Financial Policy

Urology Associates of Rochester, LLC Financial Policy

Effective January 1, 2015

Thank you for choosing Urology Associates of Rochester as your healthcare provider. We are committed to the success of your medical treatment and care. Our practice will work with you to make sure your insurance carrier pays everything that they should pay, and that you will only be responsible to pay what your insurance carrier tells us is your personal financial obligation for our services. Urology Associates of Rochester requires payment prior to or at the time of service. We participate with most insurance carriers, but for those that we do not participate with, we will send a courtesy claim to your insurance carrier to help you collect the money from them.

Referrals – It is your responsibility to obtain a referral from your primary care physician. Referrals must be presented at the time services are rendered, if applicable. If your insurance carrier requires you to have a referral or other authorization and you fail to provide that to us, your appointment will be rescheduled or your claim for that date of service will be processed as self pay and payment will be due on that date.

Copayments – Will be collected the day of your appointment at check in. Some insurance carriers charge more than one copayment for particular dates of service. We accept cash, personal check, money order and all major credit cards. We are also able to accept payments over the phone, on our website and through our patient portal.

Deductibles and Co-Insurance – We will make every effort to let you know how much you owe before any procedure or surgery. You may receive a telephone call or a letter for amounts higher than $100. We require a down payment at check in if you have a high deductible plan. New patients to UAR will owe $100 at check in, Established patients will owe $75 and anyone coming in for a cystoscopy will owe $200. Please understand that these quotes we give you are just estimates of what you might owe. We work very hard to give you the most accurate information, but, things could change on your insurance carrier’s end or in the operating room. It’s important to remember to also contact the hospital, ambulatory surgery center and any other physician offices that are involved in your surgery so that you understand your total personal financial obligation.

Health Exchange Insurance Premiums – You may be required to show proof of payment of your health insurance premium if you have insurance through the New York State Health Exchange. This will only be asked if we are being told through our health information exchange that you are in your grace period and have not paid your premium in the last 60 days.

Self Pay Patients – Payment for service is due in full at the time of service unless other arrangements have been made with the billing department.

Patient Statements – Our office provides you with monthly statements of all account activity including out charges, payments and contractual adjustments from your insurance carrier along with payments made by you. We will charge you a returned check fee as provided by New York state laws if any payments that you make to us are returned due to insufficient funds or a stopped payments.

Please note that failure to pay outstanding balances that are your responsibility may result in (a) rescheduling of a future appointment, (b) forward your account to our collections specialist, (c) termination from the practice.

If you have any questions, you can contact our billing office at 1-877-629-4250