This does not mean that we do not accept your insurance, but rather, it means that we do not currently have a contract with your health insurance provider. However, if you have an insurance policy with out-of-network benefits (i.e., a PPO policy), you have the additional benefit of visiting physicians and surgical facilities that are outside of your insurance carrier’s network.
Your surgeon has recommended SurgiCare of Manhattan as your surgical facility because the care you need is ideally suited as an outpatient procedure, rather than a more complex and lengthy hospital stay, and also because we have the essential supplies, most advanced equipment, and experienced staff to treat your condition and get you back on your feet as soon as possible. These resources may not be available at your insurance carrier’s in-network facilities.
Moreover, SurgiCare of Manhattan chooses to stay out-of-network with insurance companies to maintain its own flexibility in optimizing your treatment. By remaining out-of-network, SurgiCare of Manhattan can tailor its administration to best suit its surgeons and, more importantly, our patients.
In contrast, in-network facilities and hospitals are contractually obligated to adhere to the HMOs’ stringent rules regarding where, when, and by whom a surgery is authorized to be performed – sometimes right down to the specifics of how a particular procedure can be performed!
When you receive the bill from SurgiCare of Manhattan, we strongly recommend that you call us at (201) 834-1120. Our billing staff will help you to understand your billing statement and will clearly explain how these costs are derived. We realize medical billing and insurance statements can be difficult to understand and can be very intimidating. Our billing department will review with you the charges and reimbursements. Most importantly, we will assist in maximizing your insurance company payment to you for your healthcare costs.