Insurance & Billing Information
Billing Practices
At Axis Pain Center, we are committed to fair and transparent billing. We respect your rights as a patient regardless of age, race, color, gender identity, national origin, religion, culture, disability, personal values, or beliefs.
We bill separately for services provided by the physician, facility, anesthesia, and pathology. Please contact our billing department with any questions related to your charges.
Your Rights and Protections Against Surprise Medical Bills
What is “Balance Billing” (Also Known as “Surprise Billing”)?
When you visit a healthcare provider, you may owe out-of-pocket costs like copayments, coinsurance, or deductibles. However, if you receive care from a provider or facility that is out-of-network, you may receive a balance bill — the difference between what your plan covers and what the provider charges.
Surprise billing can occur unexpectedly, especially during emergencies or when you receive treatment at an in-network facility by an out-of-network provider.
You’re Protected From Balance Billing for:
Emergency Services
If you receive emergency care from an out-of-network provider or facility, you can’t be charged more than your in-network cost-sharing amount (like copayments, coinsurance, and deductibles).
This includes post-stabilization services, unless you provide written consent to waive your protections.
Services at In-Network Facilities
Even at an in-network hospital or surgical center, you might receive care from an out-of-network provider (e.g., anesthesiologists, radiologists, or pathologists). In these cases, those providers cannot balance bill you.
You’re never required to waive your protections or accept out-of-network care. You may always choose a provider within your plan’s network.
When Balance Billing Isn’t Allowed, You Also Have These Protections:
-
You’re only responsible for your in-network share (copay, coinsurance, deductible).
-
Your health plan will cover the rest and must:
-
Cover emergency services without prior authorization.
-
Cover emergency care by out-of-network providers.
-
Count what you pay toward your in-network deductible and out-of-pocket limits.
-
Base your cost-sharing on in-network rates.
-
Good Faith Estimate
If you don’t have insurance or choose not to use it, you have the right to a Good Faith Estimate of the cost of your care:
-
You must receive a written estimate at least 1 business day before your service.
-
This includes total expected costs for services, tests, prescriptions, equipment, and facility fees.
-
If your final bill is $400 or more above the estimate, you can dispute the charge.
-
Keep a copy of your estimate for your records.
For more information or to file a dispute, visit www.cms.gov/nosurprises or call 1-800-985-3059.
In-Network Insurance Providers
We accept most major insurance plans, including:
-
Aetna
-
Blue Cross Blue Shield
-
Cigna
-
United Healthcare
-
Medicare / Medicaid
-
Humana
-
Tricare
-
And many others…
If you have questions about whether your plan is accepted, please contact us prior to your visit.