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