Clinic Hours 8:30 AM - 6:45 PM Monday
8:30 AM - 6:45 PM Tuesday
8:30 AM - 6:45 PM Wednesday
8:30 AM - 6:45 PM Thursday
8:30 AM - 6:45 PM Friday
Triage procedure: The waiting list to see our
surgeons can sometimes be long. However, we make every effort to treat the neediest
patient in the most expeditious manner. If you feel that the appointment time
you are given is not soon enough, we encourage you to send in the report of
your imaging studies. The physician will review all the reports, and your appointment
will be rescheduled to a sooner date if necessary.
You must bring your original films and reports to your
appointment. If your XR/CT/MRI were done in Southfield Providence Hospital,
we can obtain the films for you. If your XR/CT/MRI were done elsewhere including
Novi Providence Park, you must bring your own films. Without the films, the
doctor may not be able to reach a definitive diagnosis, necessitating a repeat
visit.
Cancellation Fee: If for any reason, you cannot make your appointment, please
give us 24 hours notice. Failing that, you will be charged a $35 cancellation
fee.
Waiting
time: We are a spine specialist practice and we are committed to helping
patients make informed decisions on their spine surgery. For patients scheduling
major spine surgeries, it is understandable that there are lots of questions
to be answered. Our surgeons give the time that each patient needs with him
and this sometimes result in a delay. Please note that the waiting time can
be more than one hour.
Please bring your driver license, insurance card to
your appointment
INSURANCE PARTIPCIPATION CHECKLIST
Our practice accepts assignment from Medicare. We also accept
patients from Workers’compensation and Auto injuries.
We participate with the following insurance carriers:
Aetna
Alliance Health & Life
BCBS of Michgan
BCN – Providence, Botsford, DMC
Beaumont (all plans) including Great West, Multiplan
Blue Choice
Botsford Health Plan
Cape Health Plan (Botsford network)
Care Choices – Providence, HVPA, DMC
Cigna
DMC (all plans) including DMC Care
Great Lakes
HAP – Providence, Botsford, DMC
Health Choice
Health Plan of Michigan
Health Plus
Humana – Tricare
MCare – Providence, Botsford, DMC
Medicaid
Mercy Health Plan
Molina
Partnership Health
PHCS – Private Healthcare System
PPOM
Preferred Choices PPO
Railroad Medicare
Smart Plan
Total Healthcare
United Healthcare Insurances
INSURANCE & FINANCIAL POLICY
Patient responsibility: It is the patient’s
responsibility to be familiar with your insurance coverage. The primary
rule is call your insurance companies and asks questions.
The doctor renders service to you, the patient, and not to the insurance
company. The insurance policy is between you and the insurance company, not
with the doctor.
Medicare patients: If you have Medicare as your primary insurance and another insurance as your secondary insurance, you are not expected to pay any amount of your visit. We will bill Medicare and your secondary insurance for you. If you have Medicare only, you are expected to pay 20% of the Medicare fee schedule at the time of service.
For HMO policyholders: a referral form is required from your primary doctor for any visits, tests or procedures, including surgery. It is your responsibility to bring all insurance information for the visit. If you fail to produce the referral form, you will need to reschedule your appointment or pay the full fee at the time of service.
For Workman’s compensation or Auto-related injuries
patients: we require your claim number, the adjuster’s name and address, the insurance carrier’s name and the date of injury. We also require an authorization letter/letter of intent to the physician from the insurance company. If you fail to produce the above information, you will need to reschedule your appointment or pay the full fee at the time of service. Any legal action must remain between you and your attorney. We do not wait for legal settlement.
For participating PPO insurance holders: you need to pay your co-pay and deductible at the time of service. We will bill the insurance for the remaining balance. However, if your policy does not cover particular services rendered, you will be responsible for the charges incurred.
For non-participating PPO insurance holders: you need to pay your whole fee at the time of service. You will bill the insurance company on your behalf, the insurance payment will be directly sent to your address. As we do not participate with your insurance, we cannot provide information about how much they will pay for the visit. If you need surgery, our office will obtain prior authorization. Once the authorization is obtained, it is your responsibility to find out the amount of insurance payment for the surgery. You are responsible the remaining balance. We are ready to assist you, please contact the Manager for payment arrangement.
For second opinion patients: some insurance policies will not cover for second opinion visit. We will bill the insurance and you will be responsible for any amount not covered by the insurance. If you neglect to inform us that this is a second opinion, you will be responsible for the resulted billing error.
For BCBS Master Medical patients: you are required to pay the full fee at the time of service. We will bill the insurance on your behalf and the insurance payment will be directly sent to you.
If you do not have insurance coverage, you will be responsible for all charges incurred. Please talk to us about our payment plan arrangement. We will be happy to assist you.
All the above information relates to office visits. If it is determined that
you need surgery, the surgical scheduler will assist you with getting authorizations,
knowing what expenses to anticipate, and when payment will be expected.
We are sorry that this has become so complex and laborious, however, these are
rules imposed on you and us by the insurance industry. We are here primarily
to care for your need.
PRESCRIPTION POLICY
Prescription is given on the day of visit and will be continued only for patients
scheduling for surgery or who had already undergone surgery. Long term prescription
request for non-surgical patients will be directed to your own primary care
physician and the pain management clinic.
Please understand that we are a surgical clinic. The primary mode of treatment
offered by us is surgery. We are not well equipped to monitor the long-term
use of potent narcotics and the possible interactions with the various drugs.
It is to your benefit that the pain management specialists and your primary
care physician who has intimate knowledge of all your prescribed medications
manage your long-term prescription use.
MEDICAL RECORDS POLICY
No long-term disability form will be filled out if you never have surgery with
us. In no circumstances will a long-term disability be filled out after one
clinic visit. We will consider filling out your long-term disability form only
if you have surgery performed by us.
Waiting
time: