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Neurosurgical Consultants, P.A. does not participate in any insurance
plans. EVEN THOUGH WE ARE NOT PARTICIPANTS IN YOUR PARTICULAR INSURANCE PLAN,
we are pleased to see you in consultation, help you to fully understand your
Neurosurgical condition and determine the most appropriate course of action for
you. We are always willing to work with you regarding the financial aspects of
your Neurosurgical care.
Most plans allow patients Out-of Network Benefits. In most cases
this will provide our patients adequate coverage. You may wish to
verify the parameters of your out-of-network benefits with your particular plan
before you come in for an appointment. However, we would not permit this to stand
in the way of your consultation should you desire one. Our professional assistants
are experts in assisting patients with various health insurance issues. Please feel
confident in discussing your concerns with them.
In many instances the ACTUAL OUT-of-POCKET EXPENSES may prove to be LESS
than if a patient remains "In-Network". While this seems counter-intuitive,
it is quite factual. Once our office staff helps you to determine the details of
your insurance plan, they can then assist you in working through these financial
details. PATIENTS ARE OFTEN VERY PLEASANTLY SURPRISED TO LEARN THAT THEIR
PERSONAL FINANCIAL COST IS LESS SINCE WE MAY HAVE CONSIDERABLE MORE LEEWAY TO
LOWER THE ACTUAL "OUT-OF-POCKET" COST THAN AN "IN-NETWORK" NEUROSURGEON
DOES.
AS OUT-of-NETWORK NEUROSURGEONS, WE ARE NOT CONTRACTUALLY OBLIGATED TO ANY OF
THE INSURANCE COMPANIES' RESTRICTIONS THAT AN ORDINARY NEUROSURGEON IS REQUIRED
TO IMPOSE ON THE PATIENT. Having this latitude permits us to work with the patient
to REMOVE BARRIERS that WOULD ORDINARILY stand in the way of your access to the
level of Neurosurgical assistance offered by our Surgeons.
We do not believe that these matters should stand in the way of your access
to the types of highly advanced techniques offered by our Surgeons.
HMO (Health Maintenance Organization), managed care and Medicaid plans
usually do not provide out-of-network benefits. While we are pleased to provide
consultation service to these patients, it is important to understand that they
do not provide out-of-network benefits and may not cover any diagnostic tests,
hospitalization or operations under the supervision of a non-participating
physician. Our professional staff can assist you in identifying these issues as
well as trying to find a satisfactory solution. Oftentimes we are able to
work with your personal physician or a general physician our hospital (who
is a plan participant) in order to obtain the insurance company’s agreement
for the required investigations and treatments.
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This page last edited on 6/21
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