Lake Ridge Ambulatory Surgery Center

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/ Patient Information / Financial Responsibility and Assistance

Financial Responsibility and Assistance

Once your procedure has been scheduled, a member of our Business Office will contact you to review your insurance benefits and discuss your financial responsibility. You will be informed of any copay, deductible, coinsurance, or other out-of-pocket costs. Please note that this amount is based on the information available from your insurance carrier. Patient responsibility may change based on your insurance company’s final processing of your claim and the services provided on the day of your procedure.

Please note that the amount discussed before your procedure is an estimate based on the information provided by your insurance company at the time your benefits are verified. Your final financial responsibility will be determined after your insurance company has processed your claim.

If your insurance company pays more than expected, any overpayment will be refunded to you or credited to your account, as appropriate.

If your insurance company pays less than expected, you may receive a bill for any remaining balance that is your responsibility.

If you have any questions about your estimate or your final bill, please contact our Business Office.

Need Financial Assistance?

Get the Care You Need Today. Pay Over Time.

Lake Ridge Ambulatory Surgery Center accepts CareCredit®, a healthcare financing option that allows qualified patients to pay for eligible medical expenses over time with flexible monthly payment plans.

CareCredit can help make healthcare more affordable by offering financing options designed to fit your budget.

Benefits of CareCredit include:

  • Flexible monthly payment options
  • Financing for eligible healthcare expenses
  • Quick and easy application process
  • Instant credit decisions for most applicants

Please note: CareCredit financing is subject to credit approval.

To learn more or apply, visit: https://www.carecredit.com

Financial Assistance Policy

At Lake Ridge Ambulatory Surgery Center and Sentara Hospital Facilities, we provide quality care to all patients regardless of their ability to pay. We understand that health care expenses are often unexpected and paying for services can be overwhelming. If you cannot pay your hospital bill for medically necessary care, we can help. Please contact us at the telephone number below to see if you are eligible for financial assistance. Each patient’s situation is evaluated according to relevant circumstances such as income, assets or other resources available to pay an outstanding balance.

The complete financial assistance policy (FAP), along with an application for financial assistance, can be found below. Paper copies are also available at the surgery center’s patient registration area and will be mailed free-of-charge to a patient upon request.

Requests by phone: 703-357-9568

Requests by mail: Lake Ridge Ambulatory Surgery Center, LLC
ATTN: Business Office Manager
12825 Minnieville Road, Suite 204
Woodbridge, Virginia  22192

Spanish
Hay traducciones en español de la política de ayuda financiera de Sentara y de la solicitud disponibles en el sitio web o llamando al número de teléfono más arriba.

Korean
Sentara 재정 지원 정책 및 신청을 웹사이트에서 한국어로 이용하실 수 있으며 또는 위의 번호로 전화하셔서 이용하실 수 있습니다.

Vietnamese
Bản dịch của Chính sách hỗ trợ tài chính Sentara và đơn đăng ký bằng tiếng Việt có trên trang web hoặc bằng cách gọi tới số điện thoại ở trên.

English versions and translations of the FAP, the application for financial assistance, and the FAP Plain Language Summary are available below:

FAP Documents (English)

  1. Financial Assistance Policy Plain Language Summary
  2. Financial Assistance Policy
  3. Application for Financial Assistance
  4. Financial Assistance Signature Page

FAP Documents (Spanish)

  1. Resumen en lenguaje sencillo de la política de ayuda financiera
  2. Política de ayuda financiera
  3. Ayuda financiera
  4. Solicitud de ayuda financiera

FAP Documents (Korean)

  1. 재정 지원 정책 간단 요약
  2. 재정 지원 정책
  3. 재정 지원 신청서
  4. 재정 지원

FAP Documents (Vietnamese)

  1. Bản tóm tắt ngôn ngữ thông thường chính sách hỗ trợ tài chính
  2. Chính sách Hỗ trợ Tài chính
  3. Đơn xin hỗ trợ tài chính
  4. Hỗ trợ Tài chính
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(703) 357-9568