Other forms:

OUT OF NETWORK

Even if we do not accept your primary insurance carrier, we may accept your secondary insurance or be able to work out an out-of-network coverage plan for you. If you do not have insurance coverage, allow us to assess your unique situation and work out an arrangement that is feasible for you.  Dr Harlan has surgical privileges at several facilities throughout the Kansas City Metro, which means your surgery will be performed at an in-network facility no matter what (the most expensive part!).  The only potential out of network charge would be Dr. Harlan's fees.  Most insurance policies have out of network coverage so your actual financial obligation may be smaller than you think.


Dr Harlan's bottom line is that his first priority is to figure out a way to get you the care you need and improve your health, and secondly, utilize all of our resources to make your surgery affordable.


Hip Surgery patient information: post-operative

New patient information:

Hip Surgery patient information: pre-operative

Prior to surgery, we will contact your insurance in attempt to obtain pre-certification and/or pre-authorization. Please note that authorization is not a guarantee of payment and insurance may not authorize procedures that are deemed experimental. After the surgery, as a courtesy to you, we will file a claim to your insurance company with a copy of the operative report and a description of services for any unlisted procedures. After the insurance company provides us with an explanation of benefits, you will be billed for any outstanding co-pays, co-insurance, and deductible amounts for covered procedures, and/or the Self-Pay rate for all non-covered procedures performed. If the patient responsibility is less than the pre-paid surgery deposit, a refund will be issued.

 If you do not have insurance or your insurance will not cover your surgery or a portion of your surgery you are called “Self-pay” for these charges.