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Insurance & Billing Information

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We suggest that you contact your health insurance 聽plan <strong>before</strong> your appointment to verify benefits and coverage and to confirm that your Mayfield physician is a participating provider.</p> <h3 class="mt-4">Is my Mayfield provider covered by my insurance plan?</h3><p class="alert-info"> To find out if Mayfield is a participant in your healthcare insurance plan, you will need to call the phone number on your insurance card. If requested, Mayfield's Tax ID number is 31-0588183.<br /> </p> <h3 class="mt-4">Insurance Plans</h3> <p><strong>Mayfield is a participating provider with most major insurance plans:</strong><br /> </p> <div class="row"> <div class="col-sm-12 col-md-6 col-lg-6"> <ul><li>AARP Medicare Complete</li> <li>Aetna</li> <li>Anthem</li> <li>Buckeye Health Plan</li> <li>Care Source</li> <li>Cigna</li> <li>Direct Care America/Primary Health Services (DCA/PHS)</li> <li>Gateway Health</li> <li>Healthsmart (IHG)</li> <li>Humana</li> <li>Kentucky Medicaid</li> <li>Medical Mutual</li> </ul> </div> <div class="col-sm-12 col-md-6 col-lg-6"><ul><li>Medicare</li> <li>Medigold</li> <li>Molina</li> <li>Ohio Health Choice Plan (OHCP)</li> <li>Ohio Health Plan/Great West</li> <li>Ohio Medicaid</li> <li>TriCare</li> <li>United Healthcare</li> <li>Wellcare of Kentucky</li> <li>Wellcare of Ohio </li> <li>Workers' Compensation (Kentucky)</li> <li>Workers' Compensation (Ohio)</li> </ul> </div></div> <h4 align="left"> If you don&rsquo;t see your insurance plan listed, you can <a href="mailto:Comments@mayfieldclinic.com?subject=Participating Provider Question">contact us</a> to verify whether we participate with your plan. </h4> <p><strong>Payments</strong><br /> Your co-payment, co-insurance and deductible are due at the time of your visit.聽 If you require surgery, a payment request may be made prior to scheduling. For your convenience, Mayfield accepts cash, personal checks, and most major credit cards.</p> <p>You will not incur any out-of-pocket expense for the Priority Consult review. However, if your insurance company is contracted to pay Mayfield Clinic for the surgeon鈥檚 review, this payment will be reflected on the Explanation of Benefits (EOB) from your insurance company. This is for your information and is not a bill.</p> <p>If the surgeon recommends an appointment, treatment or procedure with a Mayfield physician, physical therapist, nurse practitioner or physician assistant, then that appointment will be billed to your insurance, and you may incur out-of-pocket expenses.</p> <p><strong>Please remember to bring your insurance card</strong>, Medicare or Medicaid card with you to your office visit. If you do not bring your card, we will ask that you pay at the time of your visit.</p> <p><strong>Health Plan or Managed Care Plan</strong><br /> If you are enrolled in a health plan or managed care plan, your co-payment will be collected before you see the doctor.</p> <p><strong>Medicaid/Managed Medicaid</strong><br /> If you are enrolled in a Managed Medicaid plan, your co-payment will be collected at the time of your visit. No payment is required for traditional Medicaid. A physician referral is required for both Medicaid and Managed Medicaid patients.</p> <p><strong>Medicare/Managed Medicare</strong><br /> If you are enrolled in traditional Medicare, 20% co-insurance will be collected at the time of your visit. However, if you have secondary coverage to Medicare, no payment is required.</p> <p>If you are enrolled in Managed Medicare, your copayment will be collected at the time of your visit.</p> <p><strong>Workers' Compensation and Self-Insured Employer</strong><br /> If you are being seen for a work-related injury, your claim must be approved by the Bureau of Workers' Compensation or self-insured employer.</p> <p>If approved, please provide the following information: date of injury, claim number, the name and billing address of the managed care organization that administers your benefits, and the name of your treating physician.</p> <p>If your claim is pending or not approved, Mayfield will submit a claim to your health insurance company. If you do not provide your workers' compensation claim number, and you do not have health insurance, we will ask that you make payment at the time of your visit. </p> <p><strong>Out-of-Network Insurance</strong><br /> If Mayfield Clinic is not 聽a participating provider with your insurance plan, we will assist you in obtaining benefits from your insurance company, but ask that you make payment at the time of your visit.</p> <p><strong>No Insurance</strong><br /> If you do not have health insurance, we ask that you make payment at the time of your visit. Please contact Mayfield's financial coordinators at 513-569-5300 if you have questions.</p> <p><strong>Refunds</strong><br /> If you have any questions concerning a refund on your account, please contact Mayfield's Patient Accounting Department at 513-569-5300 or 800-325-7787.</p> <br> </div> <div class="col-xs-12 col-sm-12 col-md-12 col-lg-4" align="center" id="carecred"> <p>&nbsp;</p> <p><br> <br/> </p> <a href="https://www.carecredit.com/apply/confirm.html?encm=AWBXblIwAWRWalI2U2dcNQc9A2EKaFZjAGUDMVE8VmI" title="Visit CareCredit.com" target="new"><img src="//www.mayfieldclinic.com/images/carecredit_button.png" alt="CareCredit.com" border="0" align="center" style="width:275px; height:auto;"><br>Apply Online</a><br><hr> <p class="btn btn-md text-center"> <a href="https://www.carecredit.com/Pay/364SFF/&?sitecode=B3CPLAdToolkitPMPCard">Make a payment</a></p> <h3 align="left">Mayfield accepts Care Credit Plus.</h3> <p align="left">To learn more about their low interest or no interest payment plans, visit <a href="https://www.carecredit.com/apply/confirm.html?encm=AWBXblIwAWRWalI2U2dcNQc9A2EKaFZjAGUDMVE8VmI" target="new"><strong>www.CareCredit.com</strong></a>聽or contact one of our financial coordinators at 513-569-5300.</p> <hr/> <div align="center"><h4>Pay with your smart phone</h4> <p class="btn btn-sm text-center papaya" style="background-color: #f17647; border-radius: 12px; padding: 20px 20px 5px 20px; max-width:225px;" ><a href="https://ppaya.com/paynow" target="new" id="papaya"> <img src="https://mayfieldclinic.com/images/papaya-logo.png" class="img-fluid"/> <br><i class="fa fa-lock" aria-hidden="true" style="color:gray;"></i><span style="text-size:.45em; color:gray;">powered by Papaya</span></a></p> <p><a href="https://ppaya.com/paynow" target="new">Click here to pay with your phone.</a></p> <p>Scan your bill with your phone. Secure, free. No account required.</p></div> </div> </div></div> </main> <div class="modal fade" id="calltext" tabindex="-1" role="dialog" aria-labelledby="calltextModalLabel"> <div class="modal-dialog modal-lg" role="document"> <div class="modal-content" style="border-bottom-left-radius:0px; border-bottom-right-radius:0px"> <div class="modal-header"><img src="https://mayfieldclinic.com/images/mbs-logo-2023.svg" alt="Mayfield Logo" class="img-fluid modal-logo"/> <button type="button" class="close" data-dismiss="modal" aria-label="Close"><span aria-hidden="true">&times;</span></button> <h4 class="modal-title" id="calltextModalLabel"> </h4> </div> <div class="modal-body" > <div class="container row" align="center"> <div class="col-md-12" align="center"> <a href="tel:15132211100"> <p> <img src="https://mayfieldclinic.com/images/icon_call_us_gray.svg" alt="Phone us" class="my-svg modal-phone rotate"> &nbsp; Click here to call 513-221-1100</p> </a><br/> <br/> </div> </div> </div> </div> <div class="modal-footer"> <button type="button" class="btn btn-prime" data-dismiss="modal">Close</button> </div> </div> </div> <footer class="color-bg" align="center" loading="lazy" aria-label="Page footer"> <div class="container-fluid" align="center"> <div class="container footer-fade row mb-3" align="center" > <div class="col-xs-12 col-sm-12 col-md-6 col-lg-4"> <div id="address" align="left"> <h5 aria-label="Contact information">Contact us</h5> <p>Mayfield Brain &amp; Spine<br /> <span itemprop="address">3825 Edwards Road - Suite 300 <br /> Cincinnati, Ohio 45209</span></p> <div id="phone"> <p>Appointments: 513-221-1100<br /> Billing: 513-569-5300<br /> Toll free: 800-325-7787</p> </div> </div> <div align="left"> <p align="left"><a href="mailto:Comments@mayfieldclinic.com?subject=Mayfield Email Inquiry"><img src="https://mayfieldclinic.com/images/icon_mail_gray.svg" alt="Send email" class="my-svg"/> Email us</a></p> <br/> </div> </div> <div class="col-xs-12 col-sm-12 col-md-6 col-lg-4" align="left"> <h5 align="left" aria-label="Social media information">Connect</h5> <div align="left"> <div class="icon-flex" id="social"><a href="https://facebook.com/mayfieldclinic" title="Mayfield on Facebook" target="new" ><img src="https://mayfieldclinic.com/images/sm-icon-fb.svg" alt="Our Facebook" class="my-svg"/></a><a href="https://instagram.com/mayfieldneuro" title="Mayfield on Instagram" target="new" ><img src="https://mayfieldclinic.com/images/sm-icon-insta.svg" alt="Our Instagram" class="my-svg" /></a> <a href="https://twitter.com/mayfieldclinic" target="new" title="mayfieldclinic on twitter"><img src=" https://mayfieldclinic.com/images/xtwitter2.svg" alt="Our Twitter feed" class="my-svg xtwitter " /></a> <a href="https://youtube.com/mayfieldclinic" title="Mayfield's YouTube Channel" target="new"><img src="https://mayfieldclinic.com/images/sm-icon-youtube.svg" alt="Our YouTube Channel" class="my-svg" /></a> <a href="https://linkedin.com/company/mayfield-clinic" title="Mayfield on LinkedIn" target="new"><img src="https://mayfieldclinic.com/images/sm-icon-linkedin.svg" alt="Mayfield on LinkedIn" class="my-svg"/></a></div> <br> <div class="icon-flex" id="subscribe"> <h5 align="left" aria-label="Blog/Newsletter information">Subscribe</h5> <p><a href="https://mayfieldclinicblog.com" target="new" title="Our Blog"><img src="https://mayfieldclinic.com/images/icon-blog-blue.svg" alt="Visit the Mayfield Blog" class="blog-svg" />Mayfield Blog</a></p> <p><a href="https://mayfieldclinic.com/newsletter.htm" target="new" title="Our Newsletter"><img src="https://mayfieldclinic.com/images/icon-newsletter-blue.svg" alt="Subscribe to our newsletter" class="blog-svg" />Mayfield Newsletter</a></p> </div> </div> </div> <div class="col-xs-12 col-sm-12 col-md-12 col-lg-4" align="center" id="partners"> <h5 aria-label="Partners" align="left">Partners</h5> <p align="left"><a href="https://mayfieldfoundation.org" target="new" title="Visit MayfieldFoundation.org" aria-label="Mayfield Foundation">Mayfield Foundation</a></p> <p align="left"> <a href="https://mayfieldsurgerycenter.com" target="new" alt="Spine Surgery Center Website" title="Visit MayfieldSurgeryCenter.com" aria-label="Mayfield Spine Surgery Center">Mayfield Spine Surgery Center</a></p> <p align="left"> <a href="https://mayfieldfoundation.org/mayfieldlab/" title="Visit MayfieldLab.com" aria-label="Mayfield Surgical Innovation Center" target="new">Mayfield Surgical Innovation Center</a></p> <p align="left"> <a href="https://gliamedia.com" target="new" title="Visit Gliamedia.com" aria-label="Glia Media">Glia Media</a></p> <p class="text-center" align="center"><a href="https://ipcdoctors.com/" target="new" aria-label="Visit ipcdoctors.com" title="link to Independent Physicians Collaborative"><img src="https://mayfieldclinic.com/images/ipc.png" border="0" align="center" class="img-fluid ipc" alt="go to Independent Physicians Collaborative" title="IPC" /></a></p> </div> <br> </div> </div> <div class="container-fluid" id="copyright" align="center" > <div class="col-lg-12 col-md-12 col-sm-12" align="center" aria-label="copyright"> <p class="copyright text-center">&copy; 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