Insurance and Billing
Surgery FeesNewport Beach Surgery Center charges a facility fee for each surgical procedure performed by your surgeon. This fee includes the cost of nursing personnel, medications, supplies and the use of the operating and recovery rooms; specialized operating room monitoring equipment and use of the admitting and discharge rooms. You will receive a separate bill from your surgeon, anesthesiologist if one is needed for your procedure and any other professional services you may receive while you are here, such as radiology, pathology or lab. Charges are estimated based on the procedures scheduled. Final charges are based on actual procedures performed and may be different from the pre-surgery estimate. Implants may be required to complete your procedure. Although we do our best to accurately estimate implant costs prior to surgery, exact implant costs cannot be determined until the procedure is performed.
Medical InsuranceNewport Beach Surgery Center accepts most major commercial insurance, HMO/PPO plans including Medicare. We will need a copy of your insurance cards to properly file your insurance as well as a copy of your drivers licensce. Please check with your insurance carrier for any pre-certification requirements prior to surgery. Patients with insurance are asked to pay their co-payments and any deductible as a deposit on the day of the surgery. Newport Beach Surgery Center bills your insurance company as a courtesy, however, any balance due is your responsibility. If you have no health insurance, we ask that you be responsible for our facility charge on the day of surgery. If you have any questions regarding fees or insurance, please feel free to call us at (949) 631-0988. Newport Beach Surgery Center accepts Visa, MasterCard, Discover, American Express, cashier’s checks and cash.
Common Questions About Your Financial Obligations:
Will my insurance carrier cover my procedure?
Insurance benefits vary between health plans.We will contact your insurance provider; however this is your health insurance plan so we urge you to contact your insurance carrier to find out about your coverage so there are no surprises.
Will you bill my insurance company for my procedure?
Yes. Newport Beach Surgery Center (NBSC) is contracted with most health plans.We will contact your insurance carrier prior to your admission to determine your benefit coverage.You must pay your deductible and/or co-insurance as conveyed by your insurance carrier upon admission, if not your procedure will be cancelled. When you register NBSC will copy your health insurance ID card as a reference for your coverage and the pending claim.
Does Newport Beach Surgery Center accept payment from Medicare?
Yes.We will submit your procedure to Medicare.Again, you must pay the Medicare deductible and/or co-insurance upon admission, if not your procedure will be cancelled. However, if you have Medicare supplemental insurance coverage NBSC will bill your supplemental insurance carrier for your deductible and/or coinsurance.
Will you bill me for my deductible and/or coinsurance?
No.You must pay any deductible and/or coinsurance amounts upon admission. Failure to do so will result in the cancellation of your procedure.
What types of payment methods are acceptable?
The Center does not accept personal checks. Acceptable methods of payment are: ATM Debit Card, American Express, Discover Card, MasterCard,Visa credit cards and cash or a recognized bank issued Certified Check. Again, personal checks are not accepted.
Who else might I receive a bill from?
You will be billed from each physician who takes part in your procedure. These physicians are your Surgeon or Gastroenterologist, Anesthesiologist if used for your procedure, and Pathologist if used for your procedure.You will also be billed when any outside laboratory and/or X-Ray services are used.
I do not have insurance. May I make payments?
No. NBSC will not accept a payment plan. Payment is due upon admission.
Who can I call if I have questions about my financial obligations?
Insurance and Pre-Registration Representative
(949) 631-0988 ext. 3044 or ext. 3031
PPP-BI REV 11/07