Insurance

Please read the information below in order to better understand options and obligations with respect to payment.

 

Office Visits, Co-Pays and Deductibles

Payments for office visits, co-pays and deductibles are expected at the time of services. If you are an established patient, we will review your payment history and require only those amounts that are considered the patient's responsibility at the time of service.

 

Insurance

As a courtesy, the Heart Group will bill your insurance. If your insurance company requires a pre-authorization or a referral, please obtain these prior to your visit and make them available to us.

As your insurance policy is a contract between you and your insurance company, we cannot guarantee payment of your claim. Therefore, any unpaid balances will be your responsibility.

The Heart Group participates with many insurance plans. If you are uncertain as to whether we participate in your plan, please contact our Patient Financial Services department.

 

Hospital Pre-Certification

It is your responsibility as our patient to inform the Heart Group of any hospital pre-certification requirements.

 

Medicare

The Heart Group physicians participate in the Medicare program. If you are a Medicare beneficiary with Part B insurance, we will file your claims with Medicare. You will be responsible for the difference between the Medicare payment and the Medicare allowable amount, which is the 20% coinsurance balance, plus any remaining deductible.

 

Medicaid

Medicaid insurance claims will be filed, and Medicaid payment will be accepted as full payment if you are eligible at the time of service.

 

Self-Pay

If you do not have health care insurance, payment is expected at the time of service. The Heart Group’s patient account representatives are available to help you arrange the best option for you Monday-Friday, excluding all major holidays, from 8am-4:30pm. Call us at (812) 464-0521 or toll free at 1-800-710-7151.