Payment Information

Thank you for choosing SurgOne, P.C.. We are committed to providing you with the best patient care possible. In order to best serve you and to avoid confusion, please review our payment policy and let us know if you have any questions.

Patients with Insurance Benefits: If you have insurance coverage that you would like to use for your visit, please review the following policies for in-network and out-of-network health plans.

• In-Network Health Plans: SurgOne, P.C. currently participates with most major insurance plans, including Blue Cross Blue Shield, Cigna, and United Healthcare (to see a complete list, please ask our staff). If you are covered by one of these plans, or by another insurer for which SurgOne, P.C. is “in-network”, SurgOne, P.C. will submit an insurance claim on your behalf. You will be required to pay any applicable coinsurance and co-payment at the time of service.
• If the procedure is being performed in a SurgOne office, payment will be expected at the time of service for any copay and/or coinsurance.
• If the procedure is being performed outside of a SurgOne office, we require that you provide a credit card authorization in advance. On the day of your procedure your credit card will be billed for your portion (i.e. copay and/or coinsurance) of the procedure, based upon information provided by your insurer. If you would like an estimated cost of the procedure, please ask the office staff.
• In addition, to the payment above, you will be responsible for any remaining balances that may be on your account after your insurer processes the claim. We will attempt to collect the full amount allowable from your insurance plan. However, in the event that there are additional amounts for which you are responsible (i.e. deductible), we will charge you for any remaining balance after your initial payment up to a maximum charge of $500.00. Any additional remaining balance above $500.00 will be billed to you by U.S. Mail.
• Out-of-Network Health Plans: If you are covered by a health plan for which SurgOne, P.C. is “out-of-network” or if SurgOne, P.C. is not a “participating provider”, we require that you pay for your charges at the time of service. We will give you a claim form that you can submit to your insurance company to instruct them to send reimbursements directly to you.

Self-Pay Patients:

• If you do not have health insurance coverage or if you do not want us to file an insurance claim on your behalf, or if you do not authorize us to store your credit card information, then all charges are due at the time of service.

 Acceptable Forms of Payment:

• For your convenience, we accept Visa, MasterCard, and Discover as well as cash and checks (U.S. banks only).
•  This credit card authorization will be valid until the expiration date of the credit card provided below, unless you contact SurgOne, P.C. by phone or by U.S. Mail and specifically revoke this authorization.