Buena Vista Surgery Center is dedicated to facilitating patient understanding of operations
and procedures. Please note your physician’s instructions before proceeding to navigate
through our patient services information.
Buena Vista Surgery Center is dedicated to facilitating patient understanding of operations and procedures. Please note your physician’s instructions before proceeding to navigate through our patient services information.
Before Your Surgery
Once your surgery has been scheduled, you will be notified of the date and time. A nurse from the Center will then contact you with a pre-operative questionnaire that will help us provide the most thorough and appropriate care. Please read this information carefully and follow the instructions.
- Find out if there are any prescriptions, over-the-counter medicines, or herbal medicines that you should NOT take before your surgery.
- Remove all jewelry and trim your nails.
- If you have other questions, write them down. Take your list of questions with you when you see your doctor.
- A nurse from Buena Vista Surgery Center will call you to obtain a pre-op history and to review your medication list.
- You may be required to go for a physical exam or lab work, the pre-op nurse will determine so after your history is taken.
- If you are taking a blood-thinning medicine such as Coumadin and Plavix, you will have to see your MD/Cardiologist prior to surgery.
- If you are taking Aspirin or Non-steroidal Anti-inflammatory (ex. Ibuprophen, Naproxen, or Ketoralac) please stop 1 week prior to surgery, unless otherwise advised by the surgeon.
- If you are taking Diabetic medicines such as Glucophage (Metformin), Micronase (Glyburide), Glucotrol (Glipizide), Actos, Avandia or any others, you are NOT to take the morning dose, unless otherwise directed by your surgeon.
- If you are taking Insulin, you will have to be advised by the MD on the dose you should take before your procedure. The surgery center will need this information as well.
- If you are taking Hydrochlorothiazide (HCTZ), Lasix or other diuretics, you will need lab work before surgery. Please advise the schedulers and nurses from Surgery Center as well.
- Please have a full list of doses for all medicines, over-the-counter drugs, herbal medicines and inhalers that you take. Please bring a copy of this to the Center. You may download a copy here.
- Some physicians have you pick up your prescriptions before surgery. That is a surgeon preference, and they will let you know if they do so. Otherwise, the prescriptions will be called into a pharmacy that you have chosen. They should be ready to be picked up on the way home. Ask the pharmacist about any side effects or other concerns before taking them.
- If you have any questions please do not hesitate to call.
If you experience any changes in your health between the times of your last office visit and your scheduled surgery, please notify your physician. Examples of changes in health include a cold, cough or fever.
Day of Surgery
Upon arrival at the Center, your registration will be completed and you will meet your surgical team to prepare for surgery. Any additional questions that you may have will be answered at that time.
Insurance & Fees
At Buena Vista Surgery Center, we are committed to the success of your medical treatment and care. Please remember that payment of your bill is part of your treatment and physician care.
Buena Vista Surgery Center is contracted with many Preferred Provider Organization (PPO) insurance plans, but have found it necessary to care for some patients from outside of their carriers network (out-of-network), in order to provide the best service. We urge you to call your insurance plan so you can have an informed understanding of services that are included and are not included with your health plan. The center will file insurance claims for all services, even for out-of-network patients. Even if Buena Vista Surgery Center is not a contracted provider with your health insurance plan, we will strive to make care as affordable as possible for you.
The center also accepts Medicare and selected Worker Compensation plans. There is special pricing and payment plans available for patients without insurance coverage. We accept payment in the form of cash, check, VISA and MasterCard.
If you have questions about insurance coverage, out-of-network coverage or billing, please contact the Billing Department at MedBridge, our management company. They are on-call to answer any and all patient questions. Please call 1-888-282-7472 and follow the prompts to get to a representative that can help answer all of your insurance and payment questions.
After Your Surgery
After your surgery is completed, you will be in the postoperative care unit, where the average time spent is one hour, depending on your surgery and the type of anesthesia given. When recovery is sufficient, the anesthesiologist will release you.
Upon release, your surgeon will provide you with specific postoperative care instructions related directly to your surgery. Please review these carefully. In addition, follow the general instructions below:
- Follow your physician’s specific instructions regarding activities, diet, rest and medications closely.
- For your protection, avoid making important decisions or signing important documents for at least 24 hours following your procedure.
- Plan to have a responsible adult drive you home and stay with you for 24 hours after your surgery.
- Do not drink alcoholic beverages for 24 hours following your surgery.
A Center staff member will call the following day to check your progress and answer questions.
Frequently Asked Questions
What if I need to cancel my appointment?
Please call your phsician’s office during business hours and allow at least 24 hour notice so that we can offer your appointment time to patients on our waiting list.
How should I prepare for surgery?
You will receive a call from one of our friendly nursing staff and it is essential that you follow any instructions that our nurses and/or your physician may give you. Our staff will answer any questions or concerns that you have a guide you through the process as they review your health history.
What do I need to bring with me to my procedure?
Please print out and complete the Buena Vista Surgery Center’s check in forms located on the Patient Forms page. Please also bring your driver’s license and any copays/insurance payments that are due.
What do I do immediately following surgery?
Immediately after your surgery is performed, you will be moved to the Post Anesthesia Care Unit (PACU) where you will be carefully monitored by members of our nursing staff. Recovery time ranges from 20 minutes to an hour. When you feel ready to go home the nurse will discuss discharge instructions with you and your responsible party that will drive you home. Instructions will include information on wound care, bathing and activity restrictions, diet, and symptoms to report to your physician. Please reference your discharge instructions for any questions or concerns you may have.
Once I pay the fee to Buena Vista Surgery Center, will I have to pay anything else?
There are three fees associated with out-patient surgery. This fee is for facility only. Your surgeon will bill separately for their professional time and any anesthesia will be a separate billing. Your financial liability is based on your insurance benefits. While we try to give the closest estimate we can for contracted cases, our billing to your insurance company is based on what your physician does in the Operating Room – which can change based on your medical needs. For non-contracted cases, the amount listed on your Financial Letter is the total amount of what you will owe for your procedure.
I have insurance, why do I have to pay?
Not all insurance plans cover you 100%. Often you have a deductible that has to be met before your co-insurance kicks in. If your plan covers you 80%, then you are responsible for the remaining 20% co-insurance.
What are my insurance and payment options?
All of our billing, coding, and collections is done through our outside management company, MedBridge. They are on-call to answer any and all patient questions. Please call 1-888-282-7472 and follow the prompts to get to a representative that can help answer all of your insurance and payment questions. Since we communicate with them regarding all our scheduling on a daily basis, they know who you are and most likely have already contacted your insurance company if you’ve scheduled a case here at Buena Vista Surgery Center. So feel free to call with any questions or concerns.
More Billing Questions?
Please let us know here at Buena Vista Surgery Center if there are any questions that remain unanswered. Insurance issues and co-pays can get quite complicated but MedBridge is here to take away any confusion so that your experience at Buena Vista Surgery Center can be most enjoyable.
Our policy regarding billing patients for “out-of-network” surgeries is based on two central principles:
- Providing certainty to the patient, and
- Ensuring collection by the surgery center.
Your insurance carrier might refer to our surgery center as an “out-of-network” facility. This does not mean that we do not accept your insurance, but it does mean we do not currently have a contract with your particular health insurer. However, if you have an insurance policy with out-of-network benefits (e.g., a PPO policy), you have the additional benefit of visiting physicians and surgical facilities that are outside of your insurance carrier’s network, such as our surgery center.
We choose to stay out-of-network with certain insurance companies to maintain flexibility in optimizing your treatment. By staying out-of-network, we can tailor our processes to suit our surgeons, the surgeries performed here, and, most importantly, our patients. We are pleased to enter into contracts with insurance companies if it is in the best interests of the surgery center’s patients and medical staff. Of course, contracted rates need to match or exceed our competition’s pricing in the marketplace. (We generally consider our competition to be the local hospital outpatient departments.)
Our surgery center may choose to remain out-of-network with a specific insurance company because the insurance company cannot or will not offer contracted rates that compare well with those of our competitors. However, we do not want our patients to be financially harmed by our status as an out-of-network provider. For that reason, in determining what to charge a patient who has out-of-network insurance, we try to adjust the patient’s portion of the payment to compare to what the patient might pay in-network. We are able to provide these discounts because we collect at least 50% of the payment on or before the date of service. This comes at a risk to us, since we agree to perform the services without knowing what the insurance company will ultimately pay us.
So, if you are a patient with out-of-network insurance benefits, in most circumstances* we can offer you the following at our surgery center:
- The certainty of knowing, before your surgery, what you will pay;
- A discounted cost to you that is reasonably based upon your in-network benefits – so long as you pay at least 50% of that amount on or before your surgery date; and
- The assurance that if you pay 100% on your surgery date, you will never receive another bill from us.
This policy is based upon both our concern for patients’ best interests and our need to make sound business decisions. First, we consider our relationships with our patients to be the highest priority. We endeavor to give our patients assurances about the amount they will owe when they come for service at our surgery centers. Navigating the insurance process is daunting and confusing, and we are committed to helping our patients avoid the stress of these unknowns.
Additionally, we understand that when patients are billed for medical care after they receive service, they are 50% less likely to pay their responsibility. Therefore, we offer incentives for the patient to pay before, or on, the date the patient receives service, which increases the likelihood of receiving payment and reduces the overall cost of health care by eliminating the need for collections and follow-up with the patient.
We are happy to answer any questions you may have. Please call the MedBridge Patient Services Department at 855-633-2743 M-F 8am-5pm. This is a toll-free number, so it won’t cost you anything to call.
*To be eligible, you must be insured, in good standing with your insurance carrier, and your claim must not be denied. Other exceptions may apply.
Your Rights and Protections Against Surprise Medical Bills
When you receive emergency care or are treated by an out-of-network provider at an in-network hospital or ambulatory surgical center, you are protected from surprise billing or balance billing.
What is “balance billing” (sometimes called “surprise billing”)?
When you see a doctor or other health care provider, you may owe certain out-of-pocket costs, such as a copayment, coinsurance, and/or a deductible. You may have other costs or must pay the entire bill if you see a provider or visit a health care facility that isn’t in your health plan’s network.
“Out-of-network” describes providers and facilities that have not signed a contract with your health plan. Out-of-network providers may be permitted to bill you for the difference between what your plan agreed to pay and the full amount charged for a service. This is called “balance billing.” This amount is likely more than in-network costs for the same service and might not count toward your annual out-of-pocket limit.
“Surprise billing” is an unexpected balance bill. This can happen when you cannot control who is involved in your care—like when you have an emergency or when you schedule a visit at an in- network facility but are unexpectedly treated by an out-of-network provider.
You are protected from balance billing for:
If you have an emergency medical condition and get emergency services from an out-of- network provider or facility, the most the provider or facility may bill you is your plan’s in- network cost-sharing amount (such as copayments and coinsurance). You cannot be balance billed for these emergency services. This includes services you may get after you are in stable condition, unless you give written consent and give up your protections not to be balanced billed for these post-stabilization services.
California state law has similar protections to the federal No Surprises Act.
Certain services at an in-network hospital or ambulatory surgical center
When you get services from an in-network hospital or ambulatory surgical center, certain providers there may be out-of-network. In these cases, the most those providers may bill you is your plan’s in-network cost-sharing amount. This applies to emergency medicine, anesthesia, pathology, radiology, laboratory, neonatology, assistant surgeon, hospitalist, or intensivist services. These providers can’t balance bill you and may not ask you to give up your protections not to be balance billed.
If you get other services at these in-network facilities, out-of-network providers cannot balance bill you, unless you give written consent and give up your protections.
You are NEVER required to give up your protections from balance billing. You also are not required to get care out-of-network. You can choose a provider or facility in your plan’s network.
California state law has similar protections to the federal No Surprises Act.
More information can be found at California Department of Managed Care Surprise Medical Bills Fact Sheet: https://www.dmhc.ca.gov/Portals/0/HealthCareInCalifornia/FactSheets/fsab72.pdf
When balance billing is not allowed, you also have the following protections:
You are only responsible for paying your share of the cost (like the copayments, coinsurance, and deductibles that you would pay if the provider or facility was in-network). Your health plan will pay out-of-network providers and facilities directly.
Your health plan generally must:
Cover emergency services without requiring you to get approval for services in advance (prior authorization).
Cover emergency services by out-of-network providers.
Base what you owe the provider or facility (cost-sharing) on what it would pay an in-network provider or facility and show that amount in your explanation of benefits.
Count any amount you pay for emergency services or out-of-network services toward your deductible and out-of-pocket limit.
If you believe you’ve been wrongly billed, you may contact the Centers for Medicare and Medicaid Services at CMS at www.cms.gov for your rights under federal law.
For more information about your rights under California state law, visit California Department of Managed Health Care at www.dmhc.ca.gov or California Department of Insurance at www.insurance.ca.gov.
Pay Your Bill