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Cirugía ortopédica

Cirugía ortopédica
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Children's Orthopedic Surgical Foundation bills to a wide variety of health insurance companies. Each of these companies may have several different plans. Options and coverage's for each plan can vary considerably.

We urge you to become familiar with your insurance so that you understand its rules and coverage's and know whether your visits, x-ray, laboratory charges, and physical therapy will be covered.

It is important that you bring your child's insurance card with you to each appointment. Presentation of the insurance card will help reduce the likelihood of misbilling.

Co-Pays
Waiver Fee
Insurance Card
Missed Visits
Monthly Statements
Remisiones
Billing Questions

Co-Pays
Co-pays are due at the time of your visit. Insurance companies require that patients pay their co-pay at the time of their visit, therefore, we do not bill patients for their co-pays. We appreciate your cooperation in paying your co-pay at the time of registration. Please check your insurance card for your co-pay amount. We accept cash, check or Mastercard/VISA. An ATM is conveniently located on the first floor of the hospital. We will provide you with a receipt for your payment at the time of registration.

Waiver Fee
If you do not have a referral from your primary care provider (PCP), you will be asked to sign a waiver assuming all payment responsibility for the visit. You will be asked to pay a $50 waiver deposit. If you are able to obtain a referral from your physician before noon the following business day, we are able to refund your waiver deposit. After noon, the daily bank deposit is complete, and we are unable to refund you money until the insurance company has paid for your visit.

Insurance Card
We will ask to see your insurance card (or your child's card if your company issues one in your child's name) so that we can verify that we have the correct information. Please remember to bring your card or your child's card to the office for each visit. If you change insurance companies, please notify the office immediately so we may update our records.

Missed Visits
If you are unable to show for your visit, we ask that you call the office to cancel at least 1 business day (24 hours) in advance. We have a high demand for appointments, and this will allow other patients to use this time.

Monthly Statements
We only send you a monthly statement if you have a balance due. Usually, this means that your insurance company has transferred the responsibility to you for either our entire charges or for part of the charges. If you do not agree with the transfer of charges to you by your insurance company, please call your company right away to straighten out the situation.
Remisiones
What is a referral?

A referral is a form and/or code number from your child's primary care physician. It is an approval required for the office visit with most HMO insurance plans. Referrals can vary in the number of visits they cover, the length of time that visits can be used, and the services covered.

  1. Verify with your insurance company that you need a referral. If you have an HMO plan, chances are that you need a referral from your physician for your visit. If you have a PPO plan, chances are that you will not need a referral, but you should always check with your insurance plan.

    Check with your insurance company before you begin the referral process to verify what is required

  2. Speak with your pediatrician, referring MD, or nurse practitioner about the need for a referral and receive medical approval for that referral before you schedule the appointment.

  3. When you make an appointment for your child with one of our specialists, be sure to ask for the specialists provider ID number for your specific insurance. At that time, please confirm that the specialist is a member of your health insurance network; otherwise you may be subject to "out of network" costs.

Billing Problems and Questions
  • If your child was seen in the Cerebral Palsy Clinic or the casting room, please call
    617-355-3397.
  • If your child was seen by Dr. Charles Hergrueter or Dr. Christian Sampson, please call
    617-582-1122
  • All other billing questions, please call our billing company, HART Associates at
    781-410-9100
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