Dr. Siegrist is pleased to offer her patients expert orthopaedic care in a friendly, accessible, independent, solo practice. To allow us to focus on patient care (and survive the chaos of evolving insurance schemes like high deductibles and limited networks) we do not participate with some insurance plans.
- For any questions about billing or your account, contact our billing department: Physician Business Solutions at: 585-385-9045, Monday – Friday, 9am – 4pm. Mailing Address: 790 Linden Avenue, Rochester, NY 14625
Dr. Siegrist DOES participate in these insurance plans. (Updated 5/16)
This means that we have agreed to the plans’ rules and rates.
If your insurance plan is NOT on this list: Dr. Siegrist is happy to evaluate and treat you, but we will not bill your insurance. You can pay by cash, check or credit card at your visit.
How it works:
- Before your appointment, we check your insurance plan’s website to confirm your coverage and deductible, if any, and if a referral or prior authorizations is needed. We do our best to get accurate information from the insurance company, but sometimes even their own clerks give us inconsistent answers. Prior authorization does not guarantee that insurance will pay for the services.
- At the end of your visit, Dr. Siegrist enters the CPT codes for the services you received. The cost of these services is determined by the insurance companies each year.
- Patients pay their deductible, co-insurance or co-pay at their visit or a $10 billing fee is added. Out-of-pocket costs for surgery are collected at the first postoperative visit.
- We submit your bill to the insurance company; it could take 90 days or more to be “adjudicated” (processed by the insurance company).
- If more is owed, you will receive a statement in the mail. If you are owed a refund, we will mail you a check.
- For patients without insurance, or who have an insurance plan that Dr. Siegrist does not participate with: At the end of your visit, Dr. Siegrist enters the CPT codes for the services you received. Fees for these services are based on the rates from Excellus and MVP (see chart).
- You are responsible paying the entire fee, regardless of what your insurance company may or may not reimburse.
- Contact your insurance company and ask if you can submit the receipt to be reimbursed by your HSA, FSA or the plan.
- These costs may or may not apply to your deductible. Ask your insurance company about their rules.
- Patients covered by Worker’s Comp will not have out-of-pocket costs, but are expected to know how this system operates: www.wcb.ny.gov, or work with your adjuster or Human Resources Department.