Northpointe Heart Center
physicians participate with most major insurance companies,
including Medicare, BCBS, Medicaid, PPOM, Blue Care Network, Health Alliance
Plan, MCare,
Aetna and Cigna. We do not participate with Great Lakes Health Plan and PHCS.
Due to the complex and ever changing health insurance environment, it is
very important that we have current and accurate information. We can't
process your claim promptly and correctly without correct information. In
the event we have incomplete, or incorrect information, you may be
responsible for the services. Therefore, we ask that you present all current
insurance cards at every visit to Northpointe Heart Center.
ATTENTION: If your medical insurance coverage is provided by a HMO/Managed
Care plan,
you are required to obtain a written referral/ insurance authorization from
your Primary
Care Physician (PCP) prior to each and every visit. Without an
authorization, our clinical staff cannot evaluate you!
Our reimbursement specialists are available to answer billing questions.
However, your own
insurance carrier representatives can best answer questions regarding
specific insurance
coverage, for example deductible and co-pay amounts and if a certain service
will be covered.
Payment As a patient, you are responsible for all co-pays and deductibles as
specified by your
current insurance plan. These payments are expected at the time of service.
If you have Master Medical coverage, the office visit must also be paid at
the time of service, and as a courtesy, our reimbursement specialists will
promptly bill the insurance carrier for timely reimbursement directly to
you.
For your convenience you may pay by cash, personal check, Visa or
MasterCard. However,
if your medical bill poses a hardship, we would be happy to set up a payment
program in advance.
Please contact one of our Reimbursement Specialists to make appropriate
arrangements.
They can be reached at (248) 545-0070..
