FAQ

Does Dr. Leone accept insurance?

Dr. Leone is part of the Holy Cross Medical Group and will accept all insurance plans that the Medical Group accepts. Please feel call our office to see if a particular insurance plan is accepted.

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

Absolutely. Dr. Leone welcomes and cares for many patients who are Medicare beneficiaries. In fact patients with Medicare coverage make up a large portion of Dr. Leone’s practice. Although they are required to pay a fee for Dr. Leone’s services, 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.

I have Medicare insurance. If I choose Dr. Leone as my surgeon, what does Medicare pay for?

Many services associated with hip or knee replacement are covered by Medicare, including hospitalization at Holy Cross Hospital, prosthetic costs, anesthesia, first assistant, radiology, physical therapy, home health services and supplies. All of these services will be billed directly to Medicare.  It is only Dr. Leone’s service fee(s) that 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 service. This includes a consultation fee and, if surgery is required, a separate surgical fee.

What is the cost of the initial consultation?

First-time Medicare patients are charged $250 for a consultation which includes a thorough history and physical exam. X-rays taken during the initial consultation are billed to Medicare. Existing or former patients of Dr. Leone are charged $150 for the consultation. If surgery is required and is performed by Dr. Leone, the consultation fee will be deducted from the surgical fee.

What is Dr. Leone’s out-of-pocket surgical fee for Medicare patients?

Dr. Leone’s surgical fee is determined on a case-by-case basis, after the initial consultation. The average surgical fee for a total hip or knee replacement is $6,000. It may be higher for complex or revision cases. Post-op follow-up office visits for 90 days after surgery are included in the surgical fee.

When is the payment due for surgery?

Payment is due prior to surgery. The Leone Center Patient Liaison is available to discuss payment options with you.

Why would someone choose to see Dr. Leone when they could be treated by another physician who did not charge a separate fee?

Choosing a surgeon is a very personal decision, and certainly cost is a consideration. In our experience, patients choose Dr. Leone because they believe it gives them the best chance of getting the best result and having the best experience.

Why do I need to pay a fee for Dr. Leone’s services?

This is a personal decision about who you want to take care of you and how comfortable you feel with the surgeon. 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.

Why should I have surgery with Dr. Leone?

Dr. Leone has earned a reputation over 29 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.

Can I get a private room when in the hospital?

Private rooms on the orthopedic floor are available on a first-come first-serve basis. The hospital charges a fee of $150 per night for a private room. This allows a family member or guest to stay with you overnight if you wish.  Once you are in the recovery room or PACU, you or a family member will be asked provide a credit card to cover this additional expense, if a private room is available. If you know you want a private room and do not want to leave it up to chance, the Leone Center can reserve one for you as part of its concierge package which is described more fully in the next question.

What concierge services are available?

The Leone Center offers a concierge services package to all of its patients, including those with Medicare. The package includes a private room for up to three days as well as gourmet meals from a special menu, one additional meal per day for a visitor, a fruit basket, and a luxury Holy Cross robe. The fee for the concierge services package is $1000. If you do not stay the full three days, you will get a refund from the hospital for the unused days after the hospital bill is paid in full.

Do I need to get a private room or the additional concierge services?

Absolutely not. Many patients elect not to have a private room because they prefer to be in a room with another patient, or they do not want to spend the extra money for an overnight hospital stay.  The regular menu is very nice.