Insurance Information

Do I have to pay a co-pay each time I have a service?

Each insurance company (plan) has different reimbursement guidelines. The Office Financial Manager in the office where you are being treated will verify your benefits to determine what your co-pay will be.

What insurance plans do you participate with?

We are participating providers in most plans. If you cannot find us listed in your Participating Provider Directory, you can contact the Office Financial Manager, in each of our offices, or the insurance plan's Customer Service Department, whose number is listed on your insurance card, to confirm our participation status.

Do you accept Medicare assignment?

Yes, we accept assigned benefits.

If I have Medicare, does it cover radiation therapy services?

Yes, if you have Medicare Part B. Medicare Part B is the medical insurance benefit that provides coverage for physician services.

If I have a Medicare HMO, will I have benefits that cover radiation therapy services?

We are participating with most Medicare-HMO plans. The amount of coverage depends on your plan. The Office Financial Manager, in each of our offices, will verify your insurance coverage and review this information with you at the time of your financial planning meeting. You can also contact your Insurance Customer Service Department whose number is listed on your insurance card.

Do I need other insurance coverage if I have Medicare?

Medicare will usually pay 80% of their allowed charge. The patient is responsible for the remaining 20% balance. A supplemental (secondary) insurance coverage will usually pick up the 20% balance.

Who is responsible for obtaining referrals and/or pre-certification if my insurance plan requires it for radiation therapy services?

If you are in a Managed Care Plan that requires you to have a Primary Care Physician (PCP), you must obtain the referral form from your PCP and bring it to the office on your first visit. If radiation therapy services need to be pre-certified, the Office Financial Manager, in each of our offices, will obtain pre-certification.

Do you submit claims on my behalf to my supplemental insurance carrier?

Yes. Once your primary insurance carrier has remitted payment to our office, as a courtesy to our patients, we will file a claim to your supplemental (secondary) insurance carrier. Often, the supplemental (secondary) plan will pay the patient directly. If we do not receive payment after sixty (60) days from the date we filed the claim, we will transfer the balance to the patient.