Patient Center

Billing & Insurance

Payment Policy

All copays and balances due are expected at the time of service. We accept Mastercard and Visa

Billing & Insurances

We accept nearly every major insurance plan. Because plan names and benefits change frequently it is your responsibility to learn the details of your plan’s benefits.

Depending on your insurance coverage, you may be responsible for co-payments, co-insurance, or other deductible amounts.

Please contact our billing office or call your insurance carrier should you have any questions.

Referral

Some insurance companies require a referral from your Primary Care Physician to be seen by an OB/GYN. Please check with your provider and insurance carrier before scheduling an appointment.

All referrals must be obtained prior to your appointment.

Frequently Asked Questions

What is a deductible?

A deductible is the amount you pay before your health plan begins to pay. A deductible amount is calculated yearly, so you have to meet a new deductible for each year of the policy.

What is a co-insurance?

Also known as cost-sharing, co-insurance is the portion of eligible expenses that plan members are responsible for paying, typically after the deductible is met. Co-insurance is usually a percentage of the provider's actual charge, or the allowed amount.

Why are there two charges (bills) for my ultrasound?

Premier Diagnostic Services is an on-site ultrasound provider and is not part of South Shore Women's Health. They and their employees are here as a convenience to our patients who otherwise would have to go to the hospital or to some other facility for their ultrasound.

Premier will bill you for conducting the ultrasound which is the technical component of the service. Questions regarding their services or bills should be directed to their billing office at 800-346-2111.

South Shore Women's Health will bill you for the physician reading and interpreting the ultrasound and explaining the results to you. This is the professional component of the service. Questions regarding their services or billing should be directed to our billing office at 339-201-4127.

Why am I getting a bill from Quest Labs?

Quest Labs is an on-site laboratory provider and is not part of South Shore Women's Health. They and their employees are here as a convenience to our patients who otherwise would have to go to the hospital or to some other facility for their lab testing.

Quest Labs bills separately for their services. If you have any questions regarding your billing, you should discuss it with the lab technician at SSWH or call Quest Labs's billing office at 866-254-3859, prompt #2.

How often will Medicare pay for a physical exam?

Medicare will cover one physical every 24 months and will include pelvic exam, a breast exam, and a PAP smear.

What is included in the Global maternity charge?

The global charge will include all routine OB office visits, the delivery charge, and post-partum visits and will be billed after delivery. Any non-routine visits, i.e., problem visits, will be billed separately as they occur.

What is a problem visit?

A problem visit is any visit that is not considered to be routine. Examples are pelvic pain, UTI, missed period, yeast infection, etc.

Annual Exam vs. Office Visit

On occasion, one appointment can meet the requirements of both an Office Visit and an Annual Exam. If this is the case, your Provider will submit a charge for both a yearly preventative physical exam and an office visit. If your Annual Exam includes consultation or treatment for an additional specific condition, your provider is legally required to report additional medical services on your bill.