PATIENT FORMS
For information on the Advance Directive policy at Lighthouse Surgery Center please click on the links below.
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When you undergo surgery, you will be billed by your surgeon, your anesthesiologist, - and by Lighthouse Surgery Center (LSC), which is called your facility fee. If you have questions about any of these individual fees you can contact your providers directly. The information provided here directly pertains only to the facility fee here at LSC.
The facility fee does not include the professional services of your surgeon and, if applicable, your anesthesiologist, pathologist, physical therapy, or durable medical equipment (DME) provider (i.e., crutches, slings, DVT prevention compression sleeves, ice machines, etc.). If you have questions about your financial responsibility for any of these other services, please contact:
Surgeon Fee: Call your surgeon’s office for further guidance.
Anesthesiologist Fee: Call Woodland Anesthesia Associates at (860) 714-6654
Pathologist Fee: Call Saint Francis Campus at (860) 714-4280
Physical Therapy: Call Access Physical Therapy at (888) 989-3323
DME Fee: Call Surgi-Care at (888) 290-8905
The surgery center partners with these other service providers to provide you with the best care possible. It is important to understand that these services will be billed for separately. Patients are responsible for understanding their insurance coverage and financial responsibilities with all their service providers.
LSC FACILITY SERVICES
The fee at (LSC) is a facility charge. This fee includes the cost of nursing personnel, pre-operative evaluation, medications, supplies, radiology services, surgical implants if required, specialized operating room instrumentation and monitoring equipment, the use of the admitting area, operating rooms, recovery rooms, and discharge areas. You will receive a separate bill from your surgeon, anesthesiologist if one is needed for your procedure and any other professional services you may receive while you are here, such as pathology.
As a courtesy to you, LSC will bill your insurance carrier for your facility fee. If your insurance plan requires pre-authorization for outpatient surgery, or if you have a worker’s compensation claim, your surgeon’s office will ensure you are pre-authorized prior to surgery. LSC will verify you have active insurance coverage and will notify you prior to surgery if you owe a payment towards a copay, coinsurance or deductible. You can pay your payment due on the day of your surgery by credit card, cash, or personal check.
LSC has negotiated discounted rates for outpatient surgical services with the following providers: Aetna, Anthem, Cigna, ConnectiCare, United Health Care/Oxford
We also participate with Medicare and most Medicare Advantage plans.
SELF-PAY PATIENTS: If you do not have insurance and choose to pay out-of-pocket, the surgery center will contact you to provide an estimated facility charge and the amount due before surgery. An estimated charge for medical implants will also be provided, if applicable. Payment plans can be set up with our billing office for the remaining balance, if necessary. (You will need to contact your other applicable service providers for estimates as well – see below).
On the day of surgery, please bring your insurance ID card(s) and a photo ID along with any co-payment or personal payment for which you are responsible, if not your procedure may be cancelled.
If you have any questions about your facility services, please contact our billing office at (866) 802-0444.
YOUR BILLING RIGHTS
Learn more about your rights against surprise billing.
LSC No Surprises Billing Disclosure (ES)
Good Faith Estimate Notice (ES)
COMMON QUESTIONS ABOUT YOUR FINANCIAL OBLIGATIONS:
Will my insurance carrier cover my procedure?
Insurance benefits vary between health plans. We will contact your insurance provider; however, this is your health insurance plan so we urge you to contact your insurance carrier to find out about your coverage so there are no surprises.
Will you bill my insurance company for my procedure?
Yes. Lighthouse Surgery Center (LSC) is contracted with most health plans. We will contact your insurance carrier prior to your admission to determine your benefit coverage. You must pay your copay, coinsurance, and/or deductible as conveyed by your insurance carrier upon admission, if not your procedure may be cancelled. When you register LSC will copy your health insurance ID card as a reference for your coverage and the pending claim.
Does Lighthouse Surgery Center accept payment from Medicare?
Yes, part B only. We will submit your procedure to Medicare. Again, you must pay the Medicare copay, deductible and/or coinsurance upon admission, if not your procedure may be cancelled. However, if you have Medicare supplemental insurance coverage LSC will bill your supplemental insurance carrier for your deductible and/or coinsurance.
Will you bill me for my deductible, coinsurance, and/or copay?
No. You must pay any deductible, coinsurance, and/or copay amounts upon admission. Failure to do so may result in the cancellation of your procedure. The amount of your deductible and copay is determined entirely by your insurance company and not by LSC.
What types of payment methods are acceptable?
Acceptable methods of payment are: American Express, Discover Card, MasterCard, Visa, Care Credit credit cards and cash or checks.
Who else might I receive a bill from?
You will be billed from each physician who takes part in your procedure. These physicians are your Surgeon, Anesthesiologist if used for your procedure, and Pathologist if used for your procedure. You will also be billed when any outside laboratory and/or X-Ray services are used.
I do not have insurance. May I make payments?
Yes. For more information, please contact our billing office at (866) 802-0444.
What if I cannot afford to pay for my whole bill. May I make payments?
Financing is available through a second party billing service, financial fees and interest do apply. Payment arrangements are available, for more information, please contact our billing office at (866) 802-0444.
The facility fee does not include the professional services of your surgeon and, if applicable, your anesthesiologist, pathologist, physical therapy, or durable medical equipment (DME) provider (i.e., crutches, slings, DVT prevention compression sleeves, ice machines, etc.). If you have questions about your financial responsibility for any of these other services, please contact:
Surgeon Fee: Call your surgeon’s office for further guidance.
Anesthesiologist Fee: Call Woodland Anesthesia Associates at (860) 714-6654
Pathologist Fee: Call Saint Francis Campus at (860) 714-4280
Physical Therapy: Call Access Physical Therapy at (888) 989-3323
DME Fee: Call Surgi-Care at (888) 290-8905
The surgery center partners with these other service providers to provide you with the best care possible. It is important to understand that these services will be billed for separately. Patients are responsible for understanding their insurance coverage and financial responsibilities with all their service providers.
LSC FACILITY SERVICES
The fee at (LSC) is a facility charge. This fee includes the cost of nursing personnel, pre-operative evaluation, medications, supplies, radiology services, surgical implants if required, specialized operating room instrumentation and monitoring equipment, the use of the admitting area, operating rooms, recovery rooms, and discharge areas. You will receive a separate bill from your surgeon, anesthesiologist if one is needed for your procedure and any other professional services you may receive while you are here, such as pathology.
As a courtesy to you, LSC will bill your insurance carrier for your facility fee. If your insurance plan requires pre-authorization for outpatient surgery, or if you have a worker’s compensation claim, your surgeon’s office will ensure you are pre-authorized prior to surgery. LSC will verify you have active insurance coverage and will notify you prior to surgery if you owe a payment towards a copay, coinsurance or deductible. You can pay your payment due on the day of your surgery by credit card, cash, or personal check.
LSC has negotiated discounted rates for outpatient surgical services with the following providers: Aetna, Anthem, Cigna, ConnectiCare, United Health Care/Oxford
We also participate with Medicare and most Medicare Advantage plans.
SELF-PAY PATIENTS: If you do not have insurance and choose to pay out-of-pocket, the surgery center will contact you to provide an estimated facility charge and the amount due before surgery. An estimated charge for medical implants will also be provided, if applicable. Payment plans can be set up with our billing office for the remaining balance, if necessary. (You will need to contact your other applicable service providers for estimates as well – see below).
On the day of surgery, please bring your insurance ID card(s) and a photo ID along with any co-payment or personal payment for which you are responsible, if not your procedure may be cancelled.
If you have any questions about your facility services, please contact our billing office at (866) 802-0444.
YOUR BILLING RIGHTS
Learn more about your rights against surprise billing.
LSC No Surprises Billing Disclosure (ES)
Good Faith Estimate Notice (ES)
COMMON QUESTIONS ABOUT YOUR FINANCIAL OBLIGATIONS:
Will my insurance carrier cover my procedure?
Insurance benefits vary between health plans. We will contact your insurance provider; however, this is your health insurance plan so we urge you to contact your insurance carrier to find out about your coverage so there are no surprises.
Will you bill my insurance company for my procedure?
Yes. Lighthouse Surgery Center (LSC) is contracted with most health plans. We will contact your insurance carrier prior to your admission to determine your benefit coverage. You must pay your copay, coinsurance, and/or deductible as conveyed by your insurance carrier upon admission, if not your procedure may be cancelled. When you register LSC will copy your health insurance ID card as a reference for your coverage and the pending claim.
Does Lighthouse Surgery Center accept payment from Medicare?
Yes, part B only. We will submit your procedure to Medicare. Again, you must pay the Medicare copay, deductible and/or coinsurance upon admission, if not your procedure may be cancelled. However, if you have Medicare supplemental insurance coverage LSC will bill your supplemental insurance carrier for your deductible and/or coinsurance.
Will you bill me for my deductible, coinsurance, and/or copay?
No. You must pay any deductible, coinsurance, and/or copay amounts upon admission. Failure to do so may result in the cancellation of your procedure. The amount of your deductible and copay is determined entirely by your insurance company and not by LSC.
What types of payment methods are acceptable?
Acceptable methods of payment are: American Express, Discover Card, MasterCard, Visa, Care Credit credit cards and cash or checks.
Who else might I receive a bill from?
You will be billed from each physician who takes part in your procedure. These physicians are your Surgeon, Anesthesiologist if used for your procedure, and Pathologist if used for your procedure. You will also be billed when any outside laboratory and/or X-Ray services are used.
I do not have insurance. May I make payments?
Yes. For more information, please contact our billing office at (866) 802-0444.
What if I cannot afford to pay for my whole bill. May I make payments?
Financing is available through a second party billing service, financial fees and interest do apply. Payment arrangements are available, for more information, please contact our billing office at (866) 802-0444.
