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At our
centers we try not only to provide excellent medical care
but to make sure that we help answer your insurance questions.
Click below or scroll down:
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.
Do
you accept Medicare assignment?
Yes,
we accept assigned benefits.
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.
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.
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 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.
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 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.
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