What is the Patient Assist program? What is the Rotator Cuff Repair Assist program?

The Patient Assist program is designed to help patients receive the surgeries they need at a fair and reasonable price. For patients that do not have insurance coverage for Rotator Cuff Repair Surgery, Patient Assist offers discounts that are similar to those an insured patient would receive – relieving the financial pressures that often result in patients delaying this critical surgery.

What is included in my quote from Patient Assist for my surgery?

All Patient Assist flat-rate prices include the physician’s fees, the facility’s fees, and anesthesia fees. It will also include the cost of all materials used during the surgery and any pathology or lab fees incurred if the physician requests that specimens be studied after your surgery. Before your procedure, you may be required to meet with the physician for an examination called a Consultation or Consult. The fee for this Consult is $150-200 which is already included in the Patient Assist flat-rate price.

How much does Rotator Cuff Surgery cost (without the Patient Assist program)?

Rotator Cuff Surgery is the collection of services from a facility, physician, and anesthesiologist. For all of these services, patients that do not use Patient Assist will typically spend around $15,000 and often exceed $30,000, however many patients are charged much more – sometimes exceeding $75,000, even $100,000– for the exact same procedure. Please see our “Pricing Guide” tab for more information on Rotator Cuff Repair Surgery costs.

How are your prices so much lower and are these doctors qualified?

Patient Assist works to negotiate – on your behalf – the same kinds of discounts that many insured patients receive. These discounts are then passed directly to you – the patient – ensuring you receive a fair price for your surgery.

This program would not be possible without the participation of our Medical Providers – the doctors and facilities that participate in this program. They believe in assisting patients like you and accept lower rates to make your procedure more affordable and therefore attainable. These providers offer exceptional care and meet a very high minimum standard – this is discussed in more detail another FAQ.

How will I be billed for my Rotator Cuff Surgery?

You will only be billed by New Choice Health (the parent company behind the Patient Assist program) for your procedure. If you are billed by anyone other than New Choice Health you should under no circumstances pay this amount and contact us immediately at concierge@newchoicehealth.com. You will be sent an invoice via email for your payment once you have chosen to schedule your procedure. This email will be sent by New Choice Health and it will come from quickbooks@notification.intuit.com. You are responsible for making your payment on time even if you do not receive the invoice. Claiming that you did not receive the invoice is not an acceptable excuse for late payment.

What forms of payment do you accept?

You can pay your invoice via the following payment methods: Credit Card, ACH / Bank Transfer, Check* or Money Order*, or via CareCredit. Please remember that payments must be received by New Choice Health 7 days prior to your appointment. Payments cannot be made directly to the provider.

For more information on CareCredit, see the FAQ on additional financing methods below.

Our program must operate very efficiently to provide these medical procedures at such heavily discounted rates. Therefore, we are unable to provide exceptions to our payment terms, and we do not have the resources to offer payment reminders.

* If you pay by check or money order, it must be received by New Choice Health 7 days prior to your appointment. Payments simply postmarked 7 days prior to the appointment are not considered on time. If your payment is not received by New Choice Health 7 days prior to your appointment it may be automatically rescheduled. Once you have completed your procedure, your payment(s) is non-refundable.

Can I pay with my Health Savings Account (HSA) or Flexible Spending Account (FSA)?

Yes. You will be provided a receipt upon payment of your invoice which you will need. Please contact the administrator of your HSA or FSA for more information.

Do you offer additional financing for my Rotator Cuff Repair Surgery?

Patient Assist offers additional financing through CareCredit for qualifying patients. CareCredit allows patients to pay the cost for their Rotator Cuff Repair Surgery over a longer period of time and often at no additional costs (e.g. no interest). To find out if you are eligible, please apply here:

What if I need to cancel my surgery?

Cancellations for a full refund are accepted up to 2 business days prior to your appointment. You will be charged all provider cancellation fees that are incurred when cancelling within 2 business days prior to your appointment. If you do not reschedule or cancel there is a $500 fee for not showing up for a scheduled appointment plus any cancellation fees from the providers. Please contact concierge@newchoicehealth.com immediately to cancel or reschedule your surgery or consultation. NOTE: If you cancel your procedure according to the terms above but after you have completed a consultation, you will not be refunded the consultation fee.

If you do not complete the preparation instructions fully and completely and the physician is not able to complete your procedure, you are still responsible for 85% of the flat rate price.

If you complete your procedure without making your payments on time, providing a check that is returned/NSF, or disputing your credit card charges, you are then responsible for the non-discounted procedure price of the procedure. This can be 3-5x the price you have been quoted. We offer no exceptions to this policy.

How will I know if my provider is safe and qualified for the procedure?

Any healthcare provider that provides services to our patients must meet our strict credentialing criteria. The criteria is designed to ensure a standard of care significantly higher than the national average.

Physicians must*:

1. hold an active license to practice in their state and be in good standing
2. have at least 7 years of experience practicing as a physician
3. be board certified in Orthopedic Surgery

(* Residents and physicians in training are not eligible for this program.)

Facilities must:

1. be state certified and in good standing
2. be accredited by either JCAHO, AAAHC, AAASF or CMS
3. must pass an in-person inspection (if determined necessary)