Insurance and Billing
For your convenience, we accept Medicare and most insurance plans. Financial counseling will be provided on an as needed basis regarding payments of your deductible, copayment and or coinsurance.
A Surgical Center accounts representative may call you to discuss your health insurance coverage. Before surgery, please familiarize yourself with your insurance plan as this will help you understand our billing procedures and charges. If you have questions, please contact us at (732) 422-9900.
If you have health insurance, please bring a copy of your identification card to the Center. We may also need the insurance forms supplied by your employer or the insurance company. Your insurance carrier may have special requirements, such as a second surgical opinion or pre-certification for certain tests or procedures. It is your responsibility to make sure the requirements of the plan have been met.
If you are covered by Medicare, please bring a copy of your card to the Center. Note that Medicare may have payment limitations on a number of services and items. You are also responsible for deductibles and co-payments.
Payment for Services
Payment for services is due at the time services are rendered unless payment arrangements have been approved in advance by our staff. We accept cash, checks or credit cards. We will be happy to process your insurance claim-form for your reimbursement. For certain insurance plans we may accept assignment of insurance benefits.
We also offer the option to pay bills online. With our online bill pay option, you can securely make a payment for your service online with no hassles.Pay Bill Online
Determining the Cost of Surgery:
The cost of your surgery is determined by three factors, each will be billed separately:
- First, a single predetermined fee is charged for each type of procedure. This provides a reasonably accurate estimate of your surgery costs in advance. The facility fee includes medications, most standard supplies and the use of operating and recovery rooms.
- Second, you will be billed by your surgeon for his/her services. You will also be billed for the services of the anesthesiologist and, if applicable, pathologist, radiologist and/or surgical assistants.
- Third, you will be billed for any laboratory tests, if ordered, by the laboratory.
We are committed to providing you with the best possible care. If you have medical insurance, please contact your carrier if you have specific billing questions to further understand payments that may be charged.
Insurance Plans We Accept
Our surgery center is dedicated to providing consumers with as much information as possible regarding potential healthcare costs. Accordingly, we have listed information on the insurers and providers the center participates in.
It is 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.
- Consumer Health Network
- Horizon Blue Cross
- United Healthcare
This list may not be comprehensive. For example, specialty insurers such as workers’ compensation and personal injury protection (“PIP”) are not included because there are a number of different types of insurance products and we may not participate in all of them. If you do not see your plan listed on our website, we strongly recommend that you contact us or your health insurance plan to confirm whether your plan is in-network or out-of-network.
In addition, the physicians who provide care within our center might not participate in the same insurance plans as the ASC. You should check with the physician who is arranging your healthcare services to see which insurance plans the physician participates in. You should also know that these healthcare professional(s)’ costs 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 physician, you may receive a bill from another provider, depending on the nature of your procedure.
28 Heights Road, Clifton, NJ 07012
Department of Pathology and Clinical Laboratories
One Robert Wood Place, New Brunswick, NJ 08903
Meade Medical Solutions
18 Arleen Ave, Holbrook, NY 11741
The Cost of Your Procedure
Because you are responsible for costs for covered healthcare services until you reach your deductible, you should comparison shop if you elect to have a nonemergency procedure.
You can use tools like Healthcare Bluebook and the Medicare Procedure Price Lookup (for Medicare patients). Many health insurance websites also provide information on where to find in-network services.
Planning a Procedure on a HDHP
A High-Deductible Health Plan (HDHP) is a plan with a higher deductible than a traditional health insurance plan.
Managing Healthcare Cost
A High Deductible Health Plan (HDHP) can be a wise way to save money on health insurance and take a proactive role in your healthcare.
Understanding Your Insurance
Health insurance is an agreement between you and an insurance company of your choosing.