54 Hopedale Street, Suite 3
Hopedale, MA 01747

Patient Information

Preparing for Your Visit

We look forward to welcoming you to Urology Specialists of Milford, LLC. Please feel free to contact our office if you have any questions about your first visit.

Before making an appointment, please contact your insurance company to determine if our services are covered and if you need a referral from your primary care provider. If you do, please be sure to get this referral prior to your first visit. For more information, contact our office manager, Sue Lavallee, at (508) 473-6333 or by email at slavallee@urologyspecialistsofmilford.com. See also: Insurance, Billing and Payment

You will receive new patient paperwork in the mail prior to your appointment. Please complete this ahead of time and bring it with you to your appointment to speed up your registration process. If you prefer, you can also print the forms below.

We ask that you arrive 15 minutes prior to your appointment time. How early will depend on the type of appointment, so our staff will inform you what time you should plan to arrive.

Please bring all insurance cards, a photo ID, and a current list of medications. Inform our medical staff of any known allergies.

It is important that we receive relevant medical records prior to your appointment. If you are self-referring, please contact your healthcare provider and ask them to send all pertinent records. If you intend to carry your records with you, please be sure we receive all recent test results and radiology studies, including a disc of your images.

If you are unable to keep your appointment, please notify our office 24 hours before your appointment.

Patient Forms

You may download and print our PDF forms by clicking on the link below. Click here to download the most recent version of Adobe Acrobat. Please complete the Patient Registration Packet prior to your first appointment and bring the completed forms with you to your appointment to help expedite the registration process.

Please note: It may take a few minutes to load the forms if you are using a slow internet connection. If you are unable to view the forms, you may need to download Adobe Acrobat for free by clicking on the icon below.

Get Adobe Reader

Insurance

At Urology Specialists of Milford, we value the trust and responsibility you place in us to care for you. If you need clarification on insurance issues or you cannot find your answer here, please call our billing and insurance specialist, Sue Lavallee, at (508) 473-6333 during business hours.

Urology Specialists of Milford participates with many different insurance plans. If you are unsure of your coverage or benefits, please call your insurance company at the telephone number listed on your benefit card to determine your eligibility in advance of your appointment.

It is a good idea for you to understand your current insurance plan. Some plans require that you get approval from your regular doctor to see a specialist. This is called a referral. If this is how your plan is set up, then you will need to get the referral prior to your scheduled appointment with us.

If your insurance company requires a referral form or authorization, it is your responsibility to obtain this from your primary care provider before your appointment at our office.

Please bring your insurance card and driver's license or other picture ID to every appointment. We will update and/or confirm the accuracy of your insurance information at each office visit or other significant service.

In order to process claims on your behalf, we must have your complete insurance information, your employment information, and the person responsible for payment. It is your responsibility to inform us in a timely manner of any changes to your billing information. If an insurance company denies payment for incomplete or wrong information, it is your responsibility to make payment in full.

Our urology practice participates with many different insurance plans. The most common plans are:

  • Aetna
  • Blue Cross/Blue Shield
  • Cigna Healthcare
  • Fallon Community Health Plan
  • Harvard Pilgrim Health Care
  • Health New England
  • Medicare
  • Tufts Health Plan
  • United Healthcare

Billing Policies and Payment

At Urology Specialists of Milford, we value the trust and responsibility you place in us to care for you. If you need clarification on billing issues or you cannot find your answer here, please call our billing and insurance specialist, Sue Lavallee, at (508) 473-6333 during business hours.

If we participate in your insurance:

Urology Specialists of Milford will bill your insurance for you and accept the contracted payment rates. If applicable, we will collect your copayment at time of service. Insurance payment rates may include a portion to be paid by the patient (co-insurance). If so, we will invoice you for this amount.

You are responsible for any amounts the insurance plan deems not covered (a non-covered benefit) up to the entire amount, in addition to the applicable copay amount. If we do not receive payment from your insurance provider in a timely manner, we will transfer the balance to your responsibility. We request your assistance in following up with your insurance company to resolve any non-payment issues.

If we do not participate in your insurance:

Urology Specialists of Milford sees patients who have insurance with which we do not participate. In other words, we are then considered an "out-of-network provider" or "non-par provider." Patients will be fully responsible for total charges. Payment will be collected at time of visit. We will provide a receipt and documentation so that you can seek reimbursement from your insurance company.

If you are a self-pay patient:

If you do not have insurance or you do not have coverage for your office visit procedure, you will be billed and fully responsible for total charges. You will be expected to pay for the services when you check in for your office appointment. We will provide a receipt and documentation so that you can seek reimbursement from your insurance company, if applicable.

If you have a copay:

Urology Specialists of Milford will collect all copayments due when you check in at your office visit.

If you have an outstanding patient balance:

Urology Specialists of Milford will collect all previous outstanding patient balances when you check in at your office visit.

Credit cards:

As a convenience, the office accepts Visa, MasterCard, and American Express credit cards.

Additional fees:

There will be a $25 fee assessed for all checks returned unpaid by banks.

Prescription Refills

At Urology Specialists of Milford, we accept calls for prescription refills during regular office hours: Monday through Thursday from 8:30 am to 5 pm, and Friday from 8:30 am to 4 pm. Please do not leave prescription refill requests on the vociemail.

When you call, be ready to provide the prescription name, pharmacy name, and pharmacy phone number. Unfortunately, prescriptions cannot be refilled in the evening or on weekends and holidays.

Of course, you are welcome to call your pharmacy and ask them to fax us your prescription refill request. Our fax number is (508) 634-0570.

After Hours Assistance

Urology Specialists of Milford is committed to providing emergency care when the office is closed.

After-hours services are available for patient emergencies. To reach the appropriate on-call physician in an emergency, please call the office at (508) 473-6333 and the answering service will contact the physician on call.

Urology Specialists of Milford, LLC

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