At Selim Surgery Center, we believe that access to expert surgical care should never be limited by financial uncertainty. That is why we proudly accept a wide range of insurance plans, making it easier for patients in our community to receive the high-quality care they deserve.
Below, you will find a list of the insurance providers we currently work with. If you do not see your provider listed, please do not hesitate to contact our team. We are happy to help verify your coverage and find the best path forward for your care.
When a provider like Selim Surgery Center is considered in-network with your insurance plan, it means we have a negotiated agreement with your insurance company. This generally results in lower out-of-pocket costs for you compared to seeing an out-of-network provider. Your insurer has pre-approved our rates, so your copays, deductibles, and coinsurance amounts are typically reduced. Before your procedure, we recommend confirming your in-network benefits directly with your insurance carrier, as coverage can vary between plans — even within the same company.
Whether you need a referral depends on your specific insurance plan. Many HMO (Health Maintenance Organization) plans require a referral from your primary care physician before you can see a specialist or schedule a surgical consultation. PPO (Preferred Provider Organization) plans typically do not require one. If you are unsure about your plan's referral requirements, we recommend calling the member services number on the back of your insurance card before your appointment. Our front desk team is also happy to help guide you through this process.
A surgical facility fee is a charge separate from your surgeon's professional fee. It covers the use of the operating room, equipment, nursing staff, supplies, and other resources required to perform your procedure safely. Most insurance plans provide coverage for facility fees when a procedure is deemed medically necessary, though the level of coverage varies. You may still be responsible for a deductible, copay, or coinsurance amount. We encourage patients to contact their insurance provider ahead of their procedure to understand exactly what portion of the facility fee, if any, they may owe out of pocket.
Prior authorization — also called pre-authorization or pre-approval — is a process by which your insurance company reviews and approves a procedure before it is performed. Many surgical procedures, particularly elective or specialty surgeries, require prior authorization to confirm they are medically necessary under your plan's guidelines. Without it, your insurer may deny coverage. Our team at Selim Surgery Center works proactively to coordinate with your insurance company to obtain any required prior authorizations before your procedure, so there are no surprises on the day of your surgery.
To help us process your coverage as efficiently as possible, please bring your current insurance card(s) to every appointment, including your surgical consultation and any pre-operative visits. If your plan requires a referral, bring that documentation as well. It is also helpful to have your insurance company's member services number available in case our billing team needs to verify your benefits in real time. If you carry secondary insurance, please bring that card too. Having all relevant information on hand helps minimize delays and ensures your billing process goes smoothly from the very start.
If your insurance plan does not cover a specific procedure, or if you are currently uninsured, we encourage you to contact our office to discuss your options. Our team can walk you through self-pay rates and available payment solutions so that cost is never a barrier to the care you need. In some cases, an appeal can be filed if your insurer denies a claim for a procedure your surgeon has deemed medically necessary. We are committed to working with every patient to ensure access to safe, effective surgical care, regardless of insurance status.