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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.

623 thoughts on “Prepayment Account”

  1. Aretha says:

    How do I start the presheduling interview process.

    1. Dr. Monteith says:

      You should send us your operative note for a free review. You can also call (919)977-5050 and speak with a nurse for more information about tubal reversal. You would then need to answer the health question found on our website and then pay the $125 scheduling fee. A nurse will then call you can complete the process.

  2. Lindsay says:

    I have an fsa account through my work and verified the tubal reversal is covered procedure. However they send us a debt credit card for charges or we can submit a paper claim. My question is, since I started the rpa this year and want to use my benefit card that loads 1/1/19, could I get a paper bill with a 2019 date of service to file it ?

    1. Dr. Monteith says:

      You can use your FSA card to pay for surgery if surgery is done the year you put the money on your card. Yes we do provide you with a receipt with the date of service and the procedure.

  3. Anonymous says:

    My question regarding the RPA. Do I have wait 3 years to make an appointment to have the procedure done if I use RPA this summer and pay it off within a year like next year. I would like to have the procedure done by end of next years 2019 or beginning of 2020.

    1. Dr. Monteith says:

      You can have your surgery anytime within 3 years of opening the RPA account. If surgery is not completed by the end of three years then your account would be closed and you would be refunded the entire amount less the $500 administrative fee.

  4. Anonymous says:

    Thank you for your reply Dr. Monteith. At this time I’m trying to obtain my records of when the laparoscopic tubal ligation was done. It’s a little difficult for me to obtain them because again this was done 17/18 years ago in the state of FL and I currently reside in NY. But I will continue to try and get them. In the event that I am unable to get them, what would be the best way for you to know if this the reversal is best for me? Would I have to go for certain tests prior to talking to you for a consultation? I just want to make sure you have all necessary documents and tests prior to the consultation, or can we have the consultation without the medical records.
    Thank you soooo much once again!

    1. Dr. Monteith says:

      Call us next week (919)977-5050 if you have questions. You should read this page: Frequently Asked Questions

      We can repair most tubal ligations. Some patients will choose our optional screening laparoscopy if they cannot obtain their records and would like more reassurance.

      Question #13 on our FAQ page helps to answer your question.

  5. Anonymous says:

    Hi! I got had a laparoscopic tubal ligation about 17-18 years ago when I was 18 years old. I am now 35 years of age, remarried and really want to get pregnant. Since it’s been such a long time, is there still a possibility that the tubal ligation be reversed and have a successful pregnancy? Would greatly appreciate your feed back. Thanks!

    1. Dr. Monteith says:

      We should be able to help you. We can reverse most tubal ligation procedures and the average age of most of our patients is around 36.

      You should send us your tubal ligation reports for a free review and we can let you know if you are a candidate for reversal surgery. Your reports can be obtained from the medical records department where your tubal ligation surgery was performed.

      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.

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