Billing Policy

Our Billing Policy

Thank you for choosing Urology Associates, P.C. as your healthcare provider. Our providers and staff are committed to delivering service, compassion, and quality care to you. Understanding our Financial Policy is an important part of our professional relationship.

Financial Policy

Your insurance co-payment* is due at the time of your visit. If you are unable to pay your co-payment at the time of your visit, we will reschedule your visit.

If we determine you have a deductible* or co-insurance* amount due, you will be asked to pay this amount at the time of your visit.

If you are required to obtain a referral from your primary care physician in order to see a urologist, it is your responsibility to bring this with you to your visit. If you do not have a referral, we will reschedule your visit so you can obtain one.

Urology Associates will assist in obtaining pre-certification from insurance plans if required. However, insurances vary in coverage, and it is the patient’s responsibility to understand medical benefits and requirements. We recommend that the patient verifies insurance benefits for any procedures, tests, or services scheduled.

It is your responsibility to know if we participate with your insurance plan. If your insurance company is out of network with us, you will be responsible for payment in full at the time of service.

You will be responsible for 100% of your total out of pocket* responsibility amount prior to any procedures, testing, or services.

For self-pay patients, $150.00 deposit is due at check-in. A credit card on file is required for the remaining balance which is expected to be paid in full at check-out.

We do our best to estimate your financial responsibility up front, but please understand this is only an estimate.

Cancellation / No-Show / Reschedule Policy

In order to provide the best care and service to our patients, we ask that you notify us 24 hours in advance to cancel and/or reschedule your office appointment. If you forget or fail to show up for the appointment, there will be a $50.00 fee charged to your account.

Cancellation of a scheduled procedure, surgery, or diagnostic imaging requires 72 hours’ notice. Any cancellation not made 72 hours in advance will be subject to a fee of $150.00.

Cancellation of a scheduled PET CT scan requires 72 hours’ notice. Any cancellation not made 72 hours in advance will be subject to a fee of $500.00.

A $150.00 deposit is required at the time of scheduling a vasectomy. The deposit will apply to the balance of your procedure. Cancellation of a scheduled vasectomy requires 72 hours’ notice. Any cancellation not made 72 hrs in advance will result in forfeiture of the $150.00 deposit, and you will be required to pay an additional $150.00 deposit at the time of rescheduling.

A reschedule fee of $75.00 will be charged each time a procedure or surgery appointment is rescheduled.

The Cancellation/No-Show/Reschedule fees will not be billed to insurance.

Helpful Definitions

• Out of Pocket: Costs you have to pay yourself.
• Co-Paymentment (or Copay): Fixed amount you pay at each visit for services such as an office visit (You pay your copay at the time of service, even if you have met your deductible, until you meet your out-of-pocket maximum.)
• Deductible: The yearly amount you must pay before your insurance begins to pay.
• Co-Insurance: The percentage you pay for care even after your deductible is paid in full.
• Out-of-Pocket Maximum: The most money you will pay in one year for all covered services. This usually includes all out-of-pocket costs:   copayments, deductible, and coinsurance.