions.
What are the benefits of going to an Out-of-Network surgical facility?
Your surgeon recommended our facility because it is an ideal place for your outpatient procedure. By having the procedure done here, you are avoiding uncomfortable and unnecessary hospital stays. Our facility has advanced technology and experienced staff that can help customize the procedure for you, plus your surgeon will have everything he or she requires.
Will my insurance company penalize me in any way for visiting a surgical facility outside of my network?
This varies from one type of insurance to another. Your insurance may discourage you from using an out-of-network facility, but the only way to determine how much your fees will be is by working with us and your insurance company to get an estimate in place.
How are the facility’s fees determined?
We charge a facility fee for each surgical procedure performed. This fee covers the cost of the OR, supplies, nurses and staffing, medications used and the use of the recovery room. You will receive a separate bill from your surgeon’s office, the anesthesiologist’s office, and possibly the pathologist’s office.
What if I can’t afford to pay my bill all at once?
Please call our business office at 415-419-5245 to discuss payment plan options.
What forms of payment do you accept?
We accept major credit cards including Visa, MasterCard, American Express and Discover, as well as cashier’s checks. We cannot accept personal checks, money orders, or cash.
When do I need to pay my bill?
Payment is due on or before your date of surgery.