Office Policies and Insurance

In an effort to better inform our patients of their financial obligations we have implemented the following Financial Policy. Please read all of the information below. Your cooperation in following our Financial Policy will allow us to better serve you.

Commonwealth ENT accepts nearly every insurance plan! This makes it convenient for both patients and referring physicians. Accepting most plans allows you to keep the same doctor even if you don't keep the same health care plan.

Please be aware that specific plans may require a written referral prior to consultation. It is the patient's responsibility to make sure appropriate arrangements have been made. Please contact your health plan prior to your visit to clarify your circumstances.

If you have a health insurance plan that Commonwealth Ear, Nose & Throat participates with, then you are not obligated to pay any balance in excess of what your insurance company is contractually obligated to pay. However, you (the member) are responsible for co- pays, deductibles and any non-covered services. We will attempt to notify you of any special services you may require that are not covered by your insurance company but ultimately it is the responsibility of the member to know their insurance benefits. We will be glad to provide you with any information you need in order to verify coverage. It is of the utmost importance that you provide us with current copies of your insurance card and notify us immediately if there are changes in this information.

If you have a health insurance plan that Commonwealth Ear, Nose & Throat does not have a contractual agreement with you will be responsible for any and all fees that exceed or are not covered by your health insurance benefits. As a courtesy to you we will file with your insurance company; however you are ultimately responsible for timely payment. It is of the utmost importance that you provide us with current copies of your insurance card and notify us immediately if there are changes in this information.

We submit and accept assignment on all Medicare claims. As a courtesy, we will file your secondary insurance.

If you do not have health insurance payment for services is expected at the time of your office visit. We have a financial counselor should you need to make other arrangements you may reach our financial counselor at 893-0159 x1146.

According to most health insurance companies it is the responsibility of you (the member) to obtain any referrals required by your insurance company and update them as needed. If you do not have a current referral you may be asked to reschedule your appointment. Should you (the member) fail to obtain a referral you will be required to sign a waiver stating that you will be responsible for payment of services rendered.

(HMO, PPO) are to be made at time of service. Payment by Visa, MasterCard, Discover, check or exact change is appreciated.

Any outstanding balance is due immediately upon receipt of statement. Payment by Visa, MasterCard, Discover or check is appreciated.

In divorce situations, the parent who brought the child in is responsible for payment of the bill. We will file with any insurance company we have a contractual agreement with.