Thank you for choosing us for your healthcare needs. We commit to provide you with quality and affordable healthcare. Please read this Policy. Ask us any questions you may have. A copy of this can be given to you upon asking.
Insurance Plans. Our providers accept Medicare and most major plans. If you are not insured by a plan we contract with, you must pay in full at each visit. If you are insured by a plan we contract with, but do not have a current insurance card, you must pay in full for each visit until you give us a current copy of your insurance. Knowing your insurance benefits is your responsibility. Please contact your insurance company with any questions that you may have about your coverage.
Co-payments. All co-pays must be paid at the time of service.
Non-Covered Services. Please be aware that some of the services you receive may not be covered or considered reasonable or necessary by your insurance. Our office will file each visit with your insurance company. If your insurance company determines a service is not reasonable or necessary, we ask that you pay for that item right away.
Proof of Insurance. All patients must complete our patient information form before seeing a doctor. We will also ask that you complete this form once a year. You must give us a copy of your current valid insurance card to provide proof of insurance. If you do not provide us with the correct information in a timely manner, you may need to pay the balance of the claim.
Claim Submission. We will submit your claims and help you in any way we can, within reason, to help get your claims paid. Your insurance company may need you to supply them with certain information. It is your responsibility to fill their requests. Please be aware that the balance of your claim is your responsibility. This includes whether or not your insurance company pays your claim. Your insurance benefit is a contract between you and your insurance company. If your insurance company does not pay your claim in 45 days, the balance will be billed to you. If you have Medicare, we will bill you for any money owed after we receive the payment from Medicare and/or a secondary policy that you might have.
Coverage Changes. If your insurance changes, please let us know before your next visit. We will make the changes to help you receive your maximum benefits. We will also need a copy of your new insurance card.
Non-payment. If your account is over 90 days past due, you will get a letter from our billing department. Partial payments will not be accepted, unless otherwise stated. Please be aware that if a balance remains unpaid, we may refer your account to a collection agency.
Our practice is committed to providing the best treatment to our patients. Thank you for understanding our payment policy. Please let us know if you have any questions or concerns.
I have read and understand the payment policy. I agree to follow its guidelines.