Billing

Dr. J. J. Wendel Plastic Surgery welcomes you to our practice! If you are a new patient, please bring a photo ID, face covering or mask and a method of payment for your consultation fee. We also require you to complete our COVID-19 screening form and new patient paperwork.

With the exception of DIEP Flap Breast Reconstruction, Microsurgery and subsequent procedures for continuation of care, Dr. J. J. Wendel Plastic Surgery does not accept health insurance.

Our office is available to assist you at any time during normal business hours.

PAYMENT FOR SERVICES

Payment for services provided to you is ultimately your responsibility. For your convenience, we accept cash, Visa, Mastercard, Discover and American Express.

Q:  Do you offer payment plans?

A: Yes, payment plan programs are offered through Care Credit and M-Lend. Please visit our payment plan page for more details.

SELF-PAY

All New Self Pay patients will be required to make a deposit of $95 to $150 before being seen by any of our providers.

If you are self-pay, you will be expected to pay the day’s charges on the day of the service. When you pay at time of service you will be given a discount on eligible services. There may be additional charges for tests and other services rendered subsequent to your visit. You will be billed for these items. If you are having a surgery, you will be expected to make mutually agreeable payment arrangements prior to receiving the service. If the service is considered elective, payment must be made in full prior to the services being performed.

Note: We do not fill out FMLA and/or disability forms for cosmetic plastic surgery.

Health Insurance

Dr. J. J. Wendel Plastic Surgery accepts health insurance on an Out-of-Network basis for DIEP Flap Breast Reconstruction and Microsurgery. We are often successful in obtaining authorization numbers and “In Network” exceptions for these complex reconstructive plastic surgery procedures. We will work individually with you and your insurance company to make certain that you receive the care you deserve because you have paid your health insurance premium. We are on your side and will advocate for you.

If your particular insurance company does not allow you to choose your own doctor, we encourage you to select a different plan when it is time to renew your health insurance benefits.

Dr. J. J. Wendel Plastic Surgery only accepts patients with government medical insurance as private pay. We do not participate in government medical insurance, i.e. – Medicare, Medicaid, TennCare or TRICARE.

We do not accept health insurance for Cosmetic Surgery.

Please call (615) 921-2100 to discuss specific details with one of our team members.

Auto Insurance, Third Party Liability Insurance & Worker's Compensation

Unless you are seen by Dr. J. Jason Wendel in the Emergency Department, Dr. J. J. Wendel Plastic Surgery does not submit to Motor Vehicle Accidents (MVA) or Third Party Liability including Worker’s Compensation. You are responsible for payment in full at the time of your service. If you were seen by Dr. Wendel in the Emergency Department, you are required to submit claim details (claim#, contact info, billing address) at the time of your appointment to MVA or Third Party Liability. If you do not or are unable to present the required information at the time of your appointment, payment in full is required for MVA or any other accident-related injury.

As long as we receive all necessary information, Dr. J. J. Wendel Plastic Surgery will file claim(s) with the motor vehicle or third party insurance company that you designate. If the claims are denied, or a protracted lawsuit is involved, you are responsible to pay the account balance in full. We will bill your private health insurance for the balance left after your personal injury protection (PIP) is exhausted.

Billing Questions

Questions or concerns regarding your account or insurance claim should be directed to our office. Highly-trained experts in insurance billing have been instructed to make every effort to clarify any misunderstanding or confusion you may have concerning your account, (615) 921-2111.

Q: What do I do if my name, address or phone number changes or I have new Insurance?

A: Please contact our office at (615) 921-2100 to make these changes.

Q: If I have insurance, do I need to pay anything at time of service?

A: You are required by your insurance plan to pay any co-payment, co-insurance, or deductible that is due at time of service. We are required by our contract with your insurance plan to collect these payments.

BILLING STATEMENTS

Our statements include charges billed, the payments and adjustments related to those charges. These statements will reflect an amount due from you as well as a balance due from your insurance company. Patients with a personal balance will receive a monthly statement showing the specific amounts due. Patient balances are due upon receipt. Upon receipt of your statement if you are unable to make payment in full please contact our billing office to make payment arrangements. If you have any questions or concerns please contact our billing office, (615) 921-2111. If the patient is 18 years of age or older, that patient will be responsible for his or her own account; therefore, she or he will receive her or his own statement even if the 18 year old is still covered under her or his parent’s insurance.

CHARGES

Q: Why does my statement say I am responsible for a charge over the “usual, customary and reasonable” when my insurance company states that I am not responsible for anything?

A: “Usual, customary, and reasonable” is defined differently by each insurance company and may have little to do with cost of providing care in this area and is often ill-defined. If your insurance company is not fully covering the charges for your care from Dr. J. J. Wendel Plastic Surgery and is listing the service as a “non-covered service”, you are considered responsible for those charges. This also applies if your insurance is considered “out-of-network.

PAST DUE ACCOUNTS

Past-due accounts cost both time and money; therefore, patients with delinquent accounts will be required to make payment and/or payment arrangements.

Seriously past due accounts – those older than 90 days or those failing to honor agreed-upon payment terms – will be sent to a collection agency. If your account is sent to a collection agency you must pay all collection agency fees, plus any fees associated with the collection of this account. Additionally, patients can be dismissed from our practice for financial matters and will have to seek their health care elsewhere.