Insurance and Billing

Insurance and Billing | The Eye SurgiCenter

A patient account representative will contact you within three days of your surgical procedure to discuss your expected out of pocket responsibility. All out of pocket cost will be due on the day of surgery.   Before surgery, please familiarize yourself with your insurance plan, as it will help you understand our billing and charges.   Once you speak to your insurance company, if you still have additional questions, please contact your surgeon’s office and speak to a billing representative.

Our surgery center is dedicated to providing patients with as much information as possible regarding potential healthcare costs. Accordingly, we have listed information on the insurers the center participates in.

It’s Important you contact your insurance company prior to receiving services or care. Each plan is different and some provide different levels of coverage that could make a difference in your out of pocket costs:

  • Medicare
  • Horizon BCBS of New Jersey (some plans are specific Tier Levels)
  • Aetna
  • Cigna
  • Tricare
  • Amerigroup
  • Amerihealth
  • United Healthcare
  • Wellcare
  • US Family Health Plan
  • Qualcare
  • Horizon NJ Health

 

If you do not see your plan listed on our website, we strongly recommend you contact us or your health insurance plan to confirm whether your plan is in-network or out-of-network

PLEASE NOTE: The physicians who provide care within our center may not participate in the same insurance plans as the Surgery center. You should check with your surgeon’s practice to ensure they participate in your insurance plan.   You should also know that these healthcare professional cost are not included in the facility’s charges.   They will bill separately.

Other Care Providers

We work with other providers as part of your care. In addition to a bill from the facility and the surgeon, you may receive a bill from another provider. For example, Anesthesia.

Our Anesthesia Group is Society Hill Anesthesia. To see if the Anesthesia group is in network with your insurance, you can call your insurance company to verify. Your Insurance will ask you for their NPI number, which is 1396797445.