Pocono
Ambulatory Surgery Center is a participating provider
for most major insurance companies including Medicare. This means
we will accept what the insurance company ALLOWS for your surgery
in our facility EXCLUDING COPAYMENTS and DEDUCTIBLES. The charges incurred here are known as the POCONO
AMBULATORY SURGERY CENTER facility fee. The facility fee covers use
of the facility, rooms, equipment and staff required to perform your
surgical procedure. You will receive separate bills from ALL physicians
involved in your surgery.
Pocono Ambulatory Surgery Center will
protect the privacy and security of patient health information through
reasonable and appropriate administrative, technical and physical
safeguards in keeping with the Health Insurance Portability and Accountability
Act of 1996.
THE FOLLOWING INFORMATION COVERS PAYMENT
FOR THE FACILITY USE ONLY:
It is the responsibility of the patient
to be aware of the requirements of his or her insurance company regarding
referral forms, second opinions or pre certifications and to see
that they are met.
Medicare: The patient is responsible for
payment to the surgery center for:
- Medicare deductible per year (Medicare will advise us if any
amount is due). We bill Medicare Part B only.
- The 20% co-insurance not paid by Medicare.
Medicaid: If you have General Assistance, you may be responsible
for $150.00 deductible per year and/or a co-pay.
The Pocono Ambulatory Surgery Center is required by insurance regulations
to collect all deductibles and co-insurance.
Workman's Comp. or Auto Accident Claims: It
is the responsibility of the patient to supply Pocono Ambulatory
Surgery Center with report of injury, insurance carrier name and
address, phone number and date of accident.
No Insurance: We will be happy to work out a payment
schedule for you. We will have you sign a financial agreement outlining
a payment schedule prior to your surgery. At least 50% will be required
4 days prior to your date of surgery.
ADDITIONAL CHARGES FOR WHICH YOU ARE RESPONSIBLE:
- Drawing and analysis of pre-operative blood work - billed through
the provider rendering the service.
- Tracing and interpretation of EKG (if required)
- billed through the provider rendering the service and the MEDICAL
DOCTOR reading the EKG.
- Pre-op chest x-ray - billed through the provider rendering the
service and a Radiologist, M.D. involved in interpretation.
- If you are required to have a Medical Consultation (clearance)
prior to your surgery, the Medical doctor involved in evaluating
you for clearance will also require payment. Please speak to your
Medical doctor about your insurance coverage in that case. Medical
consultation fees will vary, depending on the individual physician.
Insurance coverage varies also. Please be sure to discuss this
with your doctor prior to your consultation.
- Surgeon fees (the payments to the surgeon for his operating fee)
- billed by surgeon's office. You should address all questions
regarding this service to the surgeon's office.
- Anesthesia fee (the payment to the Anesthesiologist,
M.D. for his or her services, monitoring and responsibilities during
your surgery) - billed by the anesthesiologist's billing services.
Questions regarding your anesthesia bill should be directed to
the anesthesia service: Anesthesia Specialists of Bethlehem 1-800-242-1131.
- Pathology fee (for handling and diagnosis of any
tissue sent from your surgery) - This will be billed through POCONO
MEDICAL CENTER and the respective Pathologist, M.D. involved in
the diagnosis or Labcorp depending on your insurance requirements.
Pocono Ambulatory Surgery Center Participates in the following:
Aetna
Blue Cross
First Priority Health
Geisinger
Medicare/Railroad Medicare
Medicaid/Unison
Oxford Healthcare
Multiplan/Intergroup
Spectrum Administrators
Tricare
United Health Care
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