Financial And Billing Policies

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

If we participate in your insurance:
"Urology Specialists of Milford will bill your insurance for you and accept the contracted payment rates. We will collect your co-payment, co-insurance, and deductible owed at the time of service.

You are responsible for any amounts the insurance plan deems not covered (a non-covered benefit) up to the entire amount. If we do not receive payment from your insurance provider in a timely manner, we will transfer any remaining 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." These patients will be fully responsible for total charges. Payment in full will be collected at time of visit. We will provide you with an estimate of your patient responsibility and a receipt and documentation so that you can seek reimbursement from your insurance company, if applicable.

If you are a self-pay patient:
I If you do not have insurance or you do not have coverage for your office visit procedure or surgery, you will be fully responsible for total charges. You will be expected to pay for the services when you check in for your office appointment or prior to your surgery. We will provide you with an estimate of your patient responsibility and a receipt so that you can seek reimbursement from your insurance company, if applicable.

If you have a copay, coinsurance, and/or deductible:
Urology Specialists of Milford will collect all copayments, coinsurance, and deductibles due when you check in at your office visit. If you have Medicare as your primary insurance and you do not have a Secondary policy, you will be responsible for your 20% coinsurance when you check in for your office visit.

If you have an outstanding patient balance:
Urology Specialists of Milford will collect all outstanding patient balances when you check in at your office visit or prior to your scheduled surgery. If you have an outstanding insurance claim that has not yet been adjudicated, we reserve the right to estimate your patient responsibility for that visit and collect payment at your next office visit or prior to your surgery.

Credit Card on File Policy:
Due to the high number of deductible plans, and higher patient coinsurance balances, Urology Specialists of Milford requires patients to leave a credit card on file at the time of your visit. We have implemented this billing policy with Instamed, the leading Healthcare Payments Network. We will securely save your encrypted credit or debit card on file to cover any balance due after your insurance benefits have been paid and patient payments have been made. After your insurance company mails an Explanation of Benefits to you and our billing office, we will mail you a statement showing this detailed information and your patient responsibility. If patient balances are not pai within 60 days of the date of service, we will charge this amount to the patient’s credit or debit card on file. Of course, patients can also pay balances in installments over a period of time. We are happy to set up a payment plan for patients if you contact our office.

If patients are unable or unwilling to leave a credit card on file with us, patients will be expected to pay for all services rendered on the date of service. We will provide you with an estimate of your patient responsibility.

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

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