586-773-1300 (St Clair Shores)
586-416-1300 (Macomb Township)
FAQ


Office/Appointment Related
Where are you located?
We have two convenient locations. Our St. Clair Shores office is located at 23829 Little Mack, Suite 100, St. Clair Shores 48080. Our Macomb Township office is located at 45441 Heydenreich, Macomb 48044.
What are your office hours?
We are open from 7:45 am until 5:00 pm and have appointment times available between 7:45 am and 3:30 pm.
Do you have weekend hours?
We are closed on Saturday and Sunday.
Can I be seen at either office?
Our office utilizes Electronic Medical Records which allows you to visit either office location, while at the same time ensuring that your records will be up to date at the location that is most convenient for you.
If I was seen at the Macomb Office do I have to continue my care there?
If you start treatment at one location, there is no restriction on follow up care. You can choose to schedule your appointment at the location that is most convenient for you.
Which doctor should I see?
We are a multispecialty practice. We will schedule you with the provider who treats for the problem you are experiencing.
If I have an urgent issue and the office staff is not giving me a quick appointment, what do I do?
If you are not given an appointment in the time frame you would like, you can contact us by email (or use contact us link) and request a sooner appointment and explain your urgency .We do our best to accommodate urgent/emergent medical needs.
What do I need to bring to my appointment?
Please bring your ID, Insurance Card, and all pertinent testing (films, disks, and reports).
Should I use the patient portal?
Using the patient portal to complete your forms will expedite your appointment wait time. By using the portal, your information is electronically imported into your chart and is done so prior to your visit. This will save time upon arrival.
How can I decrease my wait time when I show up for the appointment?
Completing your forms prior to your visit through our online portal will expedite your wait time. Also, bringing in any and all pertinent testing along with the reports will save time as well.
How long will my appointment take?
We ask that you allow a 2 hour block of time for your appointment. This will allow for completion of forms, data entry, X-Rays, and any in office procedures. Please note that the above time may be more or less, depending on the physician specialty and the nature of your medical condition.
Do I need to bring my insurance card and ID?
Always bring your ID and insurance card to each visit. We update periodically throughout the year and at any time may request them to keep your chart up to date.
I am under 18, do I need a parent with me to be seen?
If you are under the age of 18, a parent or guardian must be present for your visit. If a parent, or guardian is not able to attend and a family member will be attending in their place, we must have a written note signed by your parent, or guardian, in order to provide treatment.
Are the physicians board certified/board eligible?
All of our physicians are board certified or board eligible.
What is the role of the Nurse Practitioner, or Physician Assistant in the office?
The nurse practitioners who are on staff at St. Clair Orthopaedics are available by appointment. They will assist the doctor with follow up care after surgery as well as general follow up visits. The physicians are generally in the office at the same time and work together closely with the doctors.
Can I get X-Rays in the office?
Both locations are equipped with state of the art Digital X-Ray facilities.
Do I have to bring X-Rays/MRI/CT scans with me?
Yes, please bring any testing Films, Disks, and Reports to your visit.
Can I bring just the reports, or do I have to do bring the actual CD/pictures?
Please bring the Disk/Films to your visit.
Can prescriptions be filled after hours?
We do not refill prescriptions after normal office hours. You must contact the office between the hours of 7:45 am and 5:00 pm to request refills.
What if I have an emergency after hours?
If you have an emergency, you can contact the office after hours and you will be connected to our answering service. An on call physician is available to give instructions as needed. Just a reminder we do not refill prescriptions after hours.
Do you have Physical Therapy services at both offices?
We have physical therapy facilities at each location. Our physical therapists work closely with the physicians to provide the best course or treatment.
Do you have Occupational Therapy services?
We have an occupational therapist that works out of both physical therapy locations.
Am I required to go to your Physical Therapy clinic, or can I go anywhere?
You can go to any physical therapy clinic that is convenient for you. While our physical therapists work closely with our physicians, we do not require that you see our physical therapists.
Where can I get my brace (DME product)?
Depending on the item being prescribed, you may either be fitted in the office with the item, or given a prescription to obtain it outside of the office. We do offer a wide variety of bracing solutions in the office, however, if your insurance is not accepted or an item is not available, you will be given a script to obtain that item at an outside facility.
What is a Gel injection?
What does it do? In addition to cortisone injections, there are several visco supplementations that are used to treat osteoarthritis. These are injected directly into the joint. St. Clair Orthopaedics physicians use the following viscosupplements; Synvisc & Synvisc One, Hyalgan, Euflexxa, and Gel One.
I have an MRI ordered, but I need a prior authorization. How do I get it?
We have a precertification department to assist with prior authorizations. If you are scheduled for a test, contact our precertification department and provide them with the date of your test, facility you are scheduled for and type of insurance. Often times, the facilities will contact our precertification department as well and request the authorization. We do require 5-7 days to process a precertification due to the fact that office notes and clinical information is sometimes required by your insurance company to authorize testing.
Which hospitals do you operate at?
Our physicians are on staff at St. John Hospital, Henry Ford Macomb, Beaumont Grosse Pointe and McLaren Macomb.
Does St. Clair Orthopaedics do IME or Legal exams for attorneys, or insurance companies?
Our physicians do perform IME and legal exams and can be scheduled through the office.

Billing/Insurance Related

What insurances do you accept?
We accept the following insurances. If you do not see your insurance company on this list, please contact our billing office to verify if we participate.

Plan List:
  • Aetna
  • Aetna Medicare
  • Alliance Health and Life
  • Auto Insurance
  • Blue Cross Blue Shield
  • Blue Care Network
  • Blue Care Network Advantage
  • Cigna P
  • Cofinity
  • Health Alliance Plan (EPO/HMO/PPO)
  • Health Plus
  • Humana Choice Care
  • Humana Medicare
  • Humana Medicare Advantage
  • McLaren Health Plan (PPO/HMO)
  • Medicare
  • Medicare Advantage
  • Medicare Plus Blue
  • Priority Health
  • Smart Health
  • Tricare
  • UMR
  • United Healthcare
  • Worker’s Compensation
Do you see workers compensation injuries or auto accident patients?
We do see patients with workers compensation and auto insurance claims. You must provide the office with the proper insurance information and our staff will verify claim status prior to your visit.
Do I need to bring money with me for the appointment?
You are responsible for your co-pay at the time of your visit. You will be required to pay for your office visit/x-rays/procedures at the time of your visit if your deductible for the year has not been met. If your deductible has been satisfied, you are required to pay for copays that are a part of your contract with your insurance carrier.
I have concerns about my bill, who do I call?
Our billing department is available Monday through Thursday from 7:45 am until 5:00 pm to assist you with any billing concerns, or insurance questions.
Do you accept credit cards?
We accept MasterCard, Visa, American Express and Discover. We also accept Care Credit.
What is a co-pay?
A co-pay is the amount that you are responsible for on an office visit charge when you see a provider. It can vary depending on your insurance plan. A co-pay is NOT the same as a deductible.
What is a deductible?
A deductible is the amount of Out of Pocket expense you are responsible for in addition to your copay. This amount can vary depending on your insurance plan and is generally applied to office visits, X-Rays or injections. A deductible must be met before the insurance company will pay our office on a claim.
Can I pay my bill over the phone?
Yes, you can contact our billing department at 586-416-0888 and they can take your payment information over the phone.
How much is my co-pay/deductible?
The best way to determine your co-pay or deductible is to contact the Customer Service phone number on the back of your insurance card. This will give you the most up to date, accurate amount.

Surgery Related

Who do I call about questions regarding an upcoming surgery?
We have a surgical scheduling department on staff to answer any surgery related questions. Our surgical schedulers work closely with our physicians and will be able to assist in answering any questions related to surgery.
I think I need surgery, can my appointment be expedited?
If you have been told by a primary care doctor that you need surgery, we can expedite appointments based on the physician’s schedules.
Can I take all of my medications before surgery?
There are certain medications that need to be discontinued prior to surgery. For specific instructions you should contact the surgical scheduling department and speak with the surgical scheduler for your physician. They will be able to verify with the doctor what medications are allowed and what medications will need to be discontinued prior to surgery.
Will I need someone with me when I come home from the hospital and for how long?
We do recommend that someone be available to bring you home from the hospital and to assist you for the first few days. This will vary depending on the procedure you are scheduled for.
How long will I be in the hospital?
Depending on the procedure you are scheduled for, you could be discharged on the same day or you could be scheduled for a 3-4 night stay. Your surgical scheduler will relay this information to you at the time of scheduling.
I just had surgery, when should I see the doctor for follow up?
Depending on your procedure, the general follow up period is anywhere from 7-14 days for your initial follow up visit.
Will I need physical therapy after surgery?
This will depend on your procedure. If homecare is necessary, our surgical scheduling office or the hospital will set up homecare. If outpatient therapy is required, you will be provided a script and directions for where to attend physical therapy.
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