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Thank you for choosing our practice! We are committed to the success of your medical treatment and care. Please understand that payment of your bill is part of this treatment.
For your convenience, we have answered a variety of commonly asked financial policy questions below. If you need further information about any of these policies, please ask to speak with a Reimbursement Specialist or the Office Manager.
What Insurance Plans Do You Accept?
Springfield Neurological and Spine Institute participates with several insurance plans. The following are a few of the most common insurance plans in which we participate. Alliance Blue Cross Blue Shield
Blue Choice
Cigna
Coventry Health Plans
Cox Health Plans
Great West Health Plans
Private Health Care Systems (PHCS)
United Healthcare
Workers Compensation
If you do not see your insurance carrier listed, please call our office for a complete list of plans in which we participate. How May I Pay? We accept payment by cash, check, VISA, Mastercard, or Discover. Do I Need A Referral? If you have an HMO plan with which we are contracted, you need a referral authorization from your primary care physician. If we have not received an authorization prior to your arrival at the office, we have a telephone available for you to call your primary care physician to obtain it. If you are unable to obtain the referral at that time, you will be rescheduled. What Is My Financial Responsibility For Services? Your financial responsibility depends on a variety of factors, explained below. What If I Need To Have Surgery? Surgical patients will receive a surgery consult prior to scheduling surgery. At that time, we will counsel you on your expected surgical costs and insurance benefits you can expect to receive. What If My Child Needs To See The Physician? A parent or legal guardian must accompany patients who are minors on the patient's first visit. This accompanying adult is responsible for payment of the account, according to the outlined policy. Office Visits and Office Services | If You Have… | You Are Responsible For… | Our Staff Will… | | Commercial Insurance, also known as indemnity,"regular" insurance, or "80% / 20% coverage." | Payment of the patient responsibility for all office visit, x-ray, injection, and other charges at the time of the office visit. | Call your insurance company ahead of time to determine deductibles and coinsurance. File an insurance claim as a courtesy to you. | | HMO & PPO plans with which we have a contract | If the services you receive are covered by the plan: All applicable copays and deductibles are requested at the time of the office visit. If the services you receive are not covered by the plan: Payment in full is requested at the time of the visit. | Call your insurance company ahead of time to determine copays, deductibles, and non-covered services for you. File an insurance claim on your behalf. | | HMO with which we are not contracted | Payment in full for office visits, x-ray, injections, and other charges at the time of the office visit. | Provide the necessary information for you to complete and file your claim directly with the insurance company. | | Point of Service Plan or Out Of Network PPO | Payment of the patient responsibility--deductible, copay, non-covered services--at the time of the visit. | Call your insurance company ahead of time to determine out of network benefits, copays, deductibles, and non-covered services. File an insurance claim on your behalf. | | | If You Have… | You Are Responsible For… | Our Staff Will… | | Medicare | If you have Regular Medicare, and have not met your $124 deductible, we ask that it be paid at the time of service. Any services not covered by Medicare are requested at the time of the visit. You will be asked to sign an Advanced Beneficiary Notice at that time. If you have Regular Medicare as primary, and also have secondary insurance or Medigap: No payment is necessary at the time of the visit. If you have Regular Medicare as primary, but no secondary insurance: Payment of your 20% copay is requested at the time of the visit. | File the claim on your behalf, as well as any claims to your secondary insurance. | | Medicare HMO | All applicable copays and deductibles at the time of the office visit. | File the claim on your behalf, as well as any claims to your secondary insurance. | | Missouri Medicaid | Notifying our staff regarding your Medicaid eligibility before services are rendered. | Discuss our Medicaid acceptance policy with you. | | Worker's Compensation | If we have verified the claim with your carrier: No payment is necessary at the time of the visit. If we are not able to verify your claim: Payment in full is requested at the time of the visit. | File the claim on your behalf. Call your carrier ahead of time to verify the accident date, claim number, primary care physician, employer information, and referral procedures. | | Private Pay / Uninsured / Self Pay | Payment in full at the time of the visit. | Provide you a receipt so you can file the claim with your carrier. Work with you to settle your account. Please ask to speak withour staff if you need assistance. | | |
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For Patients 
