billing & payment

Payment plans accepted by Wausau Surgery Center include private insurance, auto insurance, worker’s compensation, Medicare and self-pay. 

If your insurance company is not listed, it may 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. 

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) 

Auto Insurance/Worker’s Compensation 

We will submit your bill directly to your auto insurance, employer or worker’s compensation 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 or elective surgery) 

Payment in full must be received prior to your surgery. 

Billing and Collections 

At Wausau Surgery Center, we will bill you any balance due after your insurance company has paid your claim. We work with several separate companies to bill our patients correctly. This means that you may receive charges from several different sources: 

  • Surgical facility fee from Wausau Surgery Center 
  • Anesthesiology fee from Central Wisconsin Anesthesiology 
  • Surgeon fee from your surgeon’s office 
  • Pathology fee  
  • Extended home health care service fee 

Full payment is due within 90 days from your date of service, and we advise you to contact your insurance company directly if you experience any delays. You are ultimately responsible for guaranteeing payment on your account and being aware of your individual policy restrictions and benefits. We will turn over any delinquent accounts to an attorney or collection agency. 

We accept all major credit cards such as Visa, Mastercard, Discover, and CareCredit.  

Balance Billing and Surprise Billing 

Balance billing and surprise billing are two ways that providers can bill you for services. You are protected from both balance billing and surprise billing when you get emergency care or get treated by an out-of-network provider at an in-network hospital or ambulatory surgical center.  

Balance billing is when a provider bills you for the difference between what your plan agreed to pay and the full amount charged for a service.  

Surprise Billing is an unexpected balance bill. This can happen when you can’t control who is involved in your care—like when you have an emergency or when you schedule a visit at an in-network facility but are unexpectedly treated by an out-of-network provider.  

Visit www.cms.gov/nosurprises or call 1-800-985-3059 to learn more about the rules that help protect people from these medical bills. 

Good Faith Estimates 

You have the right to receive a written Good Faith Estimate of the total expected cost of any non-emergency items or services. This includes related costs like medical tests, prescription drugs, equipment and hospital fees. If you receive a bill that is at least $400 more than your written estimate, you can dispute the bill. 

You can also ask your health care provider for a written estimate before you schedule an item or service. Make sure you have the written estimate at least 1 business day before your medical service or item and that you keep a copy of your Good Faith Estimate.  

For more information about Good Faith Estimates, visit www.cms.gov/nosurprises or call 1-800-985-3059

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