Ear Center: Insurance Information

Financial Information  |  Care Credit   |   Referrals   |   Surgery   |    Billing   |   Medicaid   |   Forms/Records  | HSA's

Health Plan Participation

The Ear Center of Greensboro, P.A. participates in the following Health Plans

  1. Blue Cross Blue Shield
  2. United Healthcare
  3. Med Cost
  4. Great Western
  5. Aetna
  6. Medicare
  7. Medicaid children

At this time, we do not participate with BCBS Partners, Cigna, Champus, Partners Medicare.

Participating plans

As specified by your insurance company, co-payment and deductibles are due at the time of your office visit. We will file a claim form with your insurance company for you.

Non-participating plans

If you are covered by an insurance plan that we do not participate with, we require payment in full at the time of service. We will give you a claim form to file with your insurance company so that you may be reimbursed by your plan. If you can not supply us with insurance information, you may be seen as a personal pay patient, and we will collect in full at the time of your visit.

Primary Care Prior Authorization

Depending on your plan, you may require prior authorization from your primary care doctor. It is the patient's responsibility to obtain the prior authorization. If you are unable to obtain the prior authorization, please notify us in advance at (336) 273-9932 so that we may reschedule your appointment.

Financial & Payment Information

Payment at the time of service

Due to ever increasing medical costs, we request payment for office services at the time that the services are rendered, unless you are covered by an insurance plan with which we participate (see section above entitled "Health Plan Participation" for a list of plans).  Accepted methods of payment are: cash, check, Visa, Mastercard, or Care Credit (See next paragraph concerning Care Credit.)

Care Credit

Payment plans are offered through a third company called "Care Credit". You may apply to Care Credit on-line at www.carecredit.com or fill out a Care Credit application at our office.

Referrals

If you belong to a managed care or HMO program that requires a referral, you must present a valid written or verbal authorization before being seen by our doctors.

Surgery

Prior to your surgical procedure, our office will contact your insurance company to verify benefits and check notification requirements. Any copays, coinsurance, or deductibles will be the patient’s responsibility. Payment of these will be handled through our surgery coordinator.

Billing

Statements are mailed monthly.  Payments are due within 15 days of the statement date.

Medicaid

A current Medicaid card must be presented at each visit. If your Medicaid is Carolina Access, we must have an authorization number from your primary provider (that is listed on the card) in order to see you. If your card has the wrong provider listed, the proper number must be available prior to your visit. If a patient is expecting to receive Medicaid benefits, does not have current coverage, and wishes to be seen as a personal pay patient, we will be glad to see you. However, we do not do retroactive filing to Medicaid. Once you receive your Medicaid coverage, we will file all future claims for you. However, we do not re file old dates of service.

Forms & Medical Records

Our office charges a minimal fee for the copying of medical records and for filling out forms. The fee will be determined at the time of the request and is based on number of pages copied or length of time to complete the forms. All requests for medical records must be accompanied by a release of information form signed by the patient or legal guardian.

Health Savings Accounts (HSA's)

Due to the high deductibles often associated with HSA's, we do ask that all visits be paid in full at the time of service. If you have met your deductible, please bring your latest "explanation of benefits" (EOB) from your insurance company to your visit. If your deductible has not been met, please be prepared to pay in full at the time of check-out. To make payment easier for you, we do accept Visa and Master Card.