Important Information about your (Patient or Guarantor of Patient) Financial Responsibility for our Anesthesia Care:

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• Although we aggressively pursue to participate in all payor health plans, your insurance plan may not consider us to be in-network. As such, it is important you are aware of your financial responsibility if we are determined by your health insurer to be out-of-network.

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• In the event your health insurance considers us out-of-network, we will appeal this determination on your behalf to have the Fairhealth price covered by your health insurance. For more information on this appeal process, the status of your appeal, or to find out how you can assist with the appeal, please contact us.

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• As our in-network health insurance directory is frequently changing, we encourage you to contact us and to contact your health insurance for the most up to date status prior to your surgery.

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• Please see the following website links for additional helpful information: https://www.fairhealthconsumer.org