Office Policies
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Pediatric Surgical Associates (PSA) accepts most major insurance plans, however, it is up to the policy holder to contact their insurance company to verify that PSA and its providers are in-network.
Every effort is made to keep down the cost of medical care, and our fees are available upon request. We are happy to help you with an estimate of what your surgical costs may be. Please remember; even if you have insurance coverage, you are still responsible for the payment of your account.
Please be aware that some insurance companies do not cover all medical costs. It is your responsibility to pay any deductible, co-payment, or other balance not paid by your insurance company.We will make every effort to help you receive the maximum benefits available to you under your policy. For patients who do not have insurance coverage, please make the necessary arrangements for payment with our billing department.
If you have any billing or insurance questions, please call (952) 835-9442.
Please be aware of the following:
Please bring your current health insurance card to your office appointment.
Notify us immediately of any changes in insurance, address or phone number.
Please be prepared to pay your co-pay at the time of service, or if you do not have insurance, to pay for your visit in full.
Please pay your bill in full when you receive your statement or make payment arrangements with our business office.
If your insurance is found to be ineligible (meaning we are not in-network), and you wish to proceed with your appointment, you must self-pay for the appointment at a cost of $480.00. You will be notified of this prior to your appointment if this applies to you.
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A maximum of TWO legal guardians are permitted to attend appointments. We encourage no additional siblings to attend.
Within 5 days of the appointment, if you have any symptoms of illness, you must call our office to reschedule. For the health and safety of other patients and our staff, please don’t arrive with an illness. Thank you for your cooperation and understanding.
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We require 24 hour notice if you need to cancel your appointment.
Surgery
Surgeries are scheduled through our Minneapolis, or by phone. Questions or requests regarding the scheduling of your child’s surgery should be directed to our surgery scheduling team at 612-813-8000 (option 2).
Office Appointments
Patients are seen by appointment only. Please call 612-813-8000 (option 3) to schedule an appointment. Schedulers are available Monday-Friday from 8:30 a.m. to 4:30 p.m. to assist you in scheduling. They can be reached directly at 612-813-8000 (option 3).
Telehealth
Pediatric Surgical Associates offer telehealth appointments for certain qualifying visits. If your first visit with us is a telehealth appointment, you must complete all paperwork online by 3:00 PM on the day-before your appointment. If paperwork has not been received by this time, the appointment will be canceled.
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Appointment No-Show Policy:
Failure to cancel an appointment within 24 hours, or failure to appear, may result in the following charges:
New patients: $250.00
Follow-up patients: $150.00
Significant time and resources are committed to the preparation of each appointment by our providers and administrative staff. Appointments are in high demand, making our provider’s time extremely valuable. When an appointment is missed without adequate notice, it takes an available appointment away from other potential patients, delaying the delivery of health care to other patients, some of whom are quite ill.
Additionally, two consecutive no-shows may result in being discharged from our practice.
If you have additional questions, please contact our business office at 952-835-9442.
If you know you cannot make your scheduled appointment, please call (612) 813-8000 (option 3) to cancel or reschedule.
Late Policy:
We understand that delays can happen; however, we must try to keep the other patients and doctors on time.
If a patient is 15 minutes past their scheduled time, we will reschedule the appointment, unless certain circumstances arise.Circumstances include but are not limited to:
1) Inclement weather
2) Delay in Radiology or Lab
3) Provider decides to see the patient. -
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Our responsibilities:
Pediatric Surgical Associates adheres to all Federal civil rights laws. We do not discriminate on the basis of race, color, national origin, age, disability, sexual orientation or gender. We do not exclude people or treat them differently because of their race, color, national origin, age, disability, sexual orientation or sex, including gender identity.
We help people with disabilities to communicate with us. This help is free. It includes:
Qualified sign language interpreters
Written information in other formats, such as large print, audio and accessible electronic formats
We provide services for people who do not speak English or who are not comfortable speaking English. These services are free. They include:
Qualified interpreters
Information written in other languages
Under the Americans with Disabilities Act of 1990, Pediatric Surgical Associates promises to provide full and equal access to our healthcare services and facilities and will provide reasonable modifications to policies, practices, and procedures when necessary to make health care services fully available to individuals with disabilities, unless the modifications would fundamentally alter the nature of the services. Please notify our staff at the time of scheduling or upon check-in if accommodations are needed.
For language or communication help:
Call 612-813-8023 if you need language or other communication help.
If you have questions about our non-discrimination policy:
Please contact our main office line at 612-813-8000.
To file a grievance:
If you believe that we have not provided these services or have discriminated against you because of your race, color, national origin, age, disability or sex, you can file a grievance by contacting the Civil Rights Coordinator at 1-844-363-8732, or Civil Rights Coordinator, Office of Integrity and Compliance, MS 21103K, 8170 33rd Ave S., Bloomington, MN 55425.
You can also file a civil rights complaint with the U.S. Department of Health and Human Services, Office for Civil Rights, electronically through the Office for Civil Rights Complaint Portal, available at ocrportal.hhs.gov/ocr/portal/lobby.jsf, or by mail or phone at:
U.S. Department of Health and Human Services
Room 509F, HHH Building
200 Independence Avenue SW
Washington, DC 20201
1-800-368-1019
1-800-537-7697 (TDD)