Patient Responsibilities Regarding Insurance
We do not accept Medicare or any form of Medicaid.
As a courtesy, we will bill your primary and secondary insurance carriers. Please make sure the Business Office/Cashier and Pharmacy have your current insurance on file; these offices bill services separately. We will need to know the policy holder/subscriber name, address and date of birth for both primary and secondary plans. We will also need to make a copy of the front and back of your insurance card(s). You may have a copy of the front and back of your insurance card(s) faxed to 785.532.3425, if necessary.
The Pharmacy can only submit your charges to the insurance company at the time of prescription pick up and the Business Office/Cashier will only submit your charges up to 30 days past the date of service. After this time, if you want your charges submitted to insurance, you, the patient, will have to submit them to the insurance company yourself.
Please be aware that some insurance companies require a referral from your primary care physician or a pre-authorization number in order for services to be covered and to insure maximum reimbursement. It is your responsibility to obtain this information and have it faxed or mailed to Lafene before services are rendered. If we, the provider, have to call for prior authorization or pre-certification, please make our nursing staff aware of this fact prior to or at the time of your office visit. Failure to obtain pre-authorization, pre-certification, or physician referrals may greatly reduce your insurance benefits and/or result in a zero payment from your insurance company, which means you would then be responsible for the entire balance.
Lafene only contracts with a few insurance companies, so if we are not contracted with yours, services may not be covered. It is your responsibility to contact your insurance company to determine if services will be covered and how they will be covered, meaning at an in-network or out-of-network rate. Every plan/policy is unique to each individual and our office will not call your insurance company to find out this information, it is your responsibility.
Note: Kansas State University is contracted with Tri-Care/Blue Cross Blue Shield Insurance. Our providers are not listed as contracting with Tri-Care because their website is unable to flag our providers to only see Kansas State University Students. Please call 785.532.7759 for more information.
Be aware that pursuant to University policy, payment for services rendered is due in full no later than 60 days past the date of service. At 60 days past the date of service, if there is a balance, you will have a hold placed upon your academic record and your Lafene account will incur a nominal handling fee. The university does not take insurance delays into consideration. If the insurance company pays for services already paid for by you, the patient, you will be refunded by the State of Kansas.
Feel free to contact the Business Office/Cashier if you have questions or concerns regarding your statement or our billing procedures.