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BILLING / INSURANCE:

For those patients with medical insurance, the actual amount paid by the insurance company is determined when the operative report and supportive documents have been submitted. Rarely can the exact amount to be paid be known in advance. Depending on your individual plan, you may be responsible for up to 20% (or more) of the covered amount. A deposit according to your individual insurance policy may be required prior to surgery.

Most surgical procedures have a "global follow-up period" ranging from 15-180 days for which routine post operative care is included in the surgical fee.

With the exception of certain federal programs, most insurance plans have a yearly deductible. Some plans have individual "co-pays" that are the personal responsibility of the patient. If your deductible has not been satisfied, payment for services rendered is expected at the time of your visit.

If your claim is being handled by Workman's Compensation, be sure to inform the receptionist/patient co-coordinator so the necessary forms can be filled out in a timely fashion.

At this time, we have no provisions to finance surgical procedures. Therefore we ask that your account be paid in full no later than 90 days from the time of service unless there are special circumstances relating to your insurance, the procedure involved, or arrangements have been made in advance with the billing office.

Insurance Billing and patient accounts are handled in our
La Jolla Office, 9834 Genesee Ave., Suite 425
La Jolla,Calif. 92037.
For inquiries call (619) 558-8868
Fax (619) 558-1726

A FEW OF OUR APPROVED INSURANCE PLANS INCLUDE:

Aetna Life NBA MediCare
APWU Health Plan PacificCare of CaliforniaNBA
Blue Cross of California New York Life
Blue Shield of California PacificCare of California
CAPP Care Pacific Atlantic Administrators
Champus Prinipal Health Care
Cigna Prudential
Healthnet United Food & Commercial Workers
Imperial County Employees Principal Financial
Imperial County Physicians Medical Group Travelers Preferred
Imperial Irrigation District Western Growers

John Alden Life

. . . Plus Others

 



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