At Performance Orthopedics, your financial responsibility for services depends on a variety of factors, explained in the chart below.
If You Have…|You Are Responsible For…|Our Staff Will…
Commercial Insurance|Payment of the patient responsibility for all office visits, x – ray, injection, and other charges at the time of office visit.|Call your insurance company ahead of time to determine deductibles and coinsurance.~~ ~~File an insurance claim as a courtesy to you.
HMO & PPO plans with which we have a contract.|If the services you receive are covered by the plan: All applicable co-pays and deductibles are requested at the time of the office visit.~~ ~~If the services you receive are not covered by the plan: Payment in full is requested at the time of the visit.|Call your insurance company ahead of time to determine co-pays, deductibles, and non-covered services for you.~~ ~~File an insurance claim on your behalf.
HMO & PPO plans with which we are not contracted.|Payment in full for office visits, x-ray, injections, and other charges at the time of office visit.|Provide the necessary information for you to complete and file your claim directly with the insurance company.
Medicare|Any services not covered by Medicare are requested at the time of the visit.~~ ~~If you have Medicare as primary, and secondary coverage: No payment is due upfront unless it is determined that your secondary coverage will not pick up your co-pay or deductible in full. You will be required to pay the difference.|File the claim on your behalf, as well as any claims to your secondary insurance.
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.|Call your carrier ahead of time to verify the accident date, claim number, primary care physician, employer information, and referral procedures.
Worker’s Compensation (Out of State)|Payment in full is requested at the time of the visit.|Provide you a receipt so you can file the claim with your carrier.
No Insurance|Payment in full at the time of the visit.|Work with you to settle your account. Please ask to speak with our staff if you need assistance.
Master Medical|Payment in full is required for office visits and injections. Master medical will issue a check to you directly.~~ ~~If Master Medical is your primary insurance and you have secondary coverage. You must supply us with your explanation of benefits from Master Medical before we are able to submit your secondary claim.|File the claim on your behalf, as well as any claims to your secondary insurance.
Health Saving Accounts/ High Deductible Plans|Your insurance company will be billed…~~ ~~If you have enough funds in your health savings account- No payment is necessary at the time of the visit.~~ ~~If you do not have enough funds in your health savings account- Payment in full is requested at the time of the visit.|Call your insurance company ahead of time to determine deductibles and coinsurance and to verify if you have enough funds in your health savings account to cover charges.~~ ~~Work with you to settle your. Please ask to speak with our staff if you need assistance
Commercial Insurance|Payment of the patient responsibility for all office visits, x – ray, injection, and other charges at the time of office visit.|Call your insurance company ahead of time to determine deductibles and coinsurance.~~ ~~File an insurance claim as a courtesy to you.
HMO & PPO plans with which we have a contract.|If the services you receive are covered by the plan: All applicable co-pays and deductibles are requested at the time of the office visit.~~ ~~If the services you receive are not covered by the plan: Payment in full is requested at the time of the visit.|Call your insurance company ahead of time to determine co-pays, deductibles, and non-covered services for you.~~ ~~File an insurance claim on your behalf.
HMO & PPO plans with which we are not contracted.|Payment in full for office visits, x-ray, injections, and other charges at the time of office visit.|Provide the necessary information for you to complete and file your claim directly with the insurance company.
Medicare|Any services not covered by Medicare are requested at the time of the visit.~~ ~~If you have Medicare as primary, and secondary coverage: No payment is due upfront unless it is determined that your secondary coverage will not pick up your co-pay or deductible in full. You will be required to pay the difference.|File the claim on your behalf, as well as any claims to your secondary insurance.
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.|Call your carrier ahead of time to verify the accident date, claim number, primary care physician, employer information, and referral procedures.
Worker’s Compensation (Out of State)|Payment in full is requested at the time of the visit.|Provide you a receipt so you can file the claim with your carrier.
No Insurance|Payment in full at the time of the visit.|Work with you to settle your account. Please ask to speak with our staff if you need assistance.
Master Medical|Payment in full is required for office visits and injections. Master medical will issue a check to you directly.~~ ~~If Master Medical is your primary insurance and you have secondary coverage. You must supply us with your explanation of benefits from Master Medical before we are able to submit your secondary claim.|File the claim on your behalf, as well as any claims to your secondary insurance.
Health Saving Accounts/ High Deductible Plans|Your insurance company will be billed…~~ ~~If you have enough funds in your health savings account- No payment is necessary at the time of the visit.~~ ~~If you do not have enough funds in your health savings account- Payment in full is requested at the time of the visit.|Call your insurance company ahead of time to determine deductibles and coinsurance and to verify if you have enough funds in your health savings account to cover charges.~~ ~~Work with you to settle your. Please ask to speak with our staff if you need assistance
Our practice is committed to provide the best treatment to our patients. Our prices are representative of the usual and customary charges for our area. Thank you for understanding our payment policy. Please let us know if you have questions or concerns.
