Billing Policy
We will bill your insurance company as a courtesy. Your insurance policy is a contract between you and your insurance company. It is your responsibility to know your benefits and how they will apply to your treatment by the doctor. If your insurance company has not paid your account in full within 60 days, the balance may be transferred to you and/or the guarantor listed on your registration. If you are unable to make payment in full, please contact the billing department promptly to make payment arrangements. If the account is referred for collections, you will be responsible for the balance of your account plus a collection agency charge of 25% of the balance.
Share of Cost (Co-payments, Co-Insurance, and Deductibles)
There are no exceptions to these Share of Costs due to contractual and uniform compliance issues with your insurance company.
HMO Plans (with which we are contracted): These plans have co-pays and may have a deductible. All co-pays must be satisfied at every visit, you will be billed for deductible amounts unless they exceed $1,000; you may be asked to satisfy this at your visit. You and your Primary Care Physician (PCP) must obtain prior approval with your Medical Group prior to booking an appointment.
PPO Plans (with which we are contracted): These plans can have co-pay, co-insurance, and deductible amounts you will owe. Co-payments must be satisfied at every visit, you will be billed for co-insurance. If you have a high deductible, you may be asked to satisfy this at your visit. In the event your insurance coverage changes to a plan where we are not a participating provider you will be responsible for any additional out-of-network deductible or co-insurance amounts. When in doubt-call your plan directly.
Medicare: We accept assignment with Medicare. Medicare pays 80% of their allowed amount after satisfaction of the yearly deductible, which we will bill to you if not satisfied on your visit date. We will bill your secondary insurance as a courtesy, please be sure to provide this information to the office. You are responsible for 20% of Medicare’s allowed amount if you have no secondary coverage. You will be responsible for your deductible if you have secondary coverage that does not include your deductible amount.
Online Bill Payment
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.
Self Pay Patients
All services must be paid in full at time of treatment.
Returned Checks
A $25.00 fee will be charged for any returned checks. We will be unable to accept your check for any services thereafter.
No Show / Cancellation Policy - Effective 01/01/2023
When you schedule an appointment with Newport Orthopedic Institute, we set aside enough time to provide you with the highest quality of care. Should you need to cancel or reschedule an appointment, please contact our office at (949) 722-7038 as soon as possible, and no later than 24 hours prior to your scheduled appointment. This gives us time to schedule other patients who may be waiting for an appointment.
- Any patient who fails to show or cancels/reschedules an appointment and has not contacted our office with at least 24 business hours’ notice will be considered a No Show and charged a $50.00 fee.
- Any patient who fails to show or cancels/reschedules their surgery and had not contacted our office with at least 7 days prior will be considered a No Show and charged a $150.00 fee.
- Repeated missed appointments may result in our practice deciding to terminate its relationship with the patient.
Thank you for understanding our Financial Policy.