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Policies, Insurance and Billing

There are a few policies to be aware of when being seen at Winchester ENT:

  1. Payment is required at the close of the appointment.
  2. Copays are due prior to being seen, patient will not be seen without paying copays if their insurance requires them.
  3. 24 hr confirmation calls will be made to remind you of your appointment.  If you fail to show for your appointment and do not give 24hr notification a $25 fee will be charged to your account and you will not be able to be seen until it is paid.  If you are scheduled to see the Audiologist as well you will be charged $50.
  4. If you no show for and office surgical procedure and do not call before 24hrs you will be charged $50.  If you do not show for a hospital surgery and fail to cancel within 24 hrs a $155 fee will be charged.
  5. Failure to pay your balance will result in you being turned over to collections.  We will attempt to communicate with your insurance, however, it is ultimately the patients responsibility for all fees incurred.
  6. Patients without insurance will be required to pay a $150  prior to being seen.  This may or may not cover full charges.  You will be required to pay the balance at your exit.  Before procedures are performed you will be informed of the price
  7. Prescriptions will be given at the time of your appointment.  The office will not call in or fax in refill prescriptions without a patient being seen.  Please remember to ask for any refill at the time of your visit.

Insurance

Winchester ENT participates with the following Insurances:

  • Medicare
    • Optima Medicare
    • Mt. State Freedom Blue Medicare Advantage
    • Anthem Medicare Advantage
  • Humana Medicare PPO
  • RR Medicare
  • VA Medicaid
    • VA Premier
    • Anthem Healthkeepers Plus
  • WV Medicaid
    • Unicare WV HMO
  • Tricare Standard (NO PRIME)
  • Anthem BCBS
  • Mt. State BCBS
  • Cigna
  • SIPA:
    • Aetna PPO / Wells Fargo PEIA
    • AmeriHealth
    • Community Health (Informed)
    • Coventry HMO/PPO/POS/Self Insured
    • Coventry/First Health
    • Optima PPO/HMO
    • Perdue Farms
    • Physician Services 4Most