Our Policies

Thank you for choosing Cape Obstetrics and Gynecology for your obstetrical or gynecologic care. Our mission is to provide comprehensive, compassionate and high quality care to all of our patients. Listed below are some general guidelines regarding our services.

For your appointment:

Please arrive 15 minute before your scheduled appointment in order to check in and fill out any necessary paperwork. Bring your insurance card and Photo I.D. with you. Please inform the receptionist when you arrive if there have been any changes to your name, address, phone numbers, insurance, pharmacy or primary care provider. Many insurance companies require a referral from your primary care provider prior to your visit with us. Please check with your insurance company.

If you must change or cancel an appointment, do so as early as possible. If you do not show up for your appointment, or cancel less than 48 hours before, a $25 fee may apply.

Telephone Advice:

Our nurses are available to answer questions from 9-4:30 daily.

If you reach a voice mail, please leave a detailed message including phone numbers where we may reach you. We will make every attempt to return your call promptly.

If an urgent question or concern arises after regular office hours or on the weekend, you may call the office and leave a message with the answering service. We will return your call as soon as we can.

Prescription Refills:

Please advise us during your office visit if you need any prescription refills.

If you need a refill between visits, You may call the office between 9 AM and 4:30 PM on weekdays. Please allow us ample time to process your request.

In order to call in your refill, we need to have your name, date of birth, phone number, pharmacy name and phone number and the name and dose of the medication that you need refilled.

We will make every effort to call in your prescription within 48 hours.

Test results

Pap smears: Abnormal Results will be communicated via a phone call from your provider as soon as results are available and we will also mail an Abnormal Results letter to you within approximately 2-3 weeks. Please visit our patient portal for Normal Results.  We will not provide verbal or written notification for normal results.

Blood tests: Most blood test results are available in 24-72 hours. Your provider will call or mail these results to you. Please call our nurse if you do not receive your results at the expected time.

Biopsies: Biopsy results are usually available in 7 days. We will call you as soon as we can. Please call our nurse if you have not received results in 2 weeks.

Insurance Coverage

Please check with your insurance company to verify our providers are in your plans network. Also, please review your insurance plan's schedule of benefits for coverage of office visits & procedures. Should you have any questions, contact your insurance company directly. Please confirm with our receptionist that we have your correct name, address, telephone numbers and insurance information at every visit.

Referrals

Some managed care plans (HMOs), such as HMO Blue and US Health Care, cover only one routine exam with a gynecologist per year. Under these plans, all other GYN office visits require prior authorization or referrals from your primary care provider. It is your responsibility to obtain the referral PRIOR to your visit. We will make every effort to work with you and your insurance company but if you do not have the referral numbers at the time of your visit you may be billed for the services rendered or may be asked to reschedule your appointment.

Annual Examinations

Many insurance plans (including Tricare, Blue Cross/Blue Shield Master Health Plus) do not cover routine examinations. Insurance coverage is generally provided for problem-oriented visits. A referral from your primary care provider may be necessary. Please check with your insurance company to find out about your specific policy. Please be mindful that any problems addressed during an Annual exam may be billed separately, and your insurance may assess a co-pay for that visit.

Medicare

Medicare will cover a routine annual GYN exam every two years and a routine mammogram every year for high risk women or women over age 40. Problem oriented visits will be covered by Medicare when deemed medically necessary.

Co-Pays

Co-pays are expected at the time that services are rendered.

Pregnancy

Most insurance companies consider a confirmation appointment the same as a problem visit due to a missed menstruation. Therefore, Co-Payment will be collected if applicable, and an Insurance referral may be required. Pregnancies are billed as a global fee. This covers routine OB office visits, delivery and postpartum care. Non-routine visits, lab work, ultrasounds, genetic counseling, amniocentesis and non-stress tests may not be included and will be billed separately. Please check with your insurance company regarding the coverage that they provide.

Managed care plans require a referral from your primary care provider for global prenatal care. It is your responsibility to obtain the referral prior to your visit. You will need separate referral numbers for non-routine visits during your pregnancy. A referral from your primary care provider may also be necessary for genetic counseling, perinatal consults and level 2 ultrasounds.

Ultrasounds & Labs

Falmouth Hospital & Premier Diagnostics provide formal ultrasound services for our practice. Premier offices are located in Falmouth and South Yarmouth. Their films are read by the radiology department at Brigham and Women’s Hospital in Boston.

If your health insurance does not cover your ultrasound, Premier requires that full payment be paid on the day services are rendered.

Cape Cod Healthcare Lab and LabCorp provide formal lab services for our practice. 

If your insurance requires you to use a specific facility or lab it is your responsibility to notify our practice at your appointment.

Please feel free to discuss any billing questions or concerns with the facility or lab that was used directly. Thank you.