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Prepayment Account


Creating a Reversal Prepayment Account (RPA) allows you to contribute money gradually over time towards your reversal surgery. When you have the full amount you can schedule your reversal surgery.

  • Your initial contribution must be $500 or more and the account must be fully funded within three (3) years of opening.
  • If your surgery has not been scheduled within three (3) years of starting your RPA then your account will be closed and you will be refunded your monies less a $500 RPA administration fee.

Locked in fee and discounted tubal reversal surgery when available

By opening a Reversal Prepayment Account 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 RPA.

RPA advantages

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 towards 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.

Starting an RPA: 3 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 3 simple steps.

Step 1. Complete RPA prescheduling questionnaire and pay $175 scheduling fee

The first important step to starting an RPA is to complete our prescheduling process.

This allows you to make sure you will be the best candidate for reversal 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 surgery.

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

To start a Tubal Reversal Prepayment Account complete this form below

Tubal Reversal Prepayment Account Questionnaire

To start a Vasectomy Reversal Prepayment Account complete this form below

Vasectomy Reversal Prepayment Account Questionnaire

RPA Scheduling Fee

After you have submitted the RPA Prescheduling Questionnaire you will need to pay the scheduling fee. You have 90 days to start your RPA prescheduling after submitting the questionnaire and paying the scheduling fee.

If 90 days elapse and you have not completed your RPA prescheduling then you will need to repay the surgery scheduling fee.

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

Once you submit the RPA questionnaire and pay the scheduling fee you have ninety days to complete the phone medical interview with our nurses. If you have not completed phone interview within ninety (90) days then you will have to restart the entire process and pay the scheduling fee a second time.

Step 2. 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 a CBC 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. You will not have to pay the scheduling fee a second time.

Step 3. Return signed RPA contract and initial contribution

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

Return the electronically signed RPA contract within 30 days of completing your RPA prescheduling interview and send your initial contribution of at least $500 or more to secure your locked in surgery fee and to start your RPA account.

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

After your phone interview has been completed, you have thirty (30) days to electronically return your signed RPA contract and your minimum contribution of $500.

If you have not returned the signed RPA contract with your financial contribution within 30 days of your completed phone interview then you will have to restart the entire process and pay the scheduling fee a second time.

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 $200 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 when and 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 cards, CareCredit, or HSA/FSA cards.
  • Contributions to the RPA should be made by cashier’s checks or money orders made payable to A Personal Choice

We are unable to accept credit cards, CareCredit, or FSA/HSA cards for contributions towards your RPA; however, when you are ready to schedule surgery you can use any of these methods to complete full payment for your surgery.

Making future contributions to your prepayment account

The entire surgery fee must be paid in full before you can schedule a surgery date.

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

We do not accept credit card, CareCredit, or HSA/FSA payments  for RPA contributions but you can use these payment methods when you are ready to schedule surgery and pay the remaining RPA balance.

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

You can mail your contribution 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.

Closing your prepayment account

If you would like to close your reversal prepayment account and request a refund then please submit the Request to Close RPA account form using the link below.

Request to Close RPA

Have Questions? We’re Happy To Help!

We provide a unique surgical experience with personalized attention and one-on-one care. We make every effort to make your surgery less of a process and more of a life’s experience. Please use the buttons below for answers to our frequently asked questions.

What Our Patients Are Saying

“We had our surgery on 3/18/15 and on 02/02/16 our 7 pound 11 oz baby girl was born! I’m 34 years old and had tubal ligation done via clamps 8 years prior so this surgery really does work! 8 years later I had the reversal and 9 years later we were blessed with our little girl! So many doctors tried to talk us out of it-wanted us to do IVF to get our money-however praise God we went with this because it does WORK! Dr M is amazing and his staff! The area is beautiful where his office is, and if you do this procedure it will be the best money you ever spend!”

– Charlee-Belle M., Surgery

“From the very first phone call, the staff at A Personal Choice has been amazing! They have answered our numerous questions, concerns and have been amazing. They never give you false hope, but give you the complete story. I am so happy that we chose Dr. Monteith and his staff to make our dreams a reality. Can’t wait to start trying to have a baby. I would and have recommended Dr. Monteith to ANYONE wanting a tubal ligation or vasectomy reversal. Thank you all so much for giving us this chance!”

– Angela W., Essure Reversal

“Excellent service overall! Each stage of the process was carefully explained in great detail: how the procedure works, what to expect during the procedure, what to expect after, possible side effects. Dr. Monteith himself is very knowledgeable and experienced and quite personable too. He has a great sense of humor and uses it generously to put patients at ease. I highly recommend him and his staff to anyone considering either a vasectomy or a vasectomy reversal.”

Chris B., Vasectomy Reversal

“The perfect little angel that I’m holding in my arms right now is the best testament to what Dr. Monteith and his staff do for people. We could not be happier with our decision to use Dr. Monteith. His staff are just amazing. Our entire experience was just a dream! Thank you, from the bottom of our hearts, thank you!”

Jamie B., Reversal of Cut & Tied Tubes


Ask The Doctor

Your questions about reversal surgery will be answered directly and promptly by Dr. Monteith. Please read our most frequently asked questions before submitting your questions. Dr. Monteith will not respond to general medical questions or if you are a patient of another doctor and are contacting him because your doctor is unavailable.* If you have been a patient at our reversal center and have specific questions about your medical care you should contact the reversal staff directly at (919) 977-5050.

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Have a Question? Drop Us A Line!

If you are considering reversal surgery and have questions about the procedure, fill in the form below and we'll get back to you as soon as we can! If you would like to speak with a nurse for a Free Consultation then feel free to call us at (919) 977-5050.

Please view our most frequently asked questions before sending your questions.

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