Surgery Center of Fairfield County


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Credit & Payment Policy

There are a number of separate charges associated with your surgical procedure.  You MAY receive charges from several companies.

  1. Surgery Center of Fairfield County
  2. The anesthesiologist
  3. Radiologist, if services are used 
  4. Your surgeon 
  5. Your pathologist - services for tissue specimens removed during surgery requiring examination.

Full payment is due within 30 days from your date of service.  Please contact your insurance company directly if you experience any delays.  YOU are responsible for guaranteeing payment on your account and being aware of your individual policy restrictions and benefits.

Your insurance company, including Worker's Compensation, auto (no fault) and personal injury, is legally responsible to you.  Our relationship is with you, our patient, not your insurance company.  Consequently, all charges incurred are your responsibility.  The obligation to assure payment in a timely manner lies with you regardless of what your insurance company chooses to do.  You should normally receive a response from your insurance company within 30 days of your date of service.  If you experience a delay, it is expected that you contact your insurance company to check the status of your claim and to expedite payment.  Please call our Business Office if you encounter a problem with your insurance company and need our assistance. We will be happy to assist you.

Surgery Center of Fairfield County's policy is to turn over to an attorney or collection agency all accounts which are delinquent.  You will be responsible for any collection fees that are incurred.
We utilize the services of Connecticut Credit (800-316-1133) as our problem accounts.                

BILLING/COLLECTIONS

Here is a partial list of the insurances we participate with.  Contracts are changing all of the time.  Please contact us directly if you have questions about our participation with your carrier.

AETNA

FIRST HEALTH

ANTHEM BLUE CROSS/BLUE SHIELD

GREAT HEALTH

ASSURANT HEALTH

HMC PPO

BOB MCCLOSKEY 

S&S HEALTHCARE STRATEGIES

CARESYS/PREFERRED WORKS

DIVIERSIFIED ADMINISTRATORS

 T.R. PAUL

STIRLING BENEFITS

CHAMPUS

 

MEDICAID

SAGA

HUSKY COMMUNITY HEALTH

CIGNA

   

NETWORK

MEDICARE

MULTIPLAN

NATIONAL PREFERRED PROVIDER NETWORK

NORTHEAST DIRECT HEALTH

OXFORD

PRIVATE HEALTH CARE SYSTEMS (PHCS)

 PRUDENTIAL

CONNECTICARE

 UNITED HEALTHCARE (MUST HAVE OUT OF NETWORK COVERAGE)

 

PRIVATE INSURANCE  
Your copay amount is due on or before your date of service.  We will submit your bill directly to your private insurance company.  A bill will be sent to your secondary insurance upon receipt of payment or denial from your primary insurance.  If you have no secondary insurance, a bill will be sent to you for any balance after receipt of payment or denial from your insurance company.  We must make a copy of each insurance card at the time of registration.

SELF PAY
If you have no insurance coverage, you will be required to pay for your surgery prior to admission.  An estimate of cost will be made available to you by our business office.  After your surgery we will send you a bill if any additional implants were used or additional procedures were required. This balance is due upon receipt.

SELF PAY - COSMETIC SURGERY - ELECTIVE SURGERY  
If you are having Cosmetic Surgery, you will be required to pay for your surgery prior to admission.  A price quote, based on the Operating Room time, will be made available to you by our business office.  After your surgery we will send you a bill if there is additional time utilized.  This balance is due upon receipt.   


NOTICE TO PATIENTS

To comply with the Centers for Medicare and Medicaid Services we are required to provide you with information regarding Patient Rights, Advance Directives and Physician Ownership and to confirm your receipt of this information.

Due to the nature of the procedures performed in our facility, Advance Directives will not be honored.  Information on Advance Directives can be found at www.caringinfo.org.  If you would like further information about advanced directives, please advise the receptionist upon arrival and this information will be provided to you.

Advance Directives and Physician Ownership

Patient Rights English

 

Surgical Care Affiliates
Responsabilidades y derechos del paciente
SCA observa y respeta las responsabilidades y los derechos del paciente sin importar su edad, raza, color, sexo, origen nacional, religión y cultura, si tiene alguna discapacidad mental o física, ni sus valores personales o sistemas de creencias.


Patient Rights Spanish


 

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