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Capital Orthopaedics & Sports Medicine contracts with most all major insurance plans. Insurance contracts do occasionally change, and sometimes employers will restrict which doctors or practices you are able to see with full coverage. We recommend checking with your employer or insurance company, if you are concerned about any limitations on your physician network. Additionally, please call us with any questions! There are innumerably more plans we are in-network with than not; if you have your insurance card in front of you, our patient care coordinators will be able to help identify over-the-phone if you’re in-network. If they're not 100% sure, they will recommend you contact your carrier. Checking with your insurance provider is always the safest way to ensure no billing surprises.
Your copay will be required every time you have an appointment with a provider at Capital Orthopaedics. The only exception to this would be if you are seeing your surgeon for postoperative appointments in the first 90 days following a procedure. Those first 90 days are called your “global period” — roughly meaning that follow-up appointments during this time were already included in the cost of surgery. (The global period does not encompass x-ray or injection costs, so charges for services such as those will be billed to you if performed.)
A deductible is the amount that a patient must pay annually with their own money (out-of-pocket) before insurance will help take on the cost. For example, if your deductible is $1,000, your insurance company will not pay anything until you have paid $1,000 out of pocket. Deductibles vary not only by insurance company, but within plans, so you should read/call about your policy to determine yours.
Capital Orthopaedics does not bill third-party payors. If a third party has agreed to pay your medical costs, we recommend that when you receive bills from our office, you then forward them on to the party responsible.
You can call our billing department any time between 8 am and 5pm, Monday through Friday to discuss questions or concerns relating to bills you receive from Capital Orthopaedics. The direct phone number to reach this department is 515-245-5985. You can also call our main number (515-440-2676) and follow the prompts for billing or ask to be transferred there.
For your convenience, Capital Orthopaedics offers online bill payment through the patient portal or through our website. Click here to make an online payment now. If you would prefer, you may send your payments by mail to the following address:Capital Orthopaedics & Sports Medicine 12499 University Ave, Suite 210 Clive, IA 50325For questions or concerns regarding your bill, please contact our billing department at 515-245-5985. You can also call our main number (515-440-2676) and follow the prompts for billing or ask to be transferred there.
Capital Orthopaedics does accept self-pay patients, but we must be made aware of the situation ahead of time. The physician, scheduling team, and billing department will determine an estimated cost of the initial appointment, for which you will be required to pay half prior to seeing the doctor. The remaining half will be billed to you. A similar process will occur should any complex imaging (such as an MRI) or surgery be required to properly care for you and your issue. For patients without insurance who are able and willing to pay 100% of their medical bill within 30 days of the date of service, discounts may apply. Please ask the front desk for more information.
If needed, our billing department will work with you to determine a realistic amount to pay on a reasonable, recurring schedule. This will be agreed upon by both parties to ensure you are making progress on paying your bill, should you be unable to pay the full amount in the typical timeframe.
We are a specialty office – so the amount next to the word “specialist” or “specialty” is how much your copay will be at Capital Orthopaedics. Please call the number on the back of your insurance card prior to your appointment, if you need further clarification.
