PREPARING FOR SURGERY
There are a few things you can do when preparing for outpatient surgery at
Aestique Surgical Center
You may have already received your surgical packet from your doctor’s office. The information here is for your reference. Thank you.
Also, please note, if you test positive for Covid but have no symptoms your surgery will be delayed by 4 weeks.
If you have symptoms or have been hospitalized, your surgery will be delayed by 6 weeks.
INSURANCES AND PAYMENT OPTIONS
For your convenience, we do accept most insurance plans. For out of network costs, copayments or deductibles, we accept all major credit cards including Visa, MasterCard, Discover, American Express and CareCredit. We will bill you any balance due after your insurance company has paid your claim. We do ask that all balances are paid in full within 90 days. If you encounter a problem paying within the 90 days, please contact our office immediately at 724-832-7555 and ask for our ASC Billing department. Please remember that insurance is a contract between you, the patient, and your insurance company. Ultimately you are responsible for payment in full to Aestique Surgical Center, regardless of insurance determination to pay.
YOUR RIGHTS AND PROTECTIONS AGAINST SURPRISE MEDICAL BILLS
Your Rights and Protections Against Surprise Medical Bills
What is “balance billing” (sometimes called “surprise billing”)?
When you see a doctor or other health care provider, you may owe certain out-of-pockets costs, such as a copayment, coinsurance and/or a deductible. You may have other costs or have to pay the difference between the amount your health plan pays for the items and services and 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 facility that haven’t 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 charges 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 towards your annual out-of-pocket limit.
“Surprise billing” is an unexpected balance bill. This can happen when you can’t 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 you will have to pay the provider or facility is your plan’s in-network cost-sharing amount (such as copayments and coinsurance). You can’t be balance billed for these emergency services. This includes services you may get after you’re in stable condition unless you give written consent and give up your protections not to be balance billed for these post-stabilization services.
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 you will have to pay these providers 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 balanced billed.
If you get other services at these in-network facilities, out-of-network providers can’t balance bill you, unless you give written consent and give up your protections.
You’re never required to give up your protections from balance billing. You also aren’t required to get care out-of-network. You can choose a provider or facility in your plan’s network.
Contact the Pennsylvania Insurance Department at www.insurance.pa.gov/nosurprises or by phone at 1-877-881-6388 or TTY/TTD: 717-783-3898 if you have difficulty finding a provider or facility in your plan’s network.
When balance billing isn’t allowed, you also have these 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 towards your deductible and out-of-pocket limit.
Visit www.insurance.pa.gov/nosurprises for more information about your rights under federal and state law. You may also visit https://www.cms.gov/nosurprises for information from the federal government.
PREPARING FOR SURGERY
- Recovery time is approximately two hours for General Anesthesia and 45 minutes for I.V. Sedation.
- You will be instructed by the Pre-Admissions nurse regarding any restrictions with diet & fluid intake.
- It is necessary that we are informed of all medications that you are taking. If you take any routine medications, please consult us. Generally, you may take all routine medications EXCEPT antacid liquid, insulin, diuretics, or diabetic pills.
- DO NOT TAKE ANY HERBAL SUPPLEMENTS.
- Discontinue the use of aspirin, aspirin-containing products, vitamin E, Ginko and Ibuprofen TWO WEEKS prior to surgery. These products inhibit the normal blood clotting process and maycause excessive bleeding and/or bruising during and after surgery. If needed, use Tylenol instead. Other products that contain Aspirin or Ibuprofen and should be avoided include:Advil, Alka-seltzer, Anacin, Ascription, Bufferin, Coricidin, Dristan, Empirin, Excedrin, Fiorinal, Midol, Motrin, Nuprin, Percodan, Sine-Aid and most medications used to treat arthritis.If you take blood thinners such as Coumadin or Plavix, your physician will instruct you when to discontinue.
- Cleaning: Plastic Surgical Patients – wash the surgical site starting three days prior with an antibacterial soap.
- Make-up: Please do not wear moisturizers, creams, lotions or any makeup.
- Contact Lenses: Do not wear contact lenses.
- Clothing: Wear only comfortable, loose fitting clothing that does not go over your head. Abdominoplasty/Liposuction patients wear TED hose.
- Hearing Aid: If you wear a hearing aid, please bring it with you.
- Do not bring valuables with you. Please bring only your drivers license and insurance card for identification purposes during registration.
- Transportation: If you are scheduled to have anesthesia, a family member or responsible adult MUST be available to take you home and stay with you the night of surgery. Aestique® Ambulatory Surgical Center, Inc. cannot discharge you to a taxi or ride sharing service.
- Smoking: It is recommended that all smokers DISCONTINUE smoking for two weeks prior to surgery and two weeks after surgery. This will allow for ease in breathing both before and after anesthesia is administered and free blood circulation to promote tissue healing.
CONFIRMING SURGERY TIME
- An Aestique Pre Admissions Nurse will call you two (2) business days before surgery to review your pre-operative instructions and arrival time for the day of surgery.
- If you do not hear from a Nurse by 2:00pm, please call Aestique at (724)832-3085 or 1-800-832-6501 and request to speak with the Pre-Admissions Nurse.
- Be prepared to provide 2 phone numbers at which you can be reached should we need to contact you regarding a change in your surgery time.
- If you need to change or cancel your surgery date, please call Aestique® as soon as possible at one of the above numbers.
FOR YOUR FAMILY MEMBERS
- During this time, we are limiting surgical patients to only bring one person to their appointment with them. They will be permitted to wait in our waiting room, or if they prefer, they can give a cell phone number where they can be contacted and wait in their car or offsite.
- While your family member or friend is waiting for you, Aestique® has a medical day spa. You may make arrangements prior to the day of your surgery for your guest to pamper themselves with a spa treatment. Call 724-832-8266 for further information.
This will not affect most surgical procedures. Call us if you have any questions at 724-832-3085.