Yes

Yes. Our physicians are on call 24 hours a day, 7 days a week. Call our main office number, (708) 226-3300, for assistance anytime. Prescriptions are refilled during office hours only

A new patient appointment generally takes about 60 minutes. This time allows for paperwork to be completed, physician interview, and X-rays to be taken if needed.

If you are not requesting a specific physician, our first available appointment is within 24 to 48 hours from the time you call.

Most MRI exams are approximately one hour in length, including preparation time. During the exam you will hear a series of loud tapping and buzzing noises. You will have the option of wearing standard hearing protection or a stereo headset. The technician will speak to you throughout the testing to advise you of the progress of your exam.

All of our physicians are board-certified or board eligible in orthopaedic surgery. All of our physicians can treat orthopaedic injuries. However Midwest Orthopaedic Consultants does have board-certified sub-specialists in the following areas: hand, shoulder, spine, foot, ankle, knee and hip replacements.

We cannot waive deductibles, coinsurances, or copays that are required by your insurance. This is a violation of
insurance rules.

If your insurance plan requires a referral authorization from your primary care physician or a pre-authorization
from your insurance, you will need to contact your primary care physician or insurance company to be sure it has
been obtained. If we have yet to receive authorization prior to your appointment time, we will reschedule. Failure
to obtain the referral or preauthorization will result in cancellation/re-scheduling of your appointment.

We accept payment by cash, check, and most major credit cards.

Some patients may accrue large balances for services provided. At the sole discretion of the practice leadership,
we will work with you to set up a mutually feasible payment plan.

Having secondary insurance does not necessarily mean that your services are 100% covered. Secondary insurance
policies typically pay according to a coordination of benefits with the primary insurance.

Self-pay accounts are used for patients without insurance coverage. Liability cases will also be considered self-pay
accounts. We do not accept attorney letters or contingency payments. It is always the patient’s responsibility to
know if our office is participating in their plan. If there is a discrepancy with our information, the patient will be
considered self-pay unless otherwise proven. New self-pay patients will be required to pay a $250 deposit for
initial consultation (physician exam & x-ray). Follow up exam patients (physician exam & x-ray) will be required to
pay a $100 deposit prior to scheduling. All services rendered to self-pay patients will be billed to the patient.

At the sole discretion of the practice, payment arrangements may be made for patients. Please speak with our
staff to discuss a mutually agreeable payment plan. It is never our intention to cause hardship to our patients, only
to provide them with the best care possible and reasonable costs.

MOC is supported by a staff of dedicated professionals. Our office staff can assist with most financial questions.
Please ask if you have any questions about our fees, our policies, or your responsibilities. For complex
financial/insurance questions, please contact our Revenue Cycle team at 708-226-3300 opt #2.

We understand that on rare occasions, issues may arise, causing you to miss your appointment when you cannot
notify our office before your appointment. Should you experience any unforeseen circumstances that cause you to
miss your appointment, please call our office at least 24 hours prior to having it rescheduled.

Our highly skilled physicians are committed to your well-being and have reserved time just for you. Patients who
miss an appointment without notifying our office 24 hours before, no call no show, or arrive 15min late to the
appointment time are subject to a $50 missed appointment fee or $100 missed MRI/EMG fee that will be billed to
the patient. After the third instance, the patient may be subject to dismissal from the practice.

If your physician recommends surgery, your surgery will be scheduled by your physician’s staff. The staff member
can answer specific questions about the surgery scheduling process, discuss the paperwork and tests involved, and
assist with completing all prior authorization your insurance company might require.

Our office requires a pre-surgical deposit based on a good faith estimate we will provide at the time of scheduling.
This deposit will be applied to your surgery copayment, deductible, or any other amount your insurance carrier
deems to be the patient’s responsibility. After your insurance company has processed your surgery claim, any
amount remaining as a credit will be refunded to you.

It is your responsibility to verify that the physicians and the practice where you are seeking treatment are listed as
authorized providers under your insurance plan. Your employer or insurance company should be able to provide a
current provider listing.

The patient or the patient’s legal representative is ultimately responsible for all charges for services rendered.
“Non-covered” means that a service will not be paid for under your insurance plan. If non-covered services are
provided, you will be expected to pay for these services at the time they are provided or when you receive a
statement or explanation of benefits (EOB) from your insurance provider denying payment.
ultimately, it is your responsibility to call your insurance company to determine what your schedule of benefits
allows, if a deductible applies, and your potential financial responsibility.

Your insurance company offers appeal procedures. We will not under any circumstances falsify or change a
diagnosis or symptom to convince an insurer to pay for care that is not covered, nor do we delete or change the
content in the record that may prevent services from being considered covered. We cannot offer services without
expectation of payment, and if you receive non-covered services, you are responsible for payment for these
services if your insurance company does not. If you are unsure whether a service is covered by your plan,
ultimately, it is your responsibility to call your insurance company to determine what your schedule of benefits
allows, if a deductible applies, and your potential financial responsibility.

All co-payments, deductibles, patient responsibility amounts, and past-due balances are due at or prior to the
time of check-in unless previous arrangements have been made with our Revenue Cycle department. A credit card
is required to remain on file at all times and ‘auto pay’ will be activated for patient due monies. Your patient
portal will reflect your most up to date balance. This is the most efficient way to check your balance and make
payments.

At the sole discretion of the practice, patients in arrears may result in non-emergency care being paused until
payment is made.

MOC accepts most major insurance plans. However, with the frequent changes that happen in the insurance
marketplace, it is imperative for you to contact your insurance company prior to scheduling an appointment and
verify if we are a participating provider as per your plan. MOC does not accept non-contracted insurance plans.

We will bill your insurance company on your behalf. To properly bill your insurance company, we require that you
disclose all insurance information, including primary and secondary insurance, as well as any change of insurance
information.

It is your responsibility to notify our office promptly of any patient information changes (ie, address, name,
insurance information) to facilitate appropriate billing for the services rendered to you. Failure to provide
complete and accurate insurance information may result in the entire bill being categorized as a patient’s
responsibility.

Although we may estimate what your insurance company may pay, it is the insurance company that makes the final
determination of your eligibility and benefits. You agree to pay any portion of the charges not covered by
insurance, including but not limited to co-pay, deductible, coinsurance, and non-covered charges.