Patient Financial Education

In order to avoid unexpected questions related to your bill for our services, our staff would be happy to assist you with any questions you may have regarding our financial policies.

Financial Counselors

Our compassionate financial counselors at OrthoUnited are here to help with budget and payment options. Prior to any imaging, exam, or surgical procedure, our financial counselors check insurance deductibles to ensure that you have the most up to date information regarding your financial responsibilities.

Payment

All insured patients will be asked to pay their insurance copay, deductible and/or co-insurance at the time of service. Additionally, you may have coinsurance and/or deductible amounts required by your insurance carrier that will be due as a deposit 72 hours prior to procedures. Uninsured patients are expected to pay for services in full at the time of service. A 20 percent discount of billed services will be offered.

Billing

After your insurance has processed your claim, you will receive a statement for services not paid for by the insurance company. Payment will be due within 30 days unless arrangements are made.

Out of Network Services

Medical services that are considered out of network will be your responsibility. OrthoUnited requires payment in full, less a 20 percent discount, on estimated professional charges or a 25 percent deposit of the estimated charges to be rendered. We are available to discuss sufficient payment arrangements prior to services being rendered. We accept cash, checks and all major credit cards.

Insurance Verification and Claim Filing

Insurance coverage and benefits will be verified with your carrier. For your convenience, we will file your claim with your health insurance carrier. We understand that it may be confusing, however, it is your responsibility to understand your insurance coverage limits and benefit levels.

Insurance Plans

We accept many insurance plans. The list below includes some of the plans commonly accepted by OrthoUnited, though it may not reflect every plan we participate with. If your insurance is not listed, please call our office at 330-832-2663 and we will be happy to help verify your coverage.

INSURANCES:

  • Aetna - Commercial and Medicare Advantage
  • Aetna - Cleveland Clinic EHP/EHP Plus (Employee Health Plan)
  • Anthem - Commercial and Medicare Advantage
  • Aultcare
  • Aultcare Primetime
  • Aultcare Premier Select Plan - accepted at Dover location only
  • Amish - Amish Workers Aid, Amish Church Fund
  • Bureau of Workers Compensation - State and Self Insured
  • Cigna - Commercial and Workers Comp
  • The Health Plan - Commercial and Medicare Advantage (Secure Care)
  • Humana Medicare Advantage and Medicare Supplement
  • Medical Mutual of Ohio - Commercial and Medicare Advantage
  • Medicare - Traditional
  • Medicare Railroad
  • Medicaid - Traditional
  • Ohio Health Choice
  • One Health Plan
  • United Healthcare - Commercial and Medicare Advantage
  • TriCare & TriCare for Life
  • SummaCare - Commercial, Medicare Advantage and Employee Health Plan
  • Unicare/Anthem
  • Immergrun, Inc
  • Valor Health Plan - Medicare Advantage
  • VA-CCN Optum - (Veterans Community Choice) with Prior Authorization ONLY
  • Cleveland Clinic Quality Alliance - Oscar Commercial, Humana Medicare Advantage
  • Self-Pay

NETWORKS:

  • CoreChoice
  • ACPN - America's Choice Provider Network
  • Expion Health
  • PMCS - Preferred Medical Claims Solutions
  • OccuNet

Financial Counselors Billing

You may receive a bill after your services are rendered from the Facility, Anesthesia and/or Pathology. These are related to your procedure but not billed by OrthoUnited. Please contact these providers directly with any questions regarding these bills.

Mercy Medical Center: (330) 489-1145

Aultman Hospital: (330) 452-9911

OASIS Surgery Center: (330) 498-9898

Ohio Specialty Surgical Suites: (234) 209-9397

Stark County Anesthesia: (330) 499-5700

 

For questions about your OrthoUnited bill, contact us or call (844) 469-2663.