How We Work With Your Insurance
We will submit your surgical claim to your primary and secondary insurance companies on your behalf.
- Please bring your most current insurance card(s) to your appointment.
- If your insurance coverage changes before your surgery, please let us know right away so we can update our records.
- We participate with Medicare and accept Medicare’s approved rates for eligible patients.
- Every insurance plan is different. Please be familiar with your plan’s benefits, referrals, and authorization needs.
Understanding Your Surgery Billing
Several different providers may be involved in your care, and each bills separately. You may receive bills from:
Your Surgeon
Covers the surgical procedure(s).
Surgery Center of Santa Fe
Covers use of the surgical facility, equipment, staff, and special supplies (such as corneal tissue or custom lenses).
Main Street Anesthesia
Provides anesthesia services. For billing questions, please contact Arietis Health at (800) 991-0627.
Pathology (if needed)
If a specimen must be tested, the laboratory will bill you or your insurance directly.
Your Portion of the Costs
Before your surgery, we will check your insurance and estimate your portion (co-pay, co-insurance, deductible).
- This estimated amount is due before your surgery date.
- If your insurance company applies additional charges after the claim is processed, we will send a separate bill.
- Payment options include cash, personal check, major credit /debit cards, and CareCredit.
Custom or Elective Services
Custom lenses (Advance Technology Intra-Ocular Lenses – ATIOL), refractive surgery, and cosmetic services are not typically covered by insurance. These services must be paid in full before surgery.
If You Are a Self-Pay Patient
If you do not have insurance, the full cost of your procedure is due before surgery.
We will offer information and screening for:
- Available public insurance programs
- Other programs that may help reduce healthcare costs
Billing Statements
Once your insurance company finalizes your claim, we will mail you a statement if you owe a remaining balance.
- If you believe your insurance paid incorrectly, please contact your insurance company and then notify our billing office at (505) 246-2622 Ext. 1201 or (800) 640-9622 Ext. 1201.
- Any remaining balance is due when you receive the statement.
Refunds
If your account has an overpayment of $10.00 or more, a refund will be issued once the account is fully settled.
Past-Due Accounts
Accounts unpaid after 90 days may be sent to collections.
- For self-pay patients receiving urgent or medically necessary care: We will not take extraordinary collection actions until we have made every reasonable effort to determine whether you qualify for financial assistance, as required by the Patient Debt Collection Protection Act.
We’re Here to Help
If you have questions at any point. Please call our numbers below. We are happy to walk you through your benefits and expected costs.
Prior to Surgery Date – Insurance Verification Dept: (505)-828-4906
After Surgery Date – Billing Office: (505) 246-2622 Ext. 1201 or (800) 640-9622 Ext. 1201
