| Our staff
is committed to helping you understand and fulfill your
insurance requirements so that you can get the medical
attention you need. We work with a number of health
insurance plans, as well as Medicare. If you do not
have health insurance, our staff will assist you in
making arrangements based on your financial situation.
Payment plans are an option for all patients, regardless
of insurance coverage. Please call our office if you
have any questions.
If you have an appointment scheduled,
please download the PDF of our Patient
Registration Kit which includes our office billing
policy. Please read this over, sign it and then bring
it with you for your visit.
If you don't have Adobe Acrobat Reader, you can get
it here.
We will make every attempt to accommodate
your financial needs. No-interest extended payment plans
are a common way to make your share of medical costs
affordable. We always strive to meet your financial
needs to enable you to obtain the best medical care
possible!
If you have
insurance through a managed care (PPO) plan
Please make sure to bring your insurance card with you
to your appointment. Each time you visit our office,
you will need to pay the co-payment amount your insurance
plan requires. Our office will then file a claim to
your insurance company. You will receive a statement
from us if any balance is due after we have received
reimbursement.
Insurance Plan
Notice
Our insurance plan participation list changes each January
because reimbursement contracts are renegotiated annually
and benefits are altered according to employer contracts.
You may find that your deductibles and out-of-pocket
expenses may change. It is our policy to treat all patients
with the same high quality care regardless of their
insurance coverage or lack thereof.
We participate
in the following managed care plans:
• Aetna US Healthcare - All Plans
• NS except Behavioral Health Plans
• BC/BS of IL - PPO
• CCN - PPO/POS
• Cigna Healthcare - All Plans except Commercial
HMO
• First Health - PPO
• Galaxy/MCI - PPO
• Great-West (Formerly One Health Plan) - PPO/POS/HMO/Open
Access
• Healthcare’s Finest Network - PPO
• Humana ChoiceCare - PPO (Dr. Carothers only)
• Multiplan (formerly BCE Emergis, Admar, Heath
Network) - PPO
• PHCS - PPO/POS
• Preferred Network Access - PPO
• PPONext - PPO
• Preferred Plan - PPO
• Unicare (Classic) - PPO
• Unicare - HMO
• United Heathcare - Choice EPO/HMO, Choice Plus
(POS), Select (EPO/HMO), Select Plus (POS), Options
PPO, Indemnity (Traditional)
Updated 10/2005
If we're not
in your network
If your insurance plan is not listed above, please call
or email us, as our participation status with insurance
carriers often changes.
For patients with PPO insurance coverage
in an insurance plan not listed above, please be advised
that your insurance plans may offer the option to seek
medical care from out-of-network or nonparticipating
providers. Typically, benefits are subject to the plan
deductible and then paid at the out-of-network benefit
level for coverage. Once the patient’s annual
out-of-pocket maximum is met, benefits are considered
for payment at 100% of the plan’s usual, customary
and reasonable allowance (UCR). Our office will accept
the insurance plan’s UCR allowance for each service
billed. Patients will not be billed for the amounts
deemed over and above the insurance plan’s UCR
allowance. Patients will only receive a billing statement
for amounts not paid by insurance due to deductible,
coinsurance or other insurance non-coverage issues.
This is where no-interest payment plans or other options
are applied.
If you do not
have insurance
Patients without medical insurance are requested to
pay at the time of service. A 15% discount will be honored
for all services that are paid in full at the time of
service. If you cannot pay for medical services in full,
you may consult with a member of our business office
staff to arrange a payment plan.
Our insurance staff is available to
assist you with any issues or concerns that you may
have. Please call 312.266.6673 and ask to speak with
a billing/insurance staff person or our practice manager.
Thank you for your patience with our
evolving insurance participation!
| ©2007 |
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Northwestern Nasal + Sinus
676 North Saint Clair, Suite 1575
Chicago, Illinois 60611 |
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