SPINE SURGERY COST
Spine Surgery Cost – Along with the procedure risks, another big concern that patients have is the spine surgery cost. At New Era Spine, we use spine surgery as a last resort. If the patient has exhausted all other non-surgical options, then spine surgery will be explored. It is our goal to help our patients regain the mobile lifestyles they deserve by the top surgeons in the industry. It is also our goal to answer any questions you have about the fees and financing related to spine surgery cost so your mind can be at ease as you consider having Dr. Moazzaz perform your procedure.
It is estimated that about 80% of Americans will suffer from lower back pain during your lifetime. Of those 56 million Americans per year with back pain, only about 8% of them will need a surgical procedure. If the back pain persists enough to affect your daily life and mobility, you should see a surgeon specializing in spine injuries. After a consultation with a spine specialist, they will give you their opinion if this back pain can be treated with prescription pain meds, physical therapy and nonsurgical treatments. If they believe the only remedy for you would be surgery, you may be wondering about spine surgery cost, along with the procedure, your safety, and if it will be successful.
FEES & FINANCING
It is the intent of New Era Spine of San Diego, California to provide quality orthopedic care in a cost-effective manner. Therefore, the following notice is necessary to ensure that all patients are informed of the financial policies of New Era Spine.
A financial counselor is available to help with any questions concerning your spine surgery cost, billing, and statements. Just like each spine surgery is unique, we will schedule time after your consultation with Dr. Moazzaz to discuss your unique insurance coverage and the cost associated with it. If you have any other questions, please call the Billing Office at (760) 241-2005.
Services of New Era Spine of San Diego are available to all persons as long as they accept responsibility for payment.
GENERAL PAYMENT POLICIES
General Payment Policies are:
- Full payment or accurate insurance information is due at time of service.
- We accept cash, checks, or credit cards.
- There will be a $25.00 charge for all checks returned as “NSF” (non-sufficient funds).
- Orthopaedic Specialists of North County will bill contracted and most non-contracted insurance companies.
- Cash pay patients must pay in full at the time of service or prior to date of procedure.
- Patients are required to present a current insurance card and picture ID at every visit; without an insurance card you will be required to pay at the time of service.
- Co-payments are due at time of service. a $25.00 charge will be added to any statement sent to a patient for a co-payment.
- A 24-hour notice of cancellation of appointment is required; failure to provide this notice will result in a charge of $50.00
Orthopaedic Specialists of North County will bill secondary insurances for Medicare patients only.
Payment of bills is expected upon receipt of our statement. Accounts become past due after thirty (30) days unless alternative arrangements have been previously made through the billing office.
Patients with a poor credit history must pay for their services on the date of service. Further credit may not be extended to patients until their account is current. Delinquent accounts are subject to collection at any time including at time of service.
A current Medi-Cal card is required for Medi-Cal billing and must be presented at each visit.
PHOTO ID REQUIREMENT
Effective May 1, 2009 all medical facilities are required to comply with the Federal Trade Commission’s Fair and Accurate Credit Transactions Act. This regulation was enacted in 2003 to provide guidelines for any agency providing credit – as defined by the Federal Trade Commission – to prevent Identity Theft.
As part of the guidelines, effective May 1, 2009, New Era Spine is required to obtain a copy of a valid photo ID from all patients or patient’s guardian. Without a valid Photo ID, NES cannot obtain your insurance information, cannot bill your insurance company, and will require that you pay for services at the time of your visit.
We apologize for any inconvenience this may cause; however, this is a Federal Regulation with which we must comply.
CONTRACT MEDICINE PAYMENT POLICIES
All patients are expected to pay any required co-payments at time of services. For medical services covered by their contract, no additional payments are required. However, patients will be required to pay for non-covered supplies, equipment, and services.
New Era Spine does accept Medicare assignment to cover the cost of spine surgery. All patients without a secondary insurance will be responsible to pay the remaining balance after Medicare payment. All patients are responsible to pay for “non-covered” services. Patients may be required to sign an Advance Beneficiary Notice.
INSURANCE BILLING INFORMATION
Your insurance policy is a contract between you and your insurance company. If your insurance company has not paid your account in full within sixty (60) days the balance may be automatically transferred to your responsibility for payment upon receipt of statement. It is the patient’s responsibility to provide current insurance information to the practice.
USUAL AND CUSTOMARY RATES
Our practice is committed to providing the best treatment for our patients, and we charge what is usual and customary for our area. You are responsible for payment regardless of any insurance company’s arbitrary determination of usual and customary rates.
The adult accompanying a minor and the parents (or guardians of a minor) are responsible for full payment. For unaccompanied minors, non-emergency treatment will be denied unless authorization from guardian is provided in writing.
DURABLE MEDICAL EQUIPMENT
Your doctor may prescribe a piece of medical equipment, i.e. cold therapy, walker boot, crutches, etc., to be used for a period of time to aid in your recovery. We will fit and dispense that product to you. We will bill your insurance company for these services and products. Some products may not be covered. Except for rental equipment, these products may not be returned. You will be expected to pay for any products or related services provided to you whether or not your particular insurance policy covers it.