Insurance & Billing
Insurance & Billing
Insurance Information
Insurance Information
At the Orthopedic Center of Venice, we are committed to making high-quality orthopedic care accessible to our patients. We work with many major insurance providers and encourage patients to verify their specific plan benefits and network participation before their appointment.
Our office currently accepts many major insurance plans, including:
United Healthcare
Blue Cross Blue Shield
Humana
Aetna
Cigna
Veterans Affairs
Workers' Compensation
Auto Insurance Claims
Insurance participation may vary depending on your specific plan. Coverage, referrals, authorizations, deductibles, copayments, and coinsurance are determined by your insurance carrier.
If you have questions regarding insurance coverage, our staff is happy to assist you. We also recommend contacting your insurance provider directly to confirm benefits prior to your visit.
Referral & Authorization Requirements
Referral & Authorization Requirements
Some insurance plans require referrals or prior authorizations before specialty orthopedic care can be provided.
HMO Plans
Patients with HMO insurance plans must obtain any required referrals and authorizations from their Primary Care Physician (PCP) prior to their appointment.
Due to the requirements of many HMO plans, patients should begin by contacting their PCP to ensure all necessary referrals and authorizations are in place before receiving orthopedic services.
Failure to obtain required referrals or authorizations may result in appointment delays, rescheduling, or financial responsibility for services rendered.
PPO Plans
Most PPO plans do not require a referral to see an orthopedic specialist. However, patients should verify their individual plan requirements directly with their insurance carrier.
Workers’ Compensation & Auto Injury Claims
Workers’ Compensation & Auto Injury Claims
Our office evaluates and treats orthopedic injuries related to workers' compensation and motor vehicle accidents.
Patients seeking care under workers' compensation or auto insurance should provide all claim information, adjuster contact information, and authorization documents prior to their appointment whenever possible.
Please contact our office if you have questions regarding workers' compensation or accident-related orthopedic care.
Self-Pay Patients
Patients without insurance coverage are welcome.
Self-pay rates are available for office visits and services. Please contact our office for current pricing and payment information.
Financial Hardship Considerations
We understand that medical expenses can create financial challenges for some patients.
Requests for financial hardship consideration may be reviewed on a case-by-case basis. Patients with concerns regarding payment are encouraged to contact our office prior to their appointment.
Payment Policy
Payment Policy
Payment is due at the time services are rendered.
Patients are responsible for:
Copayments
Deductibles
Coinsurance amounts
Non-covered services
Outstanding balances
For your convenience, payment is collected at the time of your visit whenever applicable.
Questions About Insurance or Billing?
Questions About Insurance or Billing?
Our team is available to help answer questions regarding insurance participation, referrals, authorizations, billing concerns, and payment options.
Contact our office today for assistance with orthopedic insurance and billing questions or to schedule an appointment.
Call Now: (941) 485-3302 →