Orthopedic Physician Associates is committed to providing you with the best possible medical care. The following information outlines financial responsibilities related to payment for professional services as you, the patient, are ultimately responsible for all charges associated with your care regardless of insurance coverage.
Orthopedic Physician Associates believes that a good physician/patient relationship is based on understanding and communication.
Business Office Hours: 8:00 a.m. - 5:00 p.m.
Business Office Phone: (206) 386-2601
OPA accepts, Visa, MasterCard, American Express and Discover credit cards, personal checks and cash. You will be provided with a receipt for all payments.
Most orthopedic surgery procedures require a surgical assistant. OPA makes an effort to use assistants who are part of the OPA staff. On occasion, our surgical loads and/or staffing levels make it necessary for us to use outside assistants. Should that occur in your surgery, you may incur a separate billing for the assistant’s services. In addition, if you have a procedure or service outside of our office, you may receive bills from multiple parties. These may include but are not limited to Seattle Surgery Center, Swedish Medical Center, radiology and anesthesiology, and durable medical equipment (DME).
OPA participates with a variety of insurance plans. It is your responsibility to:
It is your responsibility to bring any required referral for treatment at or prior to your visit. If you do not have your referral, your visit may be rescheduled or you may be financially responsible for the services provided.
OPA is a participating provider with Medicare. We always file your primary claim. We will file secondary carriers as a courtesy only. If payment from a secondary carrier is not received within 60 days of filing, all charges will become patient responsibility and are immediately due and payable.
If you have a High Deductible Plan, be prepared to pay for your services in full as you incur them. If surgery is required you will be asked to pay in advance of booking a surgery time.
If you have insurance in which OPA does not participate, we will file a claim as a courtesy. However, if payment is not received within 60 days of filing, all charges will become “patient responsibility” and are immediately due and payable. We offer an “out of network” discount of 20% on all services under $25,000. The discount is applied to the full charge, and does not apply in cases of motor vehicle accidents, third party insurance claims or in cases when patients are reimbursed in full.
In order to secure an appointment we require a credit card number. If you fail to keep your appointment or cancel within 24 hours’ notice you will be charged a $40.00 non-refundable fee. Any balance is your responsibility and we offer a cash discount to patients who pay in full at the time of service. Likewise, any associated surgery will require a 50% prepayment and the balance will be billed to the patient.
Orthopedic Physician Associates will occasionally accept patients who have been injured in a motor vehicle accident or other liability injury; however the decision is up to the provider whether or not to see an injured patient. There is no guarantee for payment even if the injury is covered under a first-party payer or has approved sponsorship from MedFin. OPA has the right to be reimbursed for any medical benefits from the proceeds of any personal injury policy (PIP), Medpay, uninsured or underinsured motorist coverage, or workers compensation coverage’s applicable to this incident.
If the patient is a minor (under 18 years of age), the parent or guardian must sign below. The parent, guardian, or unaccompanied minor is responsible for any payment due at the time of service, and providing required referrals, insurance and picture ID cards.
We can discuss only billing information (no medical information) on an account for a patient over 18 years of age, regardless if the patient’s parent, guardian or the subscriber is financially responsible.
Note: The Monthly Services Fee may be waived if arrangements have been made to place the account on a payment plan and the payment plan has been honored. Monthly Service Fees will resume if payment plan is not met according to the agreement.
Payment arrangements can be arranged if needed. Please contact the Business Office to discuss terms.
Any patient with a Financial Past Due Account may be denied a future appointment until balance is paid or a payment arrangement is made. You may contact our Business Office to set up a payment plan.
We will not schedule any type of appointment for you if your account has been turned over to collections or has a bad debt write-off. You must pay any amounts due either with OPA or our outside collection agency prior to booking any type of follow up appointment.
If you have questions about your insurance, our Business Office will help you. However, specific coverage issues should be directed to your insurance company member services department (typically, the number is found on the insurance card).