CNSO Is In-Network for Most Health Insurance Providers

Medical practitioner reassuring patient in exam room

Centers for Neurosurgery, Spine & Orthopedics (CNSO) is known for its board-certified neurosurgeons, orthopedic spine surgeons, reconstructive surgeons, plastic surgeons, hand surgeons, pain management doctors, and physical therapists. This highly skilled medical staff is New Jersey’s most comprehensive group of physicians who treat medical and surgical conditions involving the:

  • Brain
  • Spine
  • Hand
  • Breast
  • Cosmetics
  • Musculoskeletal system
  • Nervous system
  • Integumentary system

Patients who need brain, spine care, and reconstructive surgery can trust CNSO’s team of specialists. CNSO is recognized as an in-network provider for major insurance companies. Here, Centers for Neurosurgery, Spine & Orthopedics discusses in-network coverage.

How To Find a Doctor In-Network

According to the Federal No Surprises Act, all insurance companies are to accurately list doctors by specialty, name, or location, on their website. Yet sometimes this data is outdated or inaccurate. So finding a doctor who is right for you can be a project. Insurance companies prefer patients use in-network providers because in-network doctors accept a contracted rate that is lower than the market value rate. Doctors agree to treat patients at a discounted rate because of their name being listed on the insurance company’s website and in the hopes this listing will result in a higher volume of patients.

The list of those contracted providers is referred to as a network of physicians. Insurance companies further promote the use of their in-network doctors by having a lower deductible or co-insurance percentage that is paid by the patient. However, the Federal No Surprises Act reduced the financial cost to the patient on using an out-of-network provider for surgical procedures or emergency care.

Patients can find out if their healthcare provider is considered in-network by:

  • Visiting the insurance company’s website: All insurance companies must have websites with search functions that allow patients to search by provider name or type of care needed and state the in-network reimbursement rates and patient out-of-pocket costs.
  • Calling the insurance company: All insurance companies have customer service and member service teams who can assist patients with finding out if providers participate in their networks.
  • Asking the care provider’s office: The healthcare provider a patient wants to see will know which insurance companies they are in-network with and the patient’s rights to use out-of-network services. Calling CNSO will answer all questions.

Insurance Companies CNSO Works With

CNSO is currently in-network with the following insurance companies:

  • Blue Cross Blue Shield
  • Horizon
  • United Healthcare
  • Oxford Healthcare
  • MagnaCare

As network status does change, patients who do not see their insurance provider listed should contact CNSO. Thanks to the No Surprise Act, the in-network versus out-of-network status has a minimal financial effect on the patient.

No Surprises Act

As of January 1, 2022, the federal government passed an act called the No Surprises Act that protects patients from surprise medical bills. Patients who have a health plan are protected from:

  • Surprise bills for emergency services from an out-of-network provider or facility without prior authorization.
  • Out-of-network cost-sharing, like out-of-network coinsurance or copayments, for all emergency and non-emergency services provided at in-network facilities.
  • Out-of-network charges and balance bills for supplemental care, like radiology or anesthesiology, by out-of-network providers that work at an in-network facility.

The No Surprises Act limits the amount a patient would pay out of pocket to what they would pay to be treated by an in-network physician.

CNSO Has a Team of In-Network Physicians

Centers for Neurosurgery, Spine & Orthopedics is led by neurosurgeons and orthopedic spine surgeons who are board-certified and fellowship-trained. Each physician uses their extensive experience and knowledge to deliver the highest quality of health care. The care team includes:

  • Neurosurgeons
  • Orthopedic spine surgeons
  • Interventional pain management doctors
  • Reconstructive Breast Surgeons
  • Plastic surgeons
  • Hand surgeons
  • Certified physical therapists
  • Rehabilitation specialists
  • Physiatrists

CNSO medical professionals specialize in surgical and non-surgical treatment options to provide patients with the most effective treatment, along with the best long-term outcome.

Conditions Treated at CNSO

Regardless of the medical insurance provider or health insurance plan, patients experiencing symptoms of brain, spine, breast, hand, disfigurement, nervous system, or musculoskeletal system, including those involving cancer, are advised to seek the consultation of board-certified physicians. Conditions treated at CNSO include:

Schedule a Consultation With CNSO Today

The medical staff at Centers for Neurosurgery, Spine & Orthopedics consists of award-winning neurosurgeons, orthopedic spine surgeons, reconstructive surgeons, pain control physicians, and physical therapists. To learn more about the practice or to find CNSO’s locations throughout northern New Jersey, contact CNSO today.

Centers for Neurosurgery Spine & Orthopedics