Blue Cross and Blue Shield of Louisiana
Traditional, PPO POS and HMO
United Health Care
PPO, POS and HMO
Cigna HealthCare
PPO, POS and HMO
Humana
HMO, PPO, POS and Medicare Replacement
Aetna Healthcare
PPO, POS and HMO
Coventry Healthcare
PPO, POS and HMO
See Below for our complete list of contracted Insurance Companies
Payments Due Prior to Surgery
We typically collect your insurance co-payment if applicable before surgery. Upon request, we will provide you our “best estimate” of the amount you will owe after insurance pays, after contacting your insurance company and reviewing the amount they are most likely to pay under our contract with them, and based on what specific procedures your surgeon has scheduled beforehand. No guarantee of payment is received from your insurance company. Should your surgeon decide to perform an additional or different procedure, your responsibility may also change.
Filing Insurance Claims
Following your surgery, we will prepare and file your insurance claim for our facility charges with your insurance company. (We do not file any claims for the surgeon, anesthesiologist or pathology.)
We expect your insurance company to pay your claim within sixty (60) days of the date of your surgery. At that time we will provide you with a statement of the total charges for all procedures that were performed, the contractual discounts your insurance company received, the amounts you prepaid, and the balance, if any, you may owe.
Should we encounter problems with receiving timely payment from your insurance company, you will be contacted and asked to contact the company to get your claim paid. Should your claim be denied or rejected, we will bill you directly for payment.
COSMETIC SURGERY – ELECTIVE SURGERY
Payment in full must be received on the day of service.
SELF PAY SURGERY
Self pay accounts must be paid in full on the day of service, if you cannot meet your financial responsibility, please call our Business Office at 766-1718 to make other arrangements if possible.
Our most common insurance plans are:
| Aetna | Health First Ancillary Services |
| American Lifecare | Health Management Associates |
| American Medical Security | Health Payors Organization |
| BCE Emergis | HealthSmart |
| Beechstreet | HealthStar, Inc. |
| Benefit Management | Hines & Associates |
| Best Care | Humana |
| Best Comp | Independent Medical Systems |
| Blue Cross | Integrated Health Plan |
| Broadspire | InterGroup Services Corp. |
| Case Management Consultants | Interplan Corporation |
| CCM | Louisiana State University |
| Champus | Mailhandlers Benefit Plan |
| Chandler Group of Managed Care Companies | Managed Healthcare, Inc. |
| Cigna | MedCare International, Inc. |
| Community Care Network (CCN) | MetraComp |
| Comp Plus | Multiplan |
| Corporate Benefit Services | National Hospital Network |
| CorVel, Inc. | Office of Group Benefits (State PPO) |
| Coventry | PHCS |
| Definity | PlanVista Solutions |
| DMA PPO / Bayou Medical | PPO Plus (Except OLOL Employees) |
| Evolutions Healthcare Systems | Preferred Health Network (PPO Next) |
| F.A.R.A. (F.A. Richard) | Primary Health Services, Inc. |
| First Health | Prime Care |
| Focus Healthcare | Sterling |
| Fortified Provider Network | Three Rivers Provider Network |
| Fortis Health | Tricare |
| Galaxy Health Network | United Healthcare |
| GEHA PPO | USA Managed Care Organization |
| Genex | Verity |
| Global Medical Management | MEDICARE |
If your insurance company is not listed, it may be considered to be part of one of the networks listed above. Please call our office at 766-1718 and ask to talk with the billing department for more information.