At Saleeby and Wessels, we make our financial and insurance policies available so that our patients always know what to expect. The finances are never our priority; you are. We work hard to serve our patients and provide the best possible experience. We know it isn’t easy to see a proctologist about a colon or rectal health issue. So we set aside financial stress and worries about the cost of colorectal treatment and focus on you—the patient—first.
Please familiarize yourself with our policies regarding finances and insurance coverage prior to your first office visit. The following is an outline of our financial policies and insurance information.
Patients with Insurance
When you first arrive in the office, you will be asked for your insurance card. You must present your insurance card at the time of each visit. Providing us with your insurance card before services are rendered allows us to verify coverage. We can bill most insurance carriers for you. If you do not provide us with complete and accurate information, then your insurance claim may be denied, in which case you will be financially responsible for the charges.
Some insurance plans require that you obtain a referral from your primary care physician before scheduling an appointment with us. Check with your insurance carrier to determine what their policy is in this regard. If you are required to obtain a referral but do not do so prior to visiting us, your insurance claim may be denied, and you will be financially responsible for the services received.
If an estimate of your out-patient procedure is needed, we will gladly provide the contact numbers and codes to assist you in obtaining that information from your insurance provider. Additionally, your insurance carrier may require prior authorization of the procedure before it takes place in order to accept your claim. We can assist with this by providing the exact information necessary for the insurance carrier to make its decision.
In the event that your insurance provider denies the charges for your procedure, you will be responsible for the entire balance that is due on your account. If this occurs, we will let you know and work with you to find a solution. It may be as simple as providing additional information to your insurance company.
Patients using Medicare
We can bill directly to Medicare. Please present your insurance card at each visit to ensure our information is correct. If you have a deductible or co-payment, this will be due at the time that we provide service. If we are providing you with a service that Medicare does not typically cover, or your Medicare claim is denied, we will provide you with the option to receive the necessary care at additional cost to you. If you are insured through Medicare we will ask that you sign “Medicare Advanced Beneficiary Notice” which further outlines these details.
Patients using Medicaid
To ensure all of your information regarding coverage is correct and complete, please provide your current Medicaid card at the time of each visit to our office. We will handle all Medicaid billing responsibilities for you.
Payment for the cost of colorectal treatment will be due at the time of the service. If you need an estimate of fees prior to service, we can provide one for your initial consultation only. However, until treatment is determined, it is not possible to provide an overall estimate.
Regardless of how you are paying for your care, we do not want financial concerns to prevent you from seeking treatment. Please let us know if you have financial concerns and we will work with you to ensure that you have access to our services. Although financial matters must be taken care of, you, our patient, are ultimately our top priority.
Here at Saleeby & Wessels, it has always been our policy not to charge for appointment cancellations. As a courtesy to our staff and other patients who need to be seen, we would greatly appreciate at least a 24 hour notice if possible, as this enhances our ability to serve more patients.