Medicare Patients Q & A

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Q: Does Dr. Leone take care of patients with Medicare insurance?

A: Absolutely. Patients with Medicare coverage make up a large portion of Dr. Leone’s practice and are prioritized. They are required to pay a fee for Dr. Leone’s services only. Very importantly all other expenses associated with their care is covered by their Medicare and their supplemental insurance. If a patient has a secondary insurance, they may be able to submit to their secondary insurance for reimbursement and depending on their specific plan, they may get reimbursed.
Q: Why would someone want to see Dr. Leone when they must pay a fee for his services when they can get care from other physicians that do not charge a separate fee?

A: Because they have the best chance of getting the best result and having the best experience. If a complication should arise, you can be reassured that you are in the best, most experienced hands possible to take care of you.
Q: Does Dr. Leone see Medicare beneficiaries?
A: Yes. Dr. Leone welcomes and cares for Medicare patients. Medicare-eligible services associated with hip or knee replacement, including hospitalization in Holy Cross Hospital, prosthetic costs, anesthesia, first assistant, radiology, physical therapy, home health services and supplies will be billed directly to Medicare.  However, Dr. Leone’s service fee(s) will not be covered by Medicare.  His services are available to Medicare beneficiaries only under a private pay arrangement and will be billed to patients directly as a fee for services. This includes a consultation fee and, if surgery is required, a separate surgical fee.

Q: If I am a Medicare beneficiary, what is the cost for my initial consultation fee?

A: First-time Medicare patients are charged $250 for a thorough consultation and exam. If you are an existing or former patient of Dr. Leone, the consult fee is reduced to $150.

  • If surgery is required and is performed by Dr. Leone, the consultation fee will be deducted from the surgical fee.

Q: What is Dr. Leone’s out-of-pocket surgical fee for Medicare patients?
A: Dr. Leone’s surgical fee for a total hip or knee replacement is $6,000. It may be higher for complex or revision cases. The fee is determined on a case-by-case basis after a patient’s initial consultation. Post-op follow-up office visits for 90 days after surgery are included within the surgical fee.

Why do I need to pay a fee for Dr. Leone’s services?
A: Many physicians, including Dr. Leone, feel constrained by current Medicare rules. With Dr. Leone’s patient-focused, concierge model, he and his team are able to provide each patient with an exceptional level of attentive, compassionate and personalized care. Our goal is to provide the absolute best medical care while making each patient’s entire experience as pleasant, anxiety-free and comfortable as possible while achieving the most optimal result.

Q: What are the options for Medicare patients?

A: Medicare patients can opt for a reserved private room with gourmet meals and other services for an extra cost. My staff will be happy to review these extra options with you.

Q: When is the money due for surgery?
A: Payment is due prior to surgery. The Leone Center Patient Liaison is available to discuss payment options with you.

Q: Why should I have surgery with Dr. Leone?                                                                                                        

A: Dr. Leone has earned a reputation over 25 years as one of the nation’s top orthopedic surgeons for solving a variety of  hip and knee issues that other physicians often choose not to treat. As head of the Leone Center for Orthopedic Care, he has been instrumental in building the stature of Holy Cross Hospital as a nationally recognized leader in patient care.  His outstanding reputation among his peers in the medical community and the numerous referrals of new patients he receives from those he has treated in the past are a testament to his extraordinary skill and his entire team’s commitment to exceeding patient expectations for best result and a positive experience.