Billing & Insurance
BILLING & INSURANCE
Thank you for choosing Orthopedic ONE. Our patient accounts representatives are happy to answer any questions you may have in preparation for your visit or regarding your bill. If you’d like to speak with a representative, please call the location where you are scheduled or where you were seen.
Click below for common billing topics and questions.
INSURANCE CARDS AND CO PAYMENTS/DEDUCTIBLES
Please bring your insurance card to your appointment so that we may make a copy. If you are an existing patient, it is important that we have the “most current” copy of your insurance card.
Co-payments are required at the time of service. Most traditional forms of payment are accepted, including MasterCard, Visa, check and cash. For questions regarding high deductible payment and/or payment plans, please contact our office directly.
We will submit charges from your visit to your insurance carrier(s). Please keep in mind that you, as the patient, are ultimately responsible for your bill. Our billing department will be glad to answer any questions or concerns regarding your insurance and billing.
INSURANCE CONTRACT LIST
We are pleased to participate with most major insurance plans. Below is a list of more common insurances we accept, but this list is not all inclusive. If your plan is not included, please contact your insurance company at the number listed on the back of your card for verification of participation. We also encourage you to ask about in-network providers for your best benefit.
If we can be of assistance, please contact the Orthopedic One office nearest you, or send us an email.
- Aetna (including Medicare Advantage Plans)
- Anthem BC/BS (including Medicare Advantage Plans)
- Humana Medicare Advantage Plans (non-commercial subscribers)
- Medical Mutual of Ohio (Including Medicare Advantage Plans)
- Ohio Bureau of Workers Compensation
- United Healthcare (including Medicare Advantage Plans)
Ohio Bureau of Workers' Compensation (BWC)
If you are being seen under a Workers’ Compensation claim, it is important that we have your claim number, date of injury, employer at the time of injury, and all conditions. In addition, we will also need written authorization from your Managed Care Organization (MCO), or your employer, prior to your appointment. If you cannot provide this information by your appointment date, please call our office as soon as possible.
We advise you to check your insurance plan to see if your insurance carrier requires a referral to see a specialist. If they do, please notify your primary care physician prior to your appointment with our office to obtain that referral.
DURABLE MEDICAL EQUIPMENT "DME"
Medicare and other insurance companies may not pay for all durable medical goods (ace wrap, foot supplies, wheelchair cushions, canes, etc.). It’s a good idea to become familiar with the rules of your health plan if you are injured. Our staff are happy to assist you with understanding what DME needs you might have and what your insurance requires.
While our practice contracts with many conventional health care plans including many offered through the government health care exchanges, if you are having surgery, you should also check that the hospital where your physician will perform your procedure is also contracted and in network.