Skip site navigation to the site search.

Credit & Payment Policy

There are a number of separate charges associated with your surgical procedure.  You MAY receive charges from several companies.

  1. Surgicare of Hawaii: facility fee
  2. Your anesthesiologist: his/her fee for the surgery
  3. Your surgeon's office: his/her fee for performing your surgery
  4. Your pathologist: services for tissue specimens removed during surgery requiring further examination
  5. An extended home health care service

Full payment is due within 60 days from your date of service.  Please contact your insurance company directly if you experience any delays.  YOU are responsible for guaranteeing payment on your account and being aware of your individual policy restrictions and benefits.

Your insurance company, including Worker's Compensation, auto (no fault) and personal injury, is legally responsible to you.  Our relationship is with you, our patient, not your insurance company.  Consequently, all charges incurred are your responsibility.  The obligation to assure payment in a timely manner lies with you regardless of what your insurance company chooses to do.  You should normally receive a response from your insurance company within 30 days of your date of service.  If you experience a delay, it is expected that you contact your insurance company to check the status of your claim and to expedite payment.  Please call our Business Office at 808-528-2511 if you encounter a problem with your insurance company and need our assistance.

Surgicare of Hawaii’s policy is to turn over to an attorney or collection agency all accounts which are delinquent.  You will be responsible for any collection fees that are incurred.
 
MEDICARE
We accept assignment of benefits.

PRIVATE INSURANCE  
Your co-pay amount is due on or before your date of service.  We will submit your bill directly to your private insurance company.  A bill will be sent to your secondary insurance upon receipt of payment or denial from your primary insurance.  If you have no secondary insurance, a bill will be sent to you for any balance after receipt of payment or denial from your insurance company.  We must make a copy of each insurance card at the time of registration.

SELECT CARE  
Your Select Care co-pay amount is due on or before your date of service.  We will submit your bill directly to Select Care.  A bill will be sent to your secondary insurance upon receipt of payment or denial from Select Care.  If you have no secondary insurance, a bill will be sent to you for any balance after receipt of payment or denial from Select Care.  We must make a copy of each insurance card at the time of registration.

SELF PAY
You will be contacted prior to your surgery with an estimated procedure cost for your surgery.  A down payment equal to 1/3 of the total estimated amount due is expected.  You will be asked to complete a financial agreement.  The remaining balance will be due within 90 days from your date of service.

SELF PAY - COSMETIC SURGERY - ELECTIVE SURGERY  
Payment in full must be received 10 days prior to surgery. 

Return to Top


NOTICE TO PATIENTS

At Surgicare of Hawaii we share your concerns about health care safety.

The staff and healthcare professionals are committed to providing the best care for you and your family.

We ask you and your families to join us to make sure that our care meets your needs.

We encourage you to let us know when it does not.  It will help us to know how we can improve our health care services to our customers.

If you have comments, questions, or concerns during your stay, please ask to speak with one of our management team or you may call 808-528-2511.


TLC is an independent, not-for-profit, national organization that oversees the safety and quality of health care organizations.    

1-800-994-6610

Return to Top