Patient Billing & Insurance
Orthopaedic Associates of Marlborough participates with and accepts most insurance plans, including Medicare and Worker’s Compensation; however, it is the responsibility of the patient to ensure how Orthopaedic Associates of Marlborough is covered under his/her plan. Please refer to the insurance plan to determine the network coverage area and authorization status.
For current information regarding your insurance, please call our Eligibility Department at (508) 485-3665.
Billing & Payment
For our office to submit an insurance claim, you are required to present your insurance information and valid photo identification at the time of check-in. You are responsible for any co-payment or deductible at each visit, in accordance with your insurance policy.
The statement you receive from our office includes only Orthopaedic Associates of Marlborough fees. You may also receive separate bills from the hospital or other physicians such as radiologists and anesthesiologists.
If you do not have insurance, payment is due in full at the time services are rendered. Please check with our office about payment plan options. We accept cash, check, debit card, and most major credit cards. For your convenience, you can also pay your bill online.
Online Bill Pay
Insurance
The insurance plan name and member ID number are needed to book an appointment. When booking your appointment, we will work to confirm if your plan is accepted and in-network. You may need to refer to your insurance carrier for specific coverage related questions.
If you do not see your insurance on the list below please call us at 508.485.3665 and ask about your particular insurance.
We accept the following Insurance Plans:
- AARP
- AETNA
- ALLWAYS HEALTH PARTNERS
- AUTO LIABILITY
- BANKERS LIFE
- BLUE CROSS BLUE SHIELD
- BMC HEALTHNET
- CARELINK
- CIGNA
- FALLON-Excluding Mass Health Products and Summit Elder Care/PACE without an Out-Of-Network Authorization
- FIRST HEALTH
- GIC/UNICARE
- HARVARD PILGRIM–Excluding Focus and Primary Choice without an Out-Of-Network Authorization
- HCVM
- HEALTH PLANS
- MASS HEALTH-Excluding Limited, Safety Net, Fallon 365, Wellforce, and CMSP
- MEDEX
- MEDICARE–Including Medicare Replacement and Supplement Plans
- MULTIPLAN
- PHCS
- TRICARE
- TRICARE/WPS
- TUFTS
- UMR
- UNITED HEALTHCARE
- WORKERS COMPENSATION
Referral Authorization
Some insurance plans require the patient to obtain a referral or authorization (including out of network authorization or prior authorization) from their primary care provider or insurance carrier prior to receiving services from a specialist. If your plan requires a referral or authorization, services will only be provided if the referral/authorization is at our office at the time of your appointment. You will have the option to sign a waiver accepting financial responsibility for services not covered due to the lack of referral/authorization. If referral/authorization is an issue, we can reschedule your appointment.
Worker’s Compensation
To file for worker’s compensation the following information is needed: the employer name and phone number, date of injury, body part involved, the insurance carrier name and billing address, claim number, adjuster name/number/fax number/email, and utilization review name and number (if available).
