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| Education & Resources |
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Financial Policies and Payment Options
Surgery patients have many different medical providers working together to supply your needed services. These include the surgeon, hospital or surgery center, anesthesiologist, and potentially additional providers. In an effort to provide you with the tools you need to navigate the financial aspects of your surgery we have provided the billing contact phone numbers for OSS and our key surgical partners.
Oregon Surgical Specialists, PC, Billing office: (541) 282-6687
Anesthesiology Associates, Billing office: (541) 773-7273
Cardiovascular Institute of Southern Oregon, Billing office: (541) 282-6660
Rogue Valley Medical Center, Billing office: (541) 789-4111
Rogue Valley Women’s Imaging, Billing office: (541) 789-6150 (ext. 4)
Surgery Center of Southern Oregon, Billing office: (541) 608-8699
Billing
Oregon Surgical Specialists billing department is available by phone from 8 a.m. - 5 p.m., Monday through Friday by calling (541) 282-6687. Billing calls will be returned within 24 hours.
We will bill your insurance as a courtesy to you. It is ultimately your responsibility to follow-up with them to make sure your account is paid. We will be happy to bill your secondary insurance carrier if you provide that information at the time of service.
We are here to assist you with any billing questions or problems you may have. Please help us by making sure that the reception staff has all of your updated insurance information.
You will be required to make your co-pay and/or co-insurance at each visit. For those who have no insurance, you will be expected to pay your balance in full. Our policy is to collect $167.00 as you check in and the remaining balance (if any) as you check out after seeing the provider.
Billing statements are mailed monthly. Account balances 90 days past due are considered delinquent. However, we realize that temporary financial problems may affect timely payment of your account. If such problems do arise, please contact us promptly for assistance, otherwise, accounts over 90 days may be placed with our collection agency along with a 30% default fee and/or your care with our practice may be terminated.
Referrals
We will need a referral from your primary care or treating physician to schedule you for an appointment. If your insurance requires authorization, we will also need a referral authorization from your insurance company. We do accept self referrals for hernias and hemorrhoids, but the insurance authorization is still necessary when your insurance company requires one.
If your insurance company requires a referral to visit our physicians, it is your responsibility to obtain a valid referral through your insurance company. If you do not have a valid referral for your visit you will be responsible for any and all charges incurred at the time of visit.
Oregon Surgical Specialists Financial Policies PDF*
Medicare Advance Beneficiary Notice (ABN)
An ABN is a written notice from Medicare (standard government form CMS-R-131), given to you before receiving items or services that may not be covered by Medicare. The ABN form is used to alert you that:
- Medicare may deny payment for that specific exam or procedure.
- You will be responsible for full payment if Medicare denies payment.
An ABN gives you the opportunity to accept or refuse the items or services and it provides you the right to appeal Medicare's decision.
Please view Medicare’s ABN form PDF*
For more information on the ABN form and the Medicare appeals process please visit MedicareInteractive.org. This web site is helpful in understanding the Medicare ABN process.
Financial Resources
Federal Poverty Guideline Sliding Fee Application
For those who may be experiencing financial hardship, sliding fees may be available to private pay patients who have no insurance coverage and have an annual combined household income that falls within the Federal Poverty Guidelines.
For the uninsured:
Foundation for Health Coverage Education
This is a helpful web site for researching possible insurance options that may be available to you. Or call their toll free number at 1-800-234-1317.
Oregon Department of Human Services links:
The Oregon Health Plan (OHP)
Offers health care to its members at little or no cost. Members must meet income restrictions.
Oregon Helps
Provides links of many programs and services available through the Department of Human Services.
Senior Health Insurance Benefits Assistance (SHIBA)
The SHIBA program uses trained volunteers to help people with Medicare make health insurance decisions.
Oregon Medical Insurance Pool (OMIP)
OMIP was established by the Oregon Legislature to cover adults and children who are unable to obtain medical insurance because of health conditions. OMIP also provides a way to continue insurance coverage for those who exhaust COBRA benefits and have no other options.
Oregon Prescription Drug Pool (OPDP)
The legislature recently expanded the Oregon Prescription Drug Pool to include all Oregonians who are uninsured or underinsured for prescription drug coverage. Savings by belonging to the pool can be as much as 45%.
Here in Jackson County, it is estimated that over 33,000 residents qualify for membership in the plan, but only 14% of that number, fewer than 4700 people, have signed up (as of July 2008).
Breast and Cervical Cancer Medical Program (BCCM)
Only women can be enrolled in the BCCM Program, which is a portal to the Oregon Health Plan Plus for breast and/or cervical cancer treatment. The woman must be uninsured, enrolled in the Oregon Breast & Cervical Cancer Program, and have a definitive diagnosis of cancer, CIN II or CIN III. For more information call 1-877-255-7070.
Transportation assistance for Breast Cancer patients
New financial help is available to qualifying (low income) women for assistance with gas, lodging and meals while traveling to obtain a diagnosis or treatment for breast cancer. Call the American Cancer Society at (541) 779-6092 for details. This funding is powered by a grant from the Susan G. Komen Foundation.
Call a Ride
Volunteer drivers provide transportation to medical appointments for seniors (60+) and the disabled. Or call (541) 857-0606.
* PDFs: You will need Adobe Acrobat Reader to view and print PDF forms. If you do not have this program, you may download it for free here.
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