Financial Policy

For the past thirty years, Women's Health Care Center
of Houston has been dedicated to providing an excellent continuum of care in an ever-changing managed care environment. Please read the following carefully, non-compliance with the guidelines below may result in non-payment by your insurance company, and transfer of balance to you, the patient.

Patient Responsibilities Prior to Visit:

1.) Confirm, by calling the number on the back of your insurance ID card, that the physician you are seeing is "In-Network" as a contracted provider under your plan. If you are part of an HMO, verify with your insurance that the PCP you have on file does not inhibit your ability to "direct access" our physicians without a referral. Do not rely on provider directories, or our office staff, for confirmation of plans participation.

2.) If we are not providers under your plan, you are required to pay in full at the time of service. We are pleased to file the claim with your primary insurance, and will reimburse you if any benefits are paid.

3.) You MUST bring your current insurance ID card with you. Upon each visit you will be asked to present proof of coverage. Failure to provide proof of coverage, and the proper information to file with your current primary insurance, may require payment in full at the time of service, and each visit thereafter, until the necessary information to file your claim is received.

4.) According to your plan, you may need a referral from your PCP, authorization from your insurance company, or other requirements to visit our physicians. This is your responsibility to investigate and obtain, and failure to do so may require payment in full at the time of service.

5.) Well Woman, or Annual Exams, consists of a pelvic and breast exam, along with a PAP Smear, if indicated. This is considered preventive care, and is not covered by many insurance policies (including Medicare). Please check with your insurance carrier prior to your visit as to whether this is a benefit under your policy. Be prepared, if it is a non-covered service, to submit payment for the exam at the time of service.

It is ultimately your obligation to know your policy's benefits and limitations, as they are a private contract between you and your insurance company of which our physicians are not involved. By being proactive and responsible, you allow our providers and office staff to concentrate on the most important thing -- YOUR HEALTH!

If you have questions that your insurance carrier cannot answer, please do not hesitate to contact our office at (713) 365-2900, and ask assistance from one of the following financial counselors listed below:

Obstetrical Counselor: Joan at x2902

In-Office Procedures: Sylvia at x2953

Hospital Procedures: Debra at x2921 or Cynthia at x2930

Cynthia at extension 2930 can assist you with the way insurance has processed your claims;

Christina at extension 2941 can help with insurance updates or plan changes.

Patient Privacy

Please see our patient privacy statement.