Insurance and Billing

Healthcare billing is often difficult to understand. It is our desire to help you understand what to expect before your surgery. There will be at least three separate bills for your surgery:

• The Orthopaedic Institute – this is your surgeon’s office.
• Orthopaedic Surgery Center – this is the surgical facility.
• Sheridan Healthcare – this is your anesthesiologist for your surgery.

The Orthopaedic Institute, the Orthopaedic Surgery Center and Sheridan Healthcare are three distinct medical facilities; therefore, we are required to collect a separate co-pay, co-insurance or deductible from you prior to your surgery. This is in addition to any fees you may have paid to your surgeon’s office. You will also receive separate statements from each of the above after your surgery. The status of your insurance will be discussed with you by our business office staff during your pre-admit appointment.

For general surgery billing questions (Option 2), please contact 1-844-889-2797.

Anesthesia charges will be billed separately by Sheridan Healthcare (800-437-2672, option 3).

Click here for a list of possible service providers that may charge you.

At the time of your visit, you will need to provide the front desk with your current insurance information, including your insurance card(s) to be copied. We will perform courtesy billing for you, provided you have given us all pertinent billing information. You are responsible for full payment of any co-payments, co-insurance and deductibles required by your insurance company.

Your insurance coverage is an agreement between you and your insurance company. Financial responsibility rests with the patient for deductibles, co-insurance and non-covered services.

We offer the option to pay bills online. With our online bill pay option, you can securely make a payment for your service online with no hassles.

We also accept the following payment methods: Cash, Cashier’s Check, Money Order, Visa, Master Card, American Express, Discover and Capital One.

If your insurance requires authorization for an office visit, please contact your referring physician for that authorization prior to calling for an appointment.

Our accepted insurances include:

• Aetna
• Avmed
• Blue Cross & Blue Shield (BCBS)
• CarePlus
• Cigna
• Medicare
• United Healthcare
• Tricare
• Worker’s Compensation
• Self Pay

The Cost of Your Procedure

Because you are responsible for costs for covered healthcare services until you reach your deductible, you should comparison shop if you elect to have a nonemergency procedure.

You can use tools like Healthcare Bluebook and the Medicare Procedure Price Lookup (for Medicare patients).  Many health insurance websites also provide information on where to find in-network services.