ASA :: Insurance

Insurance Here at Advanced Surgical Associates, we strive to provide our patients with the best care in a safe, comfortable, friendly atmosphere. Our surgeons, in particular, are delicated to giving each patient the professional surgical expertise and care they deserve.

We accept all types of insurance, including PPOs, HMOs, Premier Care, PMG, and SCFHP, as well as State and Federal Health Coverage Plans, including Medicare and Medical. Our office is here to help you with any questions regarding insurance matters. You are always notified before your surgery as to whether your insurance coverage requires a deductible, co-pay, or patient's portion, or whether they provide full coverage for the specific procedure you need.

Regretfully, we cannot inform you of any facility fees, or any additional fees, that may incur at the hospital, including fees related to anesthesiology, pathology should a biopsy be taken, etc. We encourage you to discuss these matters directly with your insurance provider or with the facility where surgery will be performed.

Also if you do not have insurance, we will gladly accept cash or checks.

What is the difference between an HMO and PPO?
(HMO) Health Maintenance Organization A health care payment and delivery system involving networks of doctors and healthcare institutions. It offers consumers a comprehensive range of benefits at one annual fee (often with co- payments or deductibles that vary from service to service) but they can see only providers in the network. Physicians and other health professionals often are on salary or contract with the HMO to provide services. Patients are assigned to a primary care doctor or nurse as a "gatekeeper" who decides what health services are needed and when. For now, for HMO members, we only contracted with PHYSICIANS MEDICAL GROUP of SAN JOSE.

(PPO) Preferred Provider Organization. A network of medical care providers that provides various medical care services to covered employees and retirees for specified fees. Although fees charged by PPO providers are usually less than those charged by non-PPO providers, the employee may seek treatment from any provider. We contract with most of PPO plans

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