Patient Information

Patient Forms

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Hospital Privileges

  • Reading Hospital and Medical Center
  • Berks Urologic Surgery Center
  • Penn State Health St. Joseph

What to Bring to Your Appointment

  • Your ID card and insurance card
  • A list of current prescription or over-the-counter medications you are taking, including dose and frequency.
  • Pertinent information about your medical and surgical history. Bring any pertinent x-rays or records you may have.
  • Forms the office may have sent to you

How to Check-In Using the Kiosk

Payment & Insurances Information

In order to maintain vital health care services for our patients, it is necessary that you understand our credit and collections policies so that we might continue this care. Charges for medical services are due and payable at the time of the service. If you are unable to comply with this procedure, arrangements will be made with the billing department to set up a payment schedule. This will avoid misunderstandings and enable you to keep your account in good standing. Except when hardship or previous credit arrangements warrant otherwise, accounts 90 days past due are referred to a collection agency. It is also our policy, when an account is referred to collection, to terminate any further medical care until the account is satisfied.

Charges for medical care rendered by our physicians will be billed directly through this office and should not be confused with charges for care received by the hospital. We are participating members of Medicare, Berkshire Health Plan and Pennsylvania Blue Shield. Therefore, we will submit the claim directly to these carriers and accept the amount they pay as payment in full with the exception of any deductible, co-payments or non-covered services, which are your responsibility; and specific Blue Shield plans that involve the subscriber’s income.

We also participate in various HMO Groups. HOWEVER, NO APPOINTMENT WILL BE HONORED WITHOUT A REFERRAL FROM YOUR PRIMARY PHYSICIAN. THIS IS YOUR RESPONSIBILITY! You are responsible for the office co-pay amount with your HMO, and this is due and payable at the time of you visit.

If you are not a member of one of the insurance programs with whom we participate, i.e., commercial insurance groups, payment in full is expected at the same time of your office visit. Surgical procedures and testing done in the office will be billed to your carrier, but you are responsible for any balance remaining.

Insurance companies have a schedule of fees which they will pay. Your doctor’s fees may be more or less than the schedule of your insurance company. YOU ARE DIRECTLY RESPONSIBLE TO THE DOCTOR FOR YOUR ACCOUNT REGARDLESS OF YOUR INSURANCE SCHEDULE.

For Medicare Patients – We will submit your charges to Medicare first. If you provide our office with your secondary insurance information, we will submit the remaining balance to be reimbursed directly to our office. We will not submit to your secondary insurance if the total charge from Medicare was applied to you annual Medicare deductible. It is then your responsibility to do so.

Some insurance plans require precertification and second opinions. Therefore, we do require you to bring with you at the time of your visit your insurance cards so that we may retain a photocopy of this information to keep in your chart. Failure to do so may delay medical treatment.

We realize that the cost of medical care is rising at an alarming rate. We will make every effort to keep our fees appropriate and limit your medical care costs. All routine office visits are expected to be paid at the time of your appointment, unless you have an insurance with which we are participating. This will help us reduce the costs associated with billing. We accept personal checks, cash, Mastercard, Discover and Visa in meeting these obligations. Other arrangements can be made with our office manager depending upon special circumstances. We do not withhold medical services because of financial difficulties. If you need assistance with financial arrangements (payment plans), or have questions regarding payment information or insurance plans please contact our billing department at 610-372-8995 ext. 6.

We are happy to process the first insurance form for you at no charge as long as you have provided us with the appropriate insurance information. There is a $5.00 per form service fee for additional forms. We expect payment promptly if you receive a bill from our office for balances that may be due. Please feel free to discuss any questions you may have about billing with office staff.

Center for Urologic Care is a provider for most major insurance plans. However, it is in your best interest to contact our office to be sure we participate with your plan. Also, please review with your insurance customer service representative (or insurance provider) the rules and limitations on coverage and reimbursement. For HMO patients, please secure any required referral forms prior to your office visit.

Prescription and Renewal Information

All prescriptions and authorizations for renewals should be requested during normal office hours.

Notice of Privacy Practices

Our Notice of Privacy Practices describes how medical information about you may be used and disclosed and how you can get access to this information. Please review it carefully.

Nondiscrimination and Accessibility Requirements and Taglines (1557)