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Insurance Coverage

Accepted Health Plans

We currently accept Medicare Insurance. If your plan is not listed, please get in touch with our team, and we will assist you in finding the best solution for your healthcare needs.

Online Bill Pay

Coming soon!

Preparing for your Procedure

Your physician will give you detailed instructions specific to your surgery. In the meantime, here are general steps to help you get ready:

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  • Your healthcare provider will review the procedure and explain any required preparations.

  • You will receive a call to verify your personal and medical information.

  • Standard facility fees cover most services; separate charges may apply for your surgeon and anesthesiologist.

  • A signed surgical consent form is required before your procedure.

  • Please arrange for a responsible adult to drive you home after surgery.

  • Avoid smoking for at least 24 hours before and after your procedure.

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The Night Before Surgery

  • Do not eat or drink anything after midnight unless your doctor advises otherwise.

  • Take only medications as directed by your provider.

  • Notify your provider if you are or may be pregnant.

  • Let your care team know if you’ve had any recent illness or contact with contagious diseases.

  • Avoid drinking alcohol in the 24 hours leading up to your procedure.

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Day of Surgery

  • Do not eat or drink anything the morning of surgery.

  • Only take medications your provider has specifically approved.

  • Report any new symptoms or changes in your health, even minor ones.

  • Do not use tobacco or consume alcohol on the day of your surgery.

Patient Rights and Responsibilities

At Portsmouth Surgery Center, we are committed to treating every patient with dignity, compassion, and respect. We fully comply with all applicable federal and civil rights laws, and we do not discriminate on the basis of age, race, color, religion, sex, national origin, disability, source of payment, or any other characteristic protected by federal, state, or local law.

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Upon admission, each patient will be informed of their rights and responsibilities. A copy of the Patient Rights and Responsibilities document is available upon request and can also be downloaded below.

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Understanding Your Billing Rights & Protections

When you receive medical care, you may have certain out-of-pocket costs, such as co-payments, coinsurance, or deductibles. If you visit a provider or facility that is not in your health plan’s network, you may have additional expenses or be responsible for the full bill.

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Out-of-Network Providers & Balance Billing

  • Out-of-network providers have not signed a contract with your health plan. They may bill you for the difference between what your insurance pays and the full charge for the service—this is called balance billing.

  • Balance billing may result in higher costs and might not count toward your annual out-of-pocket limit.

  • Surprise billing occurs when you receive an unexpected balance bill, often in emergency situations or when an out-of-network provider treats you at an in-network facility.

 

You Are Protected from Balance Billing in Certain Situations

 

Emergency Services

  • If you receive emergency medical care from an out-of-network provider or facility, the most you can be billed is your plan’s in-network cost-sharing amount (e.g., copayments or coinsurance).

  • You cannot be balance billed for emergency services, including post-stabilization care, unless you give written consent to waive this protection.

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Certain Services at In-Network Facilities â€‹

  • When you receive care at an in-network hospital or ambulatory surgical center, some providers there may be out-of-network.

  • Providers such as emergency medicine, anesthesia, pathology, radiology, laboratory, neonatology, assistant surgeons, hospitalists, or intensivists cannot balance bill you.

  • You cannot be asked to waive your protections for these services.

  • If you receive emergency care or are treated by an out-of-network provider at an in-network facility, you are protected from surprise or balance billing unless you voluntarily waive your rights in writing.

 

Your Rights & Protections Against Balance Billing

  • You never have to waive your balance billing protections.

  • You always have the option to seek care from in-network providers.

  • Your health plan must:

    • Cover emergency services without requiring pre-approval.

    • Cover out-of-network emergency care.

    • Base your cost-sharing on in-network rates and reflect this in your explanation of benefits.

Count what you pay for emergency/out-of-network services toward your deductible and out-of-pocket limits

If you believe you have been wrongly billed, Contact 

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