Billing & Insurance

We offer several convenient and secure ways to pay your bill online. Learn more or enroll here.

Please bring your insurance card to your appointment so that we may make a copy. If you are an existing patient, it is important that we have the “most current” copy of your insurance card.

Co-payments are required at the time of service. Most traditional forms of payment are accepted, including MasterCard, Visa, check and cash. For questions regarding high deductible payment and/or payment plans, please contact our office directly.

We will submit charges from your visit to your insurance carrier(s). Please keep in mind that you, as the patient, are ultimately responsible for your bill. Our billing department will be glad to answer any questions or concerns regarding your insurance and billing.

We are pleased to participate with most major insurance plans. Below is a list of more common insurances we accept, but this list is not all inclusive. If your plan is not included, please contact your insurance company at the number listed on the back of your card for verification of participation. We also encourage you to ask about in-network providers for your best benefit.

If we can be of assistance, please contact the Orthopedic One office nearest you, or send us an email.

• Aetna (including Medicare Advantage Plans)
• Anthem BC/BS (including Medicare Advantage Plans)
• Cigna
• Humana Medicare Advantage Plans (non-commercial subscribers)
• Medicare
• MediGold
• Medical Mutual of Ohio (Including Medicare Advantage Plans)
• Ohio Bureau of Workers Compensation
• United Healthcare (including Medicare Advantage Plans)

If you are being seen under a Workers’ Compensation claim, it is important that we have your claim number, date of injury, employer at the time of injury, and all conditions. In addition, we will also need written authorization from your Managed Care Organization (MCO), or your employer, prior to your appointment. If you cannot provide this information by your appointment date, please call our office as soon as possible.

When you experience an orthopedic issue of any kind, you can schedule an appointment directly with our physicians without a referral (unless mandated by your insurance). We’ll keep your primary care physician informed, while putting you on the path to recovery sooner.

If you are uncertain if your insurance mandates that you obtain a referral, we advise you to check your insurance plan. If they do, please notify your primary care physician prior to your appointment with our office to request a referral to Orthopedic ONE.

Medicare and other insurance companies may not pay for all durable medical goods (ace wrap, foot supplies, wheelchair cushions, canes, etc.). It’s a good idea to become familiar with the rules of your health plan if you are injured. Our staff are happy to assist you with understanding what DME needs you might have and what your insurance requires.

While our practice contracts with many conventional health care plans including many offered through the government health care exchanges, if you are having surgery, you should also check that the hospital where your physician will perform your procedure is also contracted and in network.

If you’re uninsured or you pay for health care bills yourself (don’t have your claims submitted to your health plan), Orthopedic One is required to provide you with an estimate of expected charges before you get an item or service. This is called a “good faith estimate.” Providers and facilities must provide you with a good faith estimate if you request one, or after you’ve scheduled an item or service. This Good Faith Estimate shows the costs of items and services that are reasonably expected for your health care needs for an item or service. The estimate is based on information known at the time the estimate was created. The Good Faith Estimate does not include any unknown or unexpected costs that may arise during treatment.

You could be charged more if complications or special circumstances occur. If this happens, federal law allows you to dispute the bill. This Good Faith Estimate is not a binding contract and does not obligate you to obtain any services from the provider(s)
listed, nor does it include any services rendered to you that are not identified.

To learn more about this requirement, go to www.cms.gov/nosurprises or call 800-985-3059. For questions or more information about your right to a Good Faith Estimate or the dispute process, visit www.cms.gov/nosurprises or
call 800-985-3059.