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Insurance & Billing

We recognize that you may have questions or concerns about our insurance and billing procedures. Please use the content of this section to learn about our billing process.

Insurance Plans We Accept

Most Common Insurance Plans We Accept

Security Health Plan

Aetna

Anthem BCBS of Wisconsin

Cigna

UMR

WPPN - Multiplan

WPS

Humana

Medicare

Advocare (Medicare HMO)

Humana Gold (Medicare HMO)

United Healthcare

Auto Insurance/Worker's Compensation

Medical Assistance (Forward Health/Badger Care)

Self Pay

You will be contacted prior to your surgery with an estimated procedure cost for you surgery. A down payment equal to 50% of the total estimated amount due is expected. You will be asked to complete a financial agreement. The remaining balance will be due within 90 days from your date of service.

Self Pay
Cosmetic Surgery - Elective Surgery

Payment in full must be received on or before your surgery.

If your insurance company is not listed, it may be considered to be part of one of the networks listed above. Please call our office at 715-842-4490 and ask to talk with the billing department for more information.

There are a number of separate charges associated with your surgical procedure. You MAY receive charges from several companies.

  1. Wausau Surgery Center, surgical facility fee, 715-842-4490.
  2. Central Wisconsin Anesthesiology, services of an MD Anesthesiologist and/or CRNA (Certified Nurse Anesthetist), 715-845-5505.
  3. Your surgeon's office-his/her fee for performing your surgery.
  4. Your pathologist – services for tissue specimens removed during surgery requiring further examination.
  5. An extended home health care service.

We accept all major credit cards such as Visa, Mastercard, Discover, and CareCredit. You are welcome to visit the CareCredit website at: www.carecredit.com to pre-apply for their services before your date of surgery.

We will bill you any balance due after your insurance company has paid your claim. There may be a delay if your insurance company has paid us incorrectly and we have re-submitted your claim for a corrected payment and allowance determination.

We do ask that all balances are paid in full within 90 days. If you encounter problems paying within the 90 days, please contact our office immediately at 715-842-4490 and ask for our collections department.

We are dedicated to reducing the cost of your medical care. In fact, we do not itemize invoices since most procedures have established charges. You will receive separate invoices from us, your surgeon, RNA, and anesthesiologist, or pathologist. Some specialty items may require additional charges.

You can read our Credit and Payment Policy here.
Full payment is due within 60 days of your surgery. Elective and cosmetic surgery procedures must be paid in full 5 days before your surgery.

We strongly encourage you to personally contact your insurance company about your upcoming surgery. It is mandatory that YOU, as the insurance subscriber, confirm that all prior authorization information necessary to your specific policy is completed before your surgery date. You may be penalized by your insurance company if you don’t follow your policy guidelines. You must understand what your benefits cover and how this may affect you financially.

We will submit insurance claims for you. We may request that your deductible and copay amounts are paid on or before your date of surgery. You will receive a notice from us regarding the amount to pay. Self pay accounts are asked to pay 50% of the total estimated procedure on or before the date of surgery and to also sign a financial agreement keeping in mind that our balances are due within 90 days.

If you anticipate difficulty in paying your bill within the 90 day period please let us know immediately.

There are a number of separate charges associated with your surgical procedure. You MAY receive charges from several companies.

  1. Wausau Surgery Center, surgical facility fee, 715-842-4490.
  2. Central Wisconsin Anesthesiology, services of an MD Anesthesiologist and/or CRNA (Certified Nurse Anesthetist), 715-845-5505.
  3. Your surgeon's office - his/her fee for performing your surgery.
  4. Your pathologist – services for tissue specimens removed during surgery requiring further examination.
  5. An extended home health care service.

Full payment is due within 60 days from your date of service. Please contact your insurance company directly if you experience any delays. YOU are responsible for guaranteeing payment on your account and being aware of your individual policy restrictions and benefits.

Your insurance company, including Worker's Compensation, auto (no fault) and personal injury, is legally responsible to you. Our relationship is with you, our patient, not your insurance company. Consequently, all charges incurred are your responsibility. The obligation to assure payment in a timely manner lies with you regardless of what your insurance company chooses to do. You should normally receive a response from your insurance company within 30 days of your date of service. If you experience a delay, it is expected that you contact your insurance company to check the status of your claim and to expedite payment. Please call our Business Office at 715-842-4490 if you encounter a problem with your insurance company and need our assistance.

Wausau Surgery Center's policy is to turn over to an attorney or collection agency all accounts which are delinquent. You will be responsible for any collection fees that are incurred.

We utilize TransWorld Systems (1-888-446-4733) and Dabuert Law Firm (715-849-3475) as our collection agencies.

Billing/Collections

The Wausau Surgery Center Will Bill as Follows:

Auto Insurance/Worker's Compensation

We will submit your bill directly to your auto insurance/employer/work comp insurance if your procedure is the result of an accident. We must make a copy of your insurance card, be provided with your claim number, date of accident and insurance claim address at the time of registration.

Medicare

We accept assignment of benefits.

Private Insurance

Your copay amount is due on or before your date of service. We will submit your bill directly to your private insurance company. A bill will be sent to your secondary insurance upon receipt of payment or denial from your primary insurance. If you have no secondary insurance, a bill will be sent to you for any balance after receipt of payment or denial from your insurance company. We must make a copy of each insurance card at the time of registration.

Self Pay

You will be contacted prior to your surgery with an estimated procedure cost for your surgery. A down payment equal to 50% of the total estimated amount due is expected. You will be asked to complete a financial agreement. The remaining balance will be due within 90 days from your date of service.

Self Pay - Cosmetic Surgery - Elective Surgery

Payment in full must be received prior to your surgery.

Notice to Patients

Wausau Surgery Center respects a patient’s rights and responsibilities without regard to age, race, color, sex, national origin, religion, culture, physical or mental disability, personal values or belief systems. A copy of this notice is posted in our patient registration area.

If you have complaints which arise, the Wausau Surgery Center maintains a grievance mechanism to resolve them. If you have a complaint you may request a written response. The individual you should address a grievance is:

Sharon Schwartz, Administrator
Wausau Surgery Center
2809 Westhill Drive
Wausau, WI 54401
715-842-4490

If you wish to direct a complaint to the Wisconsin Department of Health, the address is:

ATTN: Cremear MIMS, Director
Wisconsin Department of Health Services
Division of Quality Services
Bureau of Health Services
1 West Wilson Street
P.O. Box 2969
Madison, WI 53701
800-642-6552