Western Wayne Physicians participates with most health insurance plans. We recommend that you check with your insurance company to confirm benefit coverage prior to scheduling an appointment.
For billing and insurance questions, please contact our billing department at:
* (313) 386-3408 Monday through Friday 8:30 a.m.- 4:30 p.m.
Below is a list of insurances that Western Wayne Physicians participates with based on Medical Benefits. For behavioral Health benefits, please contact your plan directly, as they may have chosen to use a different company to administer these benefits which we may not accept.
Referrals and Authorizations
Many insurance plans require referrals and/or authorizations in order for services to be covered. A referral is permission from your primary care physician and your health plan to see a particular provider or to have specific procedures done. If your plan requires a referral, your primary care physician must provide the referral prior to services being rendered. If you arrive for services without a referral in place, you may be asked to reschedule your appointment.
Authorizations are often required for procedures such as surgery or high tech radiology (CT or MRI). If an authorization is required, Western Wayne Physicians staff will obtain the authorization from your health plan prior to the service. If you have questions about whether a service will be authorized, please call you health plan.
Participating Health Insurance Plans
- Blue Cross Blue Shield
- Blue Care Network (BCN)
- Health Alliance Plan (HAP)
- Priority Health
- United Healthcare-Allen Park does not participate
Thank you for choosing Western Wayne Family Physicians as your medical care provider. We are committed to providing you with quality and affordable health care. Because some of our patients have had questions regarding patient and insurance responsibility for services rendered, we have developed this payment policy.
We will inform you if we are a provider with your insurance, and will process claims in accordance with our agreement. We file insurance claims as a courtesy. Insurance is a contract between you and your insurance company. We will not become involved in a dispute between you and your insurance company regarding deductibles, co-payments, secondary insurance, usual and customary charges, etc, other than to supply factual information as necessary. You are responsible for timely payments of your account. Coverage limitations are dependent on individual and or employer group contracts. If you have questions about your insurance coverage, please contact your insurance carrier directly. If a balance remains after 60 days we retain the right to recover this amount as soon as possible.
Co-payments and deductibles. All co-payments and deductibles (except Medicare deductibles) must be paid at the time of service, unless you have a secondary carrier or other arrangements have been made prior to your appointment. The amount we collect is solely determined by what your insurance company tells us with regard to benefits and deductible information. Please help us by paying your co-payment at each visit. If you are without insurance (self-pay) and or the amount owed is large or represents a financial burden, please contact the office manager before your appointment.
Non-covered services. Please be aware that some, and perhaps all, of the services you receive may be non-covered or not considered reasonable or medically necessary by your insurance company. The fact that the insurance company doesn't cover the service doesn't mean that you don't need it. Your doctor will explain why he or she thinks that you can benefit from a service or procedure. If you elect to have the non-covered service, you must pay at the time of service. Knowing your insurance benefits is your responsibility. Please contact your insurance company with any questions you may have regarding your coverage.
Claims submission. We will submit your claims and assist you in any way we reasonably can to help get your claims paid. Your insurance company may need you to supply certain information directly. It is your responsibility to comply with their request.
Coverage changes. If your insurance coverage changes, please notify us before your next visit so we can make the appropriate changes to help you receive your maximum benefits. We not longer have family or joint accounts, so please remember all accounts are separate.
Missed appointments. We reserve the right to charge for missed appointments for those that are not canceled with 24 hours notice of the appointment. This is not payable by insurance, and must be paid by you prior to your next appointment. Our fee is $60 for new or return visits. These changes will be your responsibility and will be billed directly to you. Please help us serve you better by keeping your regularly scheduled appointment or canceling with us at least 24 hours in advance.
Acceptable forms of payments. We accept cash, check, money order, Visa, Mastercard, Discover and American Express. If your check is returned a fee of $25 will assessed for each personal check returned by your bank.
We understand that at times you may have trouble paying your bill. Please call our billing office at 313-386-3408 and they will work with you to set up a payment plan.
Good Faith Estimate
You have the right to receive a “Good Faith Estimate” explaining how much your medical care will cost
Under the law, health care providers need to give patients who don’t have insurance or who are not using insurance an estimate of the bill for medical items and services.
- You have the right to receive a Good Faith Estimate for the total expected cost of any non-emergency items or services. This includes related costs like medical tests, prescription drugs, equipment, and hospital fees.
- Make sure your health care provider gives you a Good Faith Estimate in writing at least 1 business day before your medical service or item. You can also ask your health care provider, and any other provider you choose, for a Good Faith Estimate before you schedule an item or service.
- If you receive a bill that is at least $400 more than your Good Faith Estimate, you can dispute the bill.
- Make sure to save a copy of your Good Faith Estimate for your records.
Questions About Your Rights?
Contact Michigan Department of Insurance and Financial Services (DIFS) Monday through Friday 8 am to 5 pm at 877-999-6442 or visit Michigan.gov/DIFScomplaints to file a complaint. For more information about your rights under federal law, call 800-985-3059 or visit CMS.gov/nosurprises.
For questions or more information about your right to a Good Faith Estimate and protections under federal law, visit CMS.gov/nosurprises