HH-Pain Center Guide-2:HH-Pain Center Guide 3/30/10 3:18 PM Page 1 Blue Back Square 65 Memorial Road, Suite 435 West Hartford, CT 06107 (860) 696-2840 Has an appointment on With Dr. W elcome to the Hartford Hospital Pain Treatment Center. We look forward to working with you to ease your pain, improve your function and help you learn to effectively manage your pain so you can enjoy a better quality of life. P L E A S E TA K E A F E W M I N U T E S RIGHT NOW TO: A GUIDE • Make a note of the date and time of your appointment (shown above) F O R N E W PAT I E N T S • Read this brochure, which contains important information on preparing for your appointment HH-C-435 MAR2010 Page 4 HOW WE CARE FOR YOU Contact your insurance company – You are responsible for obtaining important information, such as: • Coverage – Does your plan cover the cost of treatment at our facility? If not, you must make payment in full at the time of service. If we do not participate in your insurance plan, we will submit your claim for you, but you must still make payment in full at the time of service. In either case, for your convenience, we accept Visa and MasterCard. • Co-pay/deductible/co-insurance – Does your plan require a co-pay and/or deductible? If so, you must pay the co-pay/deductible at the time of your visit. We are required, as part of our contract with your insurance carrier, to collect O N T H E D AY O F Y O U R A P P O I N T M E N T Medications – You should continue to take all of your usual prescription medications. [Note: At each subsequent visit, be sure to tell our nurse if your medications have changed. If our physicians write prescriptions for you, you must pick them up here during office hours (M-F, 8 a.m. – 4:00 p.m.). We cannot mail prescriptions, refill them early or refill them on weekends.] What to bring – You will need: • • • • A photo ID Your insurance card Cash or credit card for of out-of-pocket costs A complete list of all medications you are taking From I-84 East or West — Take Exit 43 (West Hartford Center-Park Road). Merge into the far left lane. At the end of the exit ramp, turn left onto Park Road. At the first light, turn right onto Raymond Road. At the second traffic light, turn left onto Memorial Road. Take the first left onto Isham Road and drive into the Memorial Parking Garage. There is designated parking for Pain Treatment patients on Level 3. Take your parking ticket with you; we will validate it in our office (up to two hours). Enter the medical office building on the first level and take the elevator to the 4th floor, suite 435. N K DR BEFORE YOUR FIRST APPOINTMENT HOW TO GET HERE. Provide us with all worker’s compensation information (if applicable) – If this is a worker’s compensation case, we must have written or verbal pre-authorization prior to your visit. It is your responsibility to provide us in advance with complete insurance information, including employer’s name, address and phone number; insurance company’s name and address; claim number; and adjuster/case manager’s name and phone number. If we do not have this information prior to your visit, we will need to reschedule. FA R M IN GTO E N AV MEM O R IA BOU L E VA L DR O T BRO A team effort – You are a critical member of the multidisciplinary team. Your treatment can succeed only if you are an active participant in your care. If you have any questions or concerns prior to your appointment, just call us at (860) 696-2840, and we’ll be happy to help you. TROU Mutual respect – We pledge to treat you with compassion and respect. We ask that you, in turn, treat our physicians and staff with respect. Arrival – For your first visit, plan to arrive in our office one hour before your scheduled appointment. For follow-up visits, you’ll need to arrive 15 minutes before your appointment. RD Comprehensive treatment – We are the only pain center in Connecticut that addresses all aspects of pain: medical, physical and psychological. • Pre-certification/referral – Does your plan require pre-certification and/or referral by your primary care provider prior to treatment? It is your responsibility to work with your primary care provider’s staff to make sure this is done. If authorization or referral is not in place when you come in, we will have to reschedule your appointment or charge you for the visit. Also, come prepared to give a full medical/surgical history OND The Hartford Hospital Pain Treatment Center takes a multidisciplinary approach to diagnosing, managing and treating pain. Professionals from several different disciplines will be involved in your care. co-pays at the time of service. Any additional balances will be billed to you within 30 days of the date of service. R AY M 3:18 PM IS H A M 3/30/10 RD K PA R SO UT H MA IN ST HH-Pain Center Guide-2:HH-Pain Center Guide ROA D 84 Exit 43