What is OAH’s financial policy?
Patients are expected to understand their health insurance that is in effect at the time of appointment. Most insurance plans now have a co-pay and many are high deductible plans. Payment is expected at the time of service.
Payment may be made by cash, check, money order, MasterCard, Visa, Discover, or American Express. OAH will expect outstanding balances to be paid prior to follow- up appointments.
Click here to pay your bill online
What is included when billed for fracture care?
Our insurance companies require us to report our services with specific codes. Fracture care refers to treatment from the initial casting or splint of a fracture, as well as 90 days of normal, uncomplicated follow-up care. Even if you have a fracture that does not require a splint or cast, you will be billed for fracture care since your orthopedic surgeon is responsible for ensuring that you heal properly.
Services not included in the fee for fractures that are billed separately include:
- Evaluation and management services to diagnose the fracture
- X-rays, initial and follow-up
- All casting and splinting supplies, including those used in first cast or splint
- Replacement cast application for medical necessity
- Treatment of complications requiring a return to the OR
There will be a separate charge for these and any other appropriate co-payments, deductibles, or coinsurance that may apply, according to your insurance benefit policy. Please note that cast replacements that are not medically necessary may be denied by your insurance company and may be billed to you, the patient or guarantor of the service.
Why do I see two charges for an injection?
When you receive an injection, you will be billed for the charge of administering the injection and the cost of the drug that is used.
If I have 1 surgery, why do I get 3 bills?
When you undergo a surgical procedure at one of our surgical centers or the hospital, you will receive three bills to cover the costs of:
- Services provided by our orthopedic surgeon(s) and team
- Facility where the procedure is performed
Please note that only the services provided by your orthopedic surgeon or by physical therapy can be paid on this site.
How do I pay my bill?
We are pleased to offer our patients online bill pay for fees associated with our orthopedic services or physical therapy. Click here to pay your bill. Make sure to have your account number handy. [insert bill pay button]
If you receive a bill for one of our surgical centers, you will need to pay the center directly. Below are the billing contacts for our surgical centers:
How will I know the costs of surgery?
At OAH, we want to help you understand the potential costs of surgery so that there are no surprises related to your upcoming surgery. If you have been scheduled for surgery, our surgical estimator will contact your insurance carrier, determine your coverage, and will contact you and verify your insurance, discuss out of pocket expenses, and make payment arrangements.
- If we have a contract with your insurance provider, we will collect any co-pays, deductibles, or coinsurance prior to your surgery. We will also contact your insurance carrier and ensure the surgery is authorized.
- If we do not participate with your insurance provider, we will collect payment in advance of your surgery. If payment is not received in advance, your surgeon may choose to reschedule the surgery.
Our surgical estimator will ensure that you have all the information you need in advance of your scheduled surgery and can assist you with financial questions or concerns.
Is there a cost for medical equipment?
During a visit, you may be provided with a splint, orthotic, brace, or other piece of medical equipment to facilitate your recovery. There is a cost for this medical equipment, which may or may not be covered by insurance. Some plans will cover the costs of durable medical equipment or may have a certain deductible.