Financial/Insurance

Answers to your questions about insurance

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Do you accept Medicaid?

Yes. The patient must; 1) Provide a copy of their Medicaid card and, 2) sign a waiver that they agree they are responsible for costs not covered by Medicaid. Please note that Medicaid benefits can change every month on the first. If you have an appointment that falls after the first of the next month, please be sure to verify with Medicaid that your exam is still covered.

Will my insurance cover this procedure?

Your insurance coverage is based on criteria outlined in your insurance plan coverage document. It is best to check with your insurance company if you are unsure about whether they will cover the test. Even if your insurance plan covers the test, you will be responsible for any co-payment, co-insurance, or deductible amount specified by your insurance plan.

How much does an imaging exam cost?

There is not one standard price for all imaging exams. There are hundreds of different types of imaging exams, and the prices vary based on many factors, such as whether it needs to be with our without contrast, the type of facility where the exam takes place, the patient's insurance, etc. Please call our Insurance Verification Department so that we can give you personalized pricing based on your specific exam and insurance. The Insurance Verification Department can be reached at 702-732-6000 (option 2).

How much is my procedure if I don’t have insurance or don’t want to bill it to the insurance that I have?

Allowing your services to be billed to your insurance plan will help to satisfy your mandatory insurance deductible. Once this deductible is met, your insurance provider will then make payment for future allowed services, thus minimizing any future out-of-pocket costs to you.

If I haven’t met my deductible yet, does it matter if I bill my procedure to insurance? I’m just going to be paying for it myself anyway.

Allowing your services to be billed to your insurance plan will help to satisfy your mandatory insurance deductible. Once this deductible is met, your insurance provider will then make payment for future allowed services, thus minimizing any future out of pocket costs to you.

What is co-payment, co-insurance or deductible?

A co-payment (co-pay) is a fixed dollar amount that patients pay for physician office visits, prescriptions or hospital services. Coinsurance is a defined percentage of the charges for services rendered that a patient must pay. A deductible is the amount of eligible expense a person must pay each year from his/her own pocket before the insurance plan will make payment for eligible benefits. Auto insurance works similarly...if in an accident, a deductible is typically paid before the insurance will pick up the tab for the remainder of the repair bill.

Will I have an out-of-pocket expense for this procedure?

The amount an insurance company pays for a test is dependent upon the co-pay, co-insurance, and any deductible amounts that need to be satisfied. It is best to check with your insurance company to determine what your out-of-pocket expense will be on your procedure.

How do I apply for Financial Assistance

To apply for Financial Assistance please visit out patient portal here.

Why am I receiving a fee for a radiologist when I never saw the radiologist?

Depending on the type of exam that you received, it is possible that you did not physically meet the radiologist at the time of your exam. However, once your images were taken, they were sent to the radiologist to review. The radiologist then interpreted the scans for any signs of abnormality or disease. They then dictated the results of the study and send a copy to your attending and/or referring physicians. When needed, the radiologist also consults personally with your physician to let them know what they have seen on your exam. So the radiologist is actually very active in your medical care, but sometimes it is behind the scenes!

Who do I contact if I have a question about my bill?

Our billing departments can be reached Monday through Thursday from 8:00am until 4:00pm at 702.732.6000 (option 3) to assist you with your billing and insurance questions. If you would like to make a payment on your bill, please send it to the address listed below or use our "Pay Your Bill Online" Portal.

How do I know if I need insurance authorization for my procedure?

Several insurance plans require pre-authorization for some types of Radiology tests, typically MRI, CT, PET Scans, and Nuclear Medicine Cardiac Scans. It is the responsibility of your referring physician to contact your insurance plan, provide information to obtain the necessary authorization and provide the authorization number to SDMI.

What is authorization?

Authorization is an insurance company's way of giving you permission to receive an exam or procedure. It essentially means that they must review your doctor's reasoning for ordering a specific exam to determine if it is medically necessary before they will agree to pay for it. Please Note:The authorization constitutes a medical decision only and does not guarantee benefit payment.

What do I need to pay at the time of visit?

Time of visit charges vary greatly by the type of insurance and type of procedure. To find out exactly what you will need to pay at the time of service, please call our Imaging Valet line at 704-442-4390.

Does SDMI file my insurance for me?

Yes. SDMI will file your primary and/or secondary insurance to verify what portion of your visit they will cover. Any residual balance will be billed back to you, the patient.

Do you take my insurance?

We accept most major insurances. For a comprehensive list of insurances accepted at each site, please see our page regarding insurance (click here).

How can I find out my account balance?

Please call our billing office at 702-732-6000 (option 3).

Can I pay my bill online?