Frequently Asked Questions
You should verify your benefits with your insurance directly. Please, call the number listed on the back of your card.
Women’s Clinic handles the notification requirements, but we encourage you to call your insurance before you have surgery.
Yes, we do. However, Medicare and Medicare replacements may apply co-pays or coinsurance or Part B deductibles prior to paying for your service these amounts are yours to pay.
You may wish to call your insurance company directly to verify coverage. Our tax i.d. number to verify whether they consider us in network is 840596245. If one of our providers are listed they will all be in network.
We are not currently accepting new Medicaid/CHP+/CICP patients. Should your current medical care provider feel your medical needs require a specialist attention he/she will contact our office directly.
We do charge a $25.00 fee for patients who are scheduled for procedures and fail to cancel their appointment 1 business day prior as extensive preparation of sterile equipment is taken to perform a procedure must then be redone.
A working knowledge of how your insurance works is important. Women’s Clinic can give estimates of the surgeon’s charge, help you get estimates from the hospital or surgery center, and then with your working knowledge of your specific plan, we can estimate how much you will owe.
Pap Smear/Pelvic Exam – 1 time every 2 years
Bone Density Scan – 1 time every 2 years
Mammogram – 1 time every year
Breast Exam – 1 time every 2 years
FIT Rectal Screen – 1 time every year
NOTE: exceptions may apply for certain recipients that have history of certain cancers
Sometimes payments from Fridays have not gone through our posting system when statements are printed the following Monday.
We protect your privacy by verifying you are the person that matches the chart since we will be discussing the information in that chart. Sometimes the changes are subtle on an insurance card and we need to have the most current information available. Data entry mistakes can happen. Errors in information may cause claims to not process or delay the process causing you undue stress. We verify information in an effort to minimize the stress caused by accidental errors.
Some services have what is called first dollar coverage which means that the insurance company will pay the first dollar and not apply any deductible or copay to your service- this is typical with wellness.
Services that do not have first dollar coverage typically have a copay or deductible and co-insurance that are the part you agreed to be responsible for when you signed up for your insurance. If you feel like you should not have a balance you should call your insurance company immediately and then contact us or any provider with the information you received.
Some services are not a benefit of your insurance plan, therefore, they are not paid and remain your responsibility.
To verify your insurance information is current and correct. We want to make sure that your claim is properly submitted.
This is just one of the ways the Women’s Clinic follows federal and state laws protecting against identity theft and fraud.
The Women’s Clinic of Northern Colorado currently participates* with:
- Anthem/Blue Cross Blue Shield
- Beech Street/Health Infonet
- CIGNA/GreatWest Healthcare
- Colorado Choice Health Plan/Peak Health
- Coventry/First Health
- First Choice of Midwest
- Humana/Choice Care
- Rocky Mountain Health Plan
- United Medical Alliance/PVHS/PR1/Columbine
- United Healthcare/Pacificare/Secure Horizons
- WinHealth Partners
*Participation is a matter of contractual arrangement with the payer or network. These do change from time to time. Please check both with your insurance company and our office to ensure we are in network and you have benefits at the time you are receiving services.
Your plan may offer a limited network design that has many restrictions. Please make sure you understand your benefits and your limitations.