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FINANCIAL AND INSURANCE INFORMATION

What Insurance plans do you participate with?
Participating with an insurance plan means we have contracted with them and follow the mutually agreed upon fee schedule. Patients are responsible for deductibles and co-pays as outlined in their plans. We have contracted with the following, but see many patients having an insurance plan with whom we are not contracted. We do bill those insurances also, but the patient may have a higher out-of-pocket financial portion than if they were treated by a participating physician.

  • Aetna
  • Auto Medical Coverage Plans
  • Banner Health
  • Blue Cross Blue Shield- all plans including out of the state of Colorado
  • CHP+
  • Casualty Management Network
  • Cigna
  • Cofinity
  • Colorado Access
  • Colorado Network
  • Coventry
  • GEHA
  • Great West
  • Lumenos
  • Medicare
  • Medicare Replacement Plans
  • Midlands
  • MultiPlan
  • Pacificare
  • PHCS (Private Health Care Systems)
  • Poudre R1 School District
  • Poudre Valley Hospital Plans
  • Rocky Mountain
  • Secure Horizons
  • TriCare Standard and Prime
  • Unicare
  • United Health Care
  • Workman's Compensation Plans

When might my surgery be covered by my insurance?
If our surgeons feel your procedure should be done for medical necessity, we will send a request for pre-authorization to your insurance company.  It is your insurance company's decision if they will provide coverage for you.  Your insurance coverage depends on the policy you have with them and your specific situation.  Each company has their own guidelines concerning medical necessity and what they consider cosmetic in nature.

A very important part of being an informed patient, is understanding your insurance benefits.  FIRST ...Plastic surgery does not necessarily mean cosmetic surgery!  Many carriers see "plastic surgery" and assume their insured is trying to have a cosmetic procedure performed at the insurance's expense.  Cosmetic surgery is performed to reshape normal structures of the body in order to improve appearance.  Reconstructive surgery is performed on abnormal structures of the body generally to improve function and restore a normal appearance.  It is unethical and fraudulant for a practice to represent any cosmetic procedure as reconstructive

Do you offer financing or payment plans?
Cosmetic procedures must be paid in full before the surgery date.  When you are having an insurance covered procedure, only the patient portion, not anticipated to be paid by your insurance is due before the surgery date.  This would include your deductible or co-pay.

Financing for our patients is provided by HealthOne.  You can call them at 1-888-748-3621 or visit their website http://www.healthone-financial.com/.

We accept MasterCard and Visa, cash and will accept personal checks if they are received 10 business days before your surgery. 

Northern Colorado Plastic Surgery