Financial Policies

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Since the founding of this practice, Oxford Obstetrics and Gynecology has always offered the most innovative and best medical care possible. In order to continue to do so, the following Patient Financial Policy was implemented. Questions regarding the office & financial policies should be directed to the Oxford Obstetrics and Gynecology billing office at (513) 523-2158 ext. 228 or the Practice Administrator at (513) 523-2158 ext. 226.

Self-pay patients: Patients with no insurance coverage are always welcome at our office. We will give you an ESTIMATE of your charges prior to your first visit. Payment is expected at the time services are rendered. You will receive a 20% discount for payment in full.

If you’re receiving maternity care, please be prepared to pay $500 at the first appointment and $500 at the second appointment. We will work with you to develop a payment plan for the remaining balance. However, if you’re able to pay the balance at the 2nd visit you will receive a 20% discount.

Insurance patients: You are required to present your insurance card and a photo ID at each appointment. Payment of copay and/or deductible is required at the time of service and prior to delivery for maternity care. We will work with you to develop a payment plan for your portion of obstetric care/delivery and surgical procedures. We will verify your benefits and your financial responsibility with your insurance company prior to your appointment. Also, as a courtesy to you, we will file a claim with your primary and secondary insurance companies.

Health plan coverage varies significantly by carrier, by employer, and/or by contract. We cannot know the benefits and exclusions of each patient’s health plan. It is the patient’s responsibility to know and understand their plan coverage and benefits. While our billing professionals will do all they can to help you in communicating with your insurance plan, you remain responsible for any issues regarding your coverage, benefits, and/or payment for services provided.

Medicaid patients: For Ohio, we accept Ohio Traditional Medicaid, Caresource, Buckeye, and Paramount. (We do not accept Caresource Just-4-Me, Buckeye Ambetter, Molina Healthcare, UHC- Community Choice Plan, or any MyCare Ohio Products.)

For Indiana, we accept Indiana Traditional Medicaid, Anthem & MDWISE Medicaid products- Hoosier Healthwise, Healthy Indiana Plan (HIP), Hoosier Care Connect. (We do not accept Care Select or any Managed Health Services Medicaid products.)

**In Indiana there are multiple product types as well as three different MCO’s that offer those products. Please see the following chart for more detail:

Anthem MDWISE Managed Health Services
Hoosier Healthwise Yes Yes NO
Healthy Indiana Plan (HIP) Yes Yes NO
Hoosier Care Connect Yes Yes NO
Care Select NO NO NO

We encourage you to see your Primary Care Physician for non-gynecological minor problems and routine visits.

***If you are assigned to another Managed Care Organization, you will be required to obtain a new physician within that organization, as our practice only accepts the plans listed above. Managed Care Organizations provide cost-effective, affordable health care coverage to low-income individuals. 

For maternity care during your first visit, please request a Confirmation of Pregnancy letter. You will need to give this letter to Medicaid as soon as possible to have all of your maternity care visits covered. Your Medicaid coverage period is based on the date of your application. Failure to comply with requests for additional information or missed appointments may cause your case with Medicaid to be suspended or closed.

***All Medicaid patients will need to obtain Medicaid coverage and bring the Medicaid Insurance Card or the receipt of application as proof that they have applied to their next prenatal care visit. You will be responsible for any visits not covered by Medicaid and will be asked to begin making payments as a Self-Pay patient. Please see the self-pay guidelines above. NOTE- Medicaid patients seeking prenatal care in their 2nd or 3rd trimester must provide proof of existing Medicaid coverage and must have any prior prenatal care records transferred to our office before an appointment for care can be scheduled.

To find out more about Ohio Medicaid and to start the application process, please visit http://jfs.ohio.gov/ohp/consumers/applications.stm. To find out more about Indiana Medicaid and to start the application process, please visit www.indianamedicaid.com.

Balance Due: We send monthly statements when a balance due. We also will remind you of a balance due when you call to schedule an appointment and when you arrive at registration for your appointment. We expect that the balance due will be paid upon receipt of your statement. In order to make payment easier for you, we accept cash, checks, money orders, Visa, MasterCard, and Discover. Any of these forms of payment may be used in our office or mailed in with your statement or paid on our website at www.oxfordobgyninc.com . We also offer Care Credit as a payment option. To find out more information, please visit www.carecredit.com or ask to speak with a billing representative.

Past due Accounts and Collections: Any balance on your account that is greater than 60 days old is considered past due. It is your responsibility to ensure your insurance company makes timely payments on your claims. If we are unable to obtain timely payment from your insurance company, you will be responsible for the full balance due.

It is our policy to send two statements and a final notice letter before taking further collection action on your account. In the event your account is placed with a collection agency, you will be dismissed from the practice. (Emergency care will be available for up to 30 days to allow you time to obtain another provider for your medical care). You will be responsible for all court costs, filing fees, and attorney fees should your account require litigation.