We are sensitive to your concerns about medical costs and share a desire to keep charges to a minimum. Our first and foremost desire, however, is to provide you the highest quality medical care. If at any time you have concerns regarding the medical necessity or cost of a recommended treatment, please talk with us.
Insurance and billing procedures can often be complex and confusing. To help you take full advantage of your benefits, we have an experienced insurance department in our office to guide you. Please call us with your insurance related questions. For additional billing and insurance questions, please contact our business office at 425-455-0244.
Our physicians are contracted specialist providers with many preferred and managed care insurance plans. In today’s confusing insurance environment it is critical for you to be educated to the requirements of your particular plan.
Some plans require prior authorization for specific procedures or restrict which outside services (laboratory or x-ray) can be utilized. It is a good idea to review your insurance benefits prior to your visit. If you do not comply with the requirements of your plan, you may be held personally responsible for your bill. Our insurance coordinators are available to assist you in these matters.
We offer courtesy billing for all insurance plans if you provide us with a current copy of your insurance card.
Special Note Regarding Medicare
Our office opted out of the Medicare Program on October 1, 2000. We are unable to submit claims to Medicare, and you may not submit them yourself. Therefore, in most instances, patients with Medicare as their primary insurance will be financially responsible for charges. Please contact our office if there are any questions regarding this Medicare issue.
Billing for Obstetric Care
Your Obstetrical fees are submitted to your insurance company at the time of delivery. Early in your pregnancy, we will determine from your insurance company the anticipated patient responsibility. Our billing staff will send you a review of their benefits findings. All patient responsibility is due in full by the 32nd week of pregnancy. If an overpayment results, this will be promptly refunded to you after delivery.
The OB fee is a “package” which includes most of your prenatal visits, vaginal delivery, hospital rounds during your post-partum stay, and a post-partum office checkup. Laboratory tests, Ultrasound, Non-Stress tests and non-routine office visits will incur additional charges. If you are hospitalized during or after your pregnancy for a non-delivery reason, this may also incur an additional fee. A cesarean delivery carries a higher fee and there is a charge for an assistant surgeon. Circumcision, tubal ligation, amniocentesis, and other non-delivery procedures are billed separately. If you have anesthesia, Overlake Anesthesiologists bills you directly. In addition, Overlake Hospital will bill you for all hospital associated charges.
High Risk/Complex Pregnancies
The fee for your obstetric care may be higher if we determine your pregnancy or delivery to be complex or high risk. Examples include preterm labor, twins or complex medical problems complicating pregnancy.</h4
Premera Blue Cross
First Choice Plans
Community Health Plan of Washington
Molina Healthy Options
United Healthcare Community Plan
Provider One/Apple Health
If you are not using insurance coverage, we require that all initial visits be paid at the time of service. Payment will also be required for all elective procedures, medications, or medical devices not covered by insurance. All account balances are due in full 30 days after services are provided, or 30 days following insurance response. For your convenience, we accept cash, personal checks, and DISCOVER, AMERICAN EXPRESS, VISA, or MASTERCARD.
Please contact our business office if you need further information or estimates of other charges such as postpartum tubal ligation, assistant fees, etc. We also recommend you contact Overlake Hospital Medical Center (425-688-5000) to confirm they are participating with your insurance company, before you deliver!