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Prepayment Account

Creating a Reversal Prepayment Account allows you to contribute money gradually over time towards their reversal surgery. When you have the full amount you can schedule your reversal surgery. The initial contribution must be $500 or more and the account must be fully funded within three (3) years of opening.

Discounted tubal reversal surgery

By opening a Reversal Prepayment Account (RPA) we realize you are making a significant commitment to our practice.

To show our appreciation for this commitment, we are going to provide our RPA holders exclusive access to discounted surgery rates when these discounted rates become available. We will also lock in the surgery fees for RPA account holders for the fee quoted at the time the account was started. This means, if we increase our surgical fee at any time in the next three (3) years, RPA holders will be guaranteed the surgery fee quoted at the time they started their account.

Advantages of a RPA

The advantages of starting a Reversal Prepayment Account are:

  • RPA prescheduling allows you to make sure you will be the best candidate possible.
  • You can use the RPA as a savings plan to gradually save for your reversal surgery.
  • You can avoid the high interest rates associated with surgery financing plans.
  • You can have your surgery fee locked in and protected from future fee increases.
  • You will be notified about discounted tubal surgery rates when these rates are available. Discounted rates will only be available to RPA holders.

Starting an RPA: 5 Simple Steps!

Starting an RPA is a great way to save for tubal surgery and you may be able to take advantage of a discounted rate when offered.

Please call our office if you have any questions about tubal reversal before you start your RPA account. To start an RPA you need to take these 5 simple steps:

Step 1. Complete RPA prescheduling questionnaire

The key to starting an RPA is to complete our prescheduling process. This allows you to make sure you will be the best candidate for reversal surgery before you start saving. It also allows us to evaluate you for any health conditions which could prevent you from having reversal surgery and identify any conditions which could be improved or optimized before your reversal surgery.

By completing the prescreening process you will be in a better position to take any discounted surgery rates should they become available on short notice.

To start a Tubal Reversal Prepayment Account complete this form:
Tubal Reversal Prescheduling Questionnaire

To start a Vasectomy Reversal Prepayment Account complete this form:
Vasectomy Reversal Prescheduling Questionnaire

Step 2. Pay surgery scheduling fee

After you have submitted the Prescheduling Questionnaire you will need to pay the $125 scheduling fee. You have 90 days to start prescheduling after paying the scheduling fee.
If 90 days elapses and you have not begun prescheduling then you will need to repay the surgery scheduling fee. The scheduling fee can be paid by credit card by using the link below:

Use this link for credit card payment

credit card

As an RPA holder, you will not have to pay the scheduling fee a second time when you are ready to schedule your surgery.

Step 3. Complete prescheduling phone health interview with a nurse

This is important because it will allow us to screen for common medical problems before you open your RPA. This will help identify unanticipated problems that can often arise when patients are trying to scheduling surgery (over BMI limit, unexpected anemia, pre-operative clearance for complicated medical conditions, and undiagnosed health issues which could be improved while you are saving for surgery).

At the end of the interview the nurse will ask you to obtain a complete blood count (CBC).
We can order this test for you or you can send us a recent (within 3 years) CBC result from your medical records. If any significant medical problems are identified, we may require additional tests and our team can make the appropriate recommendations to prepare you for surgery. We can also provide you with recommendations on the best way to prepare for a safe surgery and a healthy pregnancy while you are making contributions towards your RPA.

You or your health insurance will be responsible for the cost of any required lab testing. Often your health insurance will pay for required labs with a doctor’s order.

When you are ready for surgery, you must repeat the scheduling interview and obtain a second CBC test within 90 days of your scheduled surgery.

Step 4. Return the RPA contract and initial contribution

After your scheduling interview has been completed and our office has received all required lab tests, x-rays, and medical clearances then our office will send you an RPA contract by email.

Return the completed and signed RPA contract within 30 days of completing your Prescheduling interview with any amount greater than $500 to secure your locked in surgery fee and to start your RPA account.

You will not be officially considered an RPA holder until you have paid the scheduling fee, completed the prescheduling interview, and returned the initial RPA contract and deposit. Only then will you be notified of discounted rates when available.

Step 5. Contribute to your RPA

Contribute to your RPA when you are able. You must send a minimum of $100 with each contribution. We recommend you consider an average of $150 per month to fully fund the average surgery fee in full by the end of 36 months (3 years).

Important points about the RPA

  • You can schedule your surgery at any time but you must schedule your surgery within three (3) years of starting the account.
  • Our office will send monthly emails to RPA members notifying them of reduced rates if these rates are available. We will provide as much advanced notice as possible.
  • Since you have completed the prescheduling interview then most problems should have been identified and you can save towards your surgery with the confidence you are going to be the best candidate possible for both surgery and pregnancy.
  • The scheduling fee to start a Prescheduling interview for an RPA must be paid using a credit card; however, we are unable to accept contributions towards the RPA using credit card.
  • Contributions to the RPA should be made by cashier’s checks or money orders made payable to Charles W. Monteith, MD PA.

Making future contributions to your prepayment account

To send future contributions, use the  Prepayment Form, on our website and mail it with your cashier’s check or money order.

The entire surgery fee must be paid in full before you can schedule a surgery date.
We do not accept credit card payments for RPA contributions.

Make your cashier’s check or money order payable to Charles W. Monteith MD PA and mail to:

A Personal Choice
3613 Haworth Drive
Raleigh, North Carolina 27609
ATTN: Reversal Prepayment Plan

If you have any questions regarding the prepayment account, please call our office and speak with a Business Office Associate.

573 thoughts on “Prepayment Account”

  1. Megan says:

    Do you offer military discount on Essure reversal?

    1. Dr. Monteith says:

      We do not offer military discounts for reversal surgery. We specialize in Essure reversal and Essure removal surgery. We can reverse Essure and give you the chance of pregnancy….or we can remove Essure and leave your tubes closed. The chance of pregnancy after Essure reversal is about 40%.

      More information: Essure reversal testimonials

      The cost is the same $7,500. We are located in Raleigh, North Carolina.

      No other clinic or doctor has the experience we do. The chance of pregnancy after Essure reversal is about 40%. If you are having symptoms that started soon after Essure most patients report improvement after removal of the devices. We do have a surgery prepayment plan.

      More information: Successful Essure reversal with Dr Monteith

      We charge a total of $7,500 for Essure reversal/removal plus $125 to schedule surgery. If you use our prepayment plan then you can contribute any amount as you are able but you must have the surgery paid for by three years. We do work with two financing companies and we do have a prepayment plan.

      The following link will answer most of your questions about reversal. This is the MOST HELPFUL INFORMATION to read when considering reversal at our office. Each question has a link to more information about the question: Frequently asked questions about tubal reversal

  2. Michelle says:

    Can you have the reversal done after having umbilical hernia mesh repair?

    1. Dr. Monteith says:

      Your hernia repair will not be a problem.

      We charge $6400 total plus $125 to schedule and we are located in Raleigh, North Carolina. Patients pay in full and out-of-pocket at the time of scheduling. All you have to pay for in addition to the surgical fee is the cost of travel, hotel, and food.

      On average the chance of pregnancy after tubal ligation reversal is about 60% if you are under age 42.

      We do have a prepayment tubal reversal plan that allows you to save towards your reversal over a 3 year period.

      Although $6,400 seems expensive…the alternative treatment in-vitro fertilization (IVF) average $12,000 to $14,000 and is about 40% successful!

      The main advantage to tubal reversal is that every month you have a chance and you can become pregnant more than once.

      The following link will answer most of your questions about reversal. This is the MOST HELPFUL INFORMATION to read when considering reversal at our office. Each question has a link to more information about the question: Frequently asked questions about tubal reversal

      Call us at (919) 977-5050 8am to 5pm eastern standard time and we would be happy to speak with you about tubal reversal at our facility.

  3. Bridget Peck says:

    Do you accept flexible spending accounts as payment.

    1. Dr. Monteith says:

      You can use your flexible spending account as long as you have the surgery in the same year your account was funded.

  4. Evelyn says:

    Some o e can give me the information in Spanish. I understand but prefer some one explained in Spanish please

    1. Dr. Monteith says:

      Please call us next week and ask to speak with Oyuki or Kaycee. They speak Spanish and can help you.

  5. Desiree says:

    If I pay for the surgery and there’s issues with my labs the day of or prior to surgery, do I lose my spot and the whole payment towards the surgery?

    1. Dr. Monteith says:

      Labs are checked during the scheduling process so we dont have to worry about the issue you bring up. You can cancel 3 weeks out without penalty. If you arrive for surgery without a responsible adult, over the BMI limit of 37 or dont stay in one of the two hotels then your surgery will be canceled.

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