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Patient Information > Patient Insurance
Concerns
Insurance Concerns
Insurance coverage often is a primary
concern for patients and their families, yet understanding the
individual details of a patient's policy can be very frustrating
and confusing. Insurance plans vary widely and can change year to
year. Additionally, the various provisions of an
individual's insurance contract often varies depending on the
coverage.
Will my insurance cover my visit to The
UC Pancreatic Disease Center?
Insurance coverage can vary by the
package and plan, state to state. Therefore, it always best
to directly contact your agent or the Member Service Department to
review your current health care plan. This contact
information is often located on the back of your insurance
card. The representative from your insurance should be able
to provide you information about the applicable co-pays,
deductibles, and/or any other financial responsibilities that may
be associated with your medical visits.
The UC Pancreatic Disease Center accepts
most common insurances such as Medicare, Ohio Medicaid, Kentucky Medicaid,
and Indiana Medicaid. We
regret that we do not accept "Anthem Senior Advantage, Blue Cross Anthem Senior Advantage or
Choice Care New Health insurance plans.
Your Primary Care Physician (PCP) may
have to provide referral through your insurance company to The UC
Pancreatic Disease Center.
Due to the vast variety of insurance companies, you may find it
helpful to contact Lori Hagerty directly at (513) 584-2873.
She will gladly assist in verifying the various accepted insurance
companies and plans.
If The UC Pancreatic Center is
not in my network and I choose to go out-of-network, what do I
have to pay?
Often patients choose to come for a
consultation even if their insurance carrier initially denies
treatment at The UC Pancreatic Disease Center. Consultations and
second opinions are often covered by insurance (at least
partially) or your plan may provide out of network
coverage.
In the event your insurance coverage has
been denied for treatment at The UC Pancreatic Disease Center, we
can offer a Letter of Medical Necessity (LMN) from your Primary
Care Physician, Referring MD, and our group. Although determined case by case, insurance
agencies may change their initial decision based on our specialist
recommendations. Please note however, that patients will be
responsible for costs that are not covered by their insurance
plan.
Billing Questions»
Will The UC Pancreatic Disease Center
help me with insurance problems?
We can guide patients through the steps
they should take to get insurance coverage for our services. We
will be glad to have our billing department directly contact your
insurance company if necessary to begin the process of becoming a
participating provider. This may be necessary for certain
state sponsored plans and various commercial insurances. Contact
Lori Hagerty directly at (513) 584-2873 and she will direct you to the appropriate
department. Billing Questions»
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lori.hagerty@ucphysicians.com