Dr. Klimkiewicz is committed to assisting you with your orthopaedic needs. He is willing to work with his patients to minimize financial burden. Please read below to understand our office insurance policy. If you have questions or concerns, please feel free to email Dr.Klimkiewicz’s medical assistant at email@example.com or call 202-787-5601 extension 512.
As a partner of Washington Orthopaedics and Sports Medicine, Dr. Klimkiewicz does not participate with commercial insurance plans (Blue Cross/Shield, Aetna, United Healthcare, Cigna, etc.). We are considered “Out-of-Network” for these insurance plans. We do accept Medicare, some Tricare plans, and specific Worker’s Compensation cases. Often, our non-participation in commercial insurance is incorrectly simplified as meaning, “WOSM doesn’t take my insurance.” What non-participation actually means is that WOSM does not allow insurance companies to arbitrarily set coverage and payment for our services, and we do not necessarily accept their reimbursement as payment in full. If you have any questions regarding your plan and wonder how Dr. Klimkiewicz can work with you, please do not hesitate to call.
We will provide our patients with all the necessary paperwork at the end of their visit to submit to their insurance company. By empowering our patients to interact directly with their insurance carrier, there will be less confusion regarding service coverage and reimbursements will go directly to the patient rather than to WOSM.
Surgical procedures are not charged to the patient the day of surgery. It is our custom and practice to submit surgical charges to the insurance carrier following the procedure and allow processing and payment from the carrier before charging any balance. Please be advised that deductible and co-insurance responsibilities are insurance-assigned patient payments based on plan specifics. Failure to collect deductibles and/or co-insurance assignments is known as “fee-forgiveness” and is unlawful. Other portions of the balance bill are addressed on a case by case basis as a private arrangement between Dr.Klimkiewicz and the patient. Dr. Klimkiewicz is dedicated to providing the highest quality of surgical care from pre-operative evaluation through the recovery process and every effort is made to accommodate patient needs. We encourage patients to discuss financial questions and necessary arrangements prior to undergoing treatment. Our billing and collection department is also available to discuss expected charges and coverage pre-operatively, so as to limit post-operative confusion. Don’t hesitate to ask, we’re here to help.
Worker’s Compensation Patients
We require that you have a letter of authorization on file with our office prior to your appointment. Please call our offices directly to schedule your appointment. If we do not have this letter by the time of your appointment, your appointment may be rescheduled.