Tuesday, November 12, 2019
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Monday – Friday, 8 a.m. – 5 p.m.

231.347.5155 • 800.968.5155

Patient Forms

In order to save time during the check in process, you are welcome to print, complete, and bring these forms to your scheduled appointment.

 

Resource Forms & Flyers 

 

 

Insurances 

Please be aware that many insurance websites are NOT updated in real time. Bay Street Orthopaedics has made recent changes reflecting their participation status.

If your insurance company is not on the list provided on our website, please call our office to verify.

  • Aetna
  • BCBS
  • Cigna
  • McLaren Health Advantage
  • Priority Health (Spine and Back requires appropriate authorization)
  • Medicare
  • Medicare Advantage Products
  • Michigan Medicaid
  • Michigan Medicaid HMO’s
  • Tribal Insurance (with appropriate authorization)
  • Tricare (Tricare Prime requires authorization)
  • Workers Compensation
  • Auto
  • ASR

(Effective March 23, 2018 we no long participate with Cofinity)

Payments

The patient is responsible for payment regarding medical services rendered including automotive, Workmens Compensation and liability claims.

To better assist you, please provide us with:

  • Insurance Carrier Name and Address
  • Insurance Adjustor’s Name and Address
  • Valid Claim Number

It is our policy to only bill insurance carriers or the patient. Claims denied become the patient’s financial responsibility.

Co-Pays and Deductibles

Co-pays and deductibles are due at the time services are rendered. Non-insured patients are offered a 10% discount for a full payment at the time services are rendered.

Patient Education 

Orthopaedic Links