Insurance Plans

The Women’s Health Center participates with most insurance plans. Listed below are some that we currently participate with:

If you have questions about our participation, please contact our billing office at 615-547-4752 or check directly with your insurance company.

 

Billing

General Billing Policies:

  1. Account Representatives can be contacted by phone at (615) 547-4752. We encourage you to talk to your account representative about any problem you may have with your insurance coverage or your account. If you do not receive satisfaction from your account representative, please call our office at (615) 449-6780.
  2. If you have health insurance, we will submit claims to your insurance company on your behalf. If a special form is required, please bring that form with you. If you would like to file your own insurance, please ask to speak with your account representative.
  3. To keep our billing costs and our charges to you at a minimum, we request that you pay your deductibles, co-pays and other non-covered charges at the time of service.
  4. We will work with your insurance company in every way possible to resolve any problems. However, we may request that you contact your insurance company or your employer on your own behalf.
  5. There is a $10.00 charge to file disability forms.

Copies of your insurance card will be made by our office staff at the time of your first visit and periodically thereafter. You will be asked to confirm or update our files every time you come to the office.

If your policy has not changed but you receive a new card from your insurance company, please let us know. If the insurance company's address is not on your card, we will need the address from you in order to submit any claims.

Medicare

We will accept assignment on all Medicare claims. Medicare Assignment Means:

  1. Medicare approves a set amount and pays 80% of that amount.
  2. You are responsible for the remaining 20%. If you have secondary insurance, they may pay the 20% not covered by Medicare. We will bill your secondary insurance for the portion Medicare doesn't pay. However, if your secondary insurance does not pay the portion left by Medicare, you will be responsible for the remaining balance.
  3. Medicare Part "A" pays hospital charges. Medicare Part "B" pays physician and other charges. You are responsible for your Medicare deductible. Many secondary insurance plans will not cover the Medicare deductible. Check with your insurance company if you are not sure about your secondary benefits.

Outside Billing

Our physicians may order tests that cannot be performed within our office. Although we have a Quest phlebotamist on site, some tests have to be sent to an outside source. In addition to our bill, you may also get a bill from other providers for labs, x-rays, pathology and other charges. If you have any questions about these bills, we will do our best to help you. However, you are encouraged to contact the billing office for the provider of that service directly.

Insurance Plans

For a listing of the insurance plans with which we participate, please see the top of this page. If you have a question about our participation with your insurance plan, please contact our billing department at 444-2320.

 

Referrals and Prior Approvals

Referrals

If your insurance plan requires a referral for your office visit, it is your responsibility to get the referral and keep track of the number of approved visits or the effective period of the referral. If you come to your appointment and there is no current referral on file, you may be asked to contact your primary care physician immediately to obtain that referral number. We will do our best to assist you to resolve any problems with your referrals, but it is your responsibility to make sure you have a referral to cover your visit to the doctor.

Prior Authorizations

If your insurance company requires prior approval for tests, treatments, or hospitalizations, we will ask you to assist us in getting these service preauthorized. Please try to alert us when the test is ordered if it needs preauthorization. This will eliminate additional out-of-pocket cost to you.