Payment and Insurance

Payment is the responsibility of the patient and the patient's insurance company for charges resulting from services provided by Southwest Orthopaedic Surgery Specialists, PLC. Our fees have been aligned with Medicare's Resource Based Relative Value Scale and geographically adjusted for orthopedic specialists serving the southern Arizona region. If we are contracted with your insurance company, we will abide by their payment schedule.

Accepted Forms of Payment

Southwest Orthopaedic Surgery Specialists accepts cash, checks and most major credit cards for payment. If we have a contractual agreement with a patient's insurance carrier, a claim will be filed and payment will be settled according to the insurance plan.

Contracted Insurance Plans

Southwest Orthopaedic Surgery Specialists, PLC is contracted with Medicare, Blue Cross / Blue Shield, Arizona Workers Compensation and several other insurance carriers. In some cases, we may submit claims to other primary insurance companies. Please contact us should you have any questions regarding your health insurance coverage.

Blue Cross / Blue Shield

United Healthcare

- Medicare Complete

- Evercare

Tricare

Cigna HMO & PPO

Medicare

Pacificare HMO & PPO

Healthnet HMO & PPO

Mercy Care

Pima Health

Schaller Anderson EPO

Arizona Workers Compensation

If we do not have a contract with your insurance carrier, we will not accept their non-contracted payment rates or their definition of "usual and customary." We may send you (the patient) a statement and expect payment in full. We will be happy to assist by providing any additional claim information that your insurance company may request.

Medicare

Our physicians are participation providers with Medicare, and we will file your Medicare claims for our services. We do not expect any payments from you until after Medicare has processed your claims. If you have secondary insurance, those claims will also be filed for you.

Workers Compensation

Southwest Orthopaedic Surgery Specialists is contracted with in-state Arizona Workers Compensation. We require that you provide us with your workers compensation claim number, the name of your carrier, the date of injury, your employer at the time of injury, and the part of body that was injured. Without this information, your claims cannot be filed, and you would be held responsible for payment.

Accident Cases

We are willing to file your insurance claim for accident-related services or provide you with all the necessary information. Any legal action regarding your charges for accident-related medical treatment must remain between you and your attorney. We do not wait for legal settlement of your accident case before billing for our services.

Co-Payments

The patient is responsible for paying any insurance co-payments at the time of service as specified in his or her insurance policy. If your insurance carrier pays at a limited percent, we request that you pay your portion of the services on the date that you receive services.

Please call Southwest Orthopaedic Surgery Specialists in Tucson, AZ at (520) 327-9677, if you have any questions or problems with payment or insurance. We are happy to answer your questions and assist you with arranging payment for our orthopedic services.