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Most cosmetic surgery procedures are performed at the Newgate Surgery Center, our own state-of-the-art surgery center connected directly to our office. The Newgate Surgery Center is a state licensed, Medicare certified ambulatory surgical facility specially equipped for cosmetic surgery procedures. Our patients tell us that they prefer having their procedures in our private, discreet setting, with the personalized care we are able to give in our own surgery center.


Reception Room

Surgery Room

Surgery Room

Recovery Room

Recovery Room

Insurance and Billing

Facility Fee
Payments
Medicare
Commercial Insurance
Treatment Authorization/ Pre-certifications
HMO
Self-Pay Accounts
Medicaid
Workers Compensation
Litigation
Your Insurance Representative
Other Providers

Our Patient Representative will provide you with an estimate of the facility fee based on your scheduled procedure.

Your Facility Fee Includes:

Procedure Room
Recovery Room
Medical Equipment
Medications and Supplies

The Facility Fee DOES NOT Include:

Physician Fees
Anesthesiologist Fees
Laboratory Testing
Pathology
23-hour Stay for Observation (if needed)

Payments

Payments can be made by cash, check, MasterCard, Visa, American Express, or Discover.

Medicare

Your Medicare and secondary insurance cards are required at the time of admission.
Newgate Surgery Center will accept the amount that Medicare allows for your approved procedure. Medicare will pay 80% of the allowed amount. The remaining 20% will be your responsibility and/or that of your secondary insurance company.

If you do not have a secondary insurance company, you be asked to pay your 20% portion at the time of your admission.
You can expect your first statement from Newgate Surgery Center 30 days after your secondary insurance carrier has been billed. If you do not have a secondary insurance carrier and/or you were not able to remit your portion at admission, your first statement will arrive shortly after your procedure date.
It has been our experience that a procedure not paid by Medicare is also not paid by secondary carriers. In this instance, you may be responsible for a portion of the total fee.

Commercial Insurance

Newgate Surgery Center will make every effort to contact your insurance company prior to your procedure to verify your coverage. This verification does not constitute a guarantee of payment by your insurance company.

Your deductible and any portion not covered by your insurance company is due at admission.
Your insurance company will be billed two days after your procedure. You can expect your statement 30 days later. If payment is not received from your insurance company within 45 days, the balance of your account will become your full responsibility.

Treatment Authorization/ Pre-certifications

Please make sure that you familiarize yourself with any treatment authorization or pre-certification that may be required by your insurance company or reimbursement agent. Your insurance company may deny your claim or apply penalty without proper authorization initiated by your physician.

HMO

If your primary or secondary insurance company is a Health Maintenance Organization (HMO), you will be responsible for obtaining all authorizations and/or pre-certifications from your primary care physician.

Self-Pay Accounts:

You will be asked to prepay all charges at the time of admission. If you need financial assistance, payment arrangements can be made by special request.

Medicaid:

If you are eligible for Medicaid at the time of admission, we will bill Medicaid for all charges. Your Medicaid card is required at the time of admission.
If you are eligible under the Medically Needy Program (or are attempting to obtain Medicaid), you will need to have your caseworker contact Newgate Surgery Center at 239-263-6766 so that your eligibility can be verified. After your procedure, we will send you a copy of your medical claim. This claim must be delivered to your caseworker in order to determine your eligibility.
If you are ineligible for Medicaid, you will be responsible for the entire balance.

Workers’ Compensation:

Your Workers’ Compensation claim must be authorized prior to your procedure. Please provide our Patient Representative with the name, address, and phone number of your insurance company and adjuster so that we may obtain the required authorization.

Litigation:

If your surgery is due to an accident and you are involved in litigation, you will be responsible for 50% of surgical fees. A Newgate Surgery Center Letter of Protection signed by you and your attorney will cover the remaining portion. If you are unable to acquire this Letter of Protection signed by your attorney, you will be responsible for you balance in full.

Your Insurance Representative:

To assist you through the billing process, you may contact one of our Insurance Representative at 239-263-6766.

Other Providers:

To assist you with your billing questions, you may contact the following providers:

Anesthesia SW Florida Anesthesia and Pain Management 239-332-5344
Laboratory Lab Corp 239-649-6843
  Quest 239-592-5620
Pathology Naples Pathology Associates 239-263-1777
Imaging Radiology Regional 239-430-1400
Observation North Collier/ Naples Community Hospital 239-436-5000

Links:

  1. AHCA: ahca.myflorida.com
  2. FL Dept. of Health: www.floridahealth.gov
  3. NCH: www.nchmd.org