Financial Information

Financial Information

Financial Responsibility

It is expected that deductibles, co-payments, and other amounts not covered by insurance will be paid prior to services being provided. Accepted forms of payment include personal check and credit card. Payment may be made over the phone prior to your procedure or at check in at Baylor Scott & White Surgicare Southlake. If you have questions at any time, let us know.

Questions About Your Bill

After you’re discharged, a statement will be mailed to you for any balance due after your insurance company has processed your claim. Payment is due upon receipt and may be made by personal check or credit card.

When you receive your statement, please contact the phone number printed on your statement.

Financing Option(s)

CareCredit Credit Card

We accept the CareCredit credit card to help you finance your healthcare wants or needs. It can be used to pay for out-of-pocket expenses like deductibles and copays not covered by insurance.

  • CareCredit offers promotional financing on purchases of $200 or more.*
  • To apply for or pay with the CareCredit credit card, visit our Pay Bill Online page for a facility specific link.
  • Call your surgical facility if you have any questions.
*Subject to credit approval. See provider for details.

 

NOTICE

This facility’s policy is to provide charity care to patients who meet the eligibility requirements for such care. Individuals seeking information about the charity care program and how to apply for charity care should contact the admitting or business office to obtain detailed policy information and an application.

Financial Assistance Application (opens in new tab)