Before Scheduling:

Before your visit, we need to verify insurance coverage, eligibility, and benefits. Authorization or pre-certification will also be obtained when required. This process usually takes 2-5 business days. To help you figure out your upcoming expense, here is a helpful chart for you to manage.

Estimated Surgery Cost:$_____________
Deductible:$_____________
Coinsurance%_____________
*Estimated Patient Cost:$_____________

 

* Please note that this is an estimate and does not account for hospital fees, anesthesia cost, or unexpected circumstances.

Surgery Date and Time:

If possible, we do our best to reserve a surgery time that is convenient for the family. Time and date of surgery depend on a variety of factors including, but not limited to, doctor’s availability, urgency, and insurance authorization.

Please keep in mind that whenever possible, we try to schedule infants and children in the morning due to the strict dietary restrictions required on the day of the surgery.

On the Day of Surgery:

Please arrive 2 hours before the scheduled surgery time for patient registration. Please go to the admitting desk of your designated hospital in order to register. Strict dietary restrictions MUST be followed.

Patient Eating Instructions:

  • PATIENT MAY HAVE SOLID FOOD UP TO 8 HOURS BEFORE SURGERY
  • PATIENT MAY HAVE NON-CLEAR LIQUIDS UP TO 6 HOURS BEFORE SURGERY
  • PATIENT MAY HAVE CLEAR LIQUIDS UP TO 4 HOURS BEFORE SURGERY
  • MUST HAVE NOTHING BY MOUTH FOR THE 4-HOUR PERIOD IMMEDIATELY BEFORE SURGERY

EXAMPLE: If Surgery is scheduled for 11:00 a.m.:

Between 7:00-11:00 a.m. – nothing by mouth

Between 5:00-7:00 a.m. – water/clear liquids only

Between 3:00 – 5:00 a.m. – non-clear liquids only

Before 3:00 a.m. – solid food and non-clear liquids only

Solid Foods & Non-Clear Liquids Include: Any food, milk, formula, breast milk, juice, nectar, vegetable juice, Jell-O, gum, candy, mints, etc.

Clear Liquids Include: Water, clear apple juice, sugar water, 7-Up, Pedialyte, balance salt solution, Original Gatorade (not any colored version)

**UNDIGESTED FOOD/DRINK COULD CAUSE PROBLEMS AND MAY REQUIRE RESCHEDULING THE SURGERY.

If your child is taking regular medication(s) for high blood pressure, heart problems, or seizure problems, your child should take that medication on the day of the scheduled procedure unless otherwise instructed by your physician. Oral diabetic medications should NOT be taken in the morning before surgery, unless otherwise instructed by the physician.

If you have any questions, please do not hesitate to call our staff at 714-361-4480.

As always, your child’s health is our primary priority and concern.

Helpful Information:

CHOC Children’s Hospital

455 S. Main Street, Orange, CA 92868

Phone: (714) 997-3000

Telephone Pre-registration: (714) 289-4145

Hello Hospital Tour: (714) 532-8473

This tour is available to help children and their parents prepare for surgery. This program is approximately 1-hour long and includes a tour of the facility, hands-on play, and a question and answer session for parents. A reservation is required.

 

CHOC at Mission Viejo

27700 Medical Center Road, Mission Viejo, CA 92691

Phone: (949) 364-1400

Pre-Admission Program: (949) 347-8400 Ext. 4062

This program is approximately 1-hour long and is recommended for children between the ages of 2.5 to 10 years. It includes a tour, hands-on play, and a question and answer session for parents, along with handouts to tell you what to bring on the day of surgery and what to expect. A reservation is required.

 

St. Joseph Outpatient Pavilion

1140 W. La Veta (3rd floor), Orange, CA 92868

Phone: (714) 744-8735

Insurance and Payment Information:

Contracted Health Plans typically pay a percentage of an allowable fee.   After insurance pays, the patient is billed for co-insurance and any remaining deductible amounts.   Payment in full is due upon receipt of the statement unless other arrangements have been made in advance.

If  Pediatric Surgical Associates is not contracted with your insurance plan, our billing service will bill your insurance for you.   However, the patient is responsible for full payment upon receipt of the statement unless other arrangements have been made in advance.   For your convenience,  Pediatric Surgical Associates accepts VISA, MasterCard, Discover and American Express for charges over $20.00.

If you have any questions or need to make financial arrangements, please do not hesitate to call our office for assistance.

Your health and welfare are our main priorities.

Your children’s health and well fare are our main priorities.