Financial Policy

1. Insurance

We participate in most insurance plans, including Medicare. Knowing your insurance benefits is your responsibility. Please contact your insurance company with any questions you may have regarding your coverage. 

2. Co-pays 

Co-pays must be paid be paid at the time of service. Our contractual agreement with your carrier  prevents us from waiving your required co-pay amounts. For your convenience we accept Cash, Checks, Visa, Mastercard, and Discover. In the event of a returned check, there will be a $30.00 returned check fee, and you will not be allowed to write any more checks.

3. Proof of Insurance 

We must obtain a copy of your current valid insurance card to provide proof of insurance. If you fail to provide us with the correct insurance information in time to meet your insurance company’s claim filing limit, you will be responsible for the balance of the claim. If your insurance company has not paid your account in full within 45 days, the balance will automatically become your responsibility.

4. Claim Submission

We will submit your claims and assist you in any way we reasonably can to help get your claims paid. Your insurance company may need you to supply certain information directly. It is your responsibility to comply with their request. Please be aware that the balance of your claim is your responsibility whether or not your insurance company pays your claim. Your insurance benefit is a contract between you and your insurance company; we are not party to that contract. 

5. Non-Covered Services

Please be aware that some and perhaps all the services provided you received may be non-covered or not considered reasonable or necessary by Medicare or other insurers. You will be responsible for these non-covered services.

6. Uninsured 

If you have no insurance coverage, a payment of $50.00 is due at the time of service, unless you have made a prior arrangement.  You will be billed for the remaining balance, and a 40% self-pay discount is applied on this balance.

7. Non-Payment

Outstanding balances are due within 15 days of the statement date.  If your account is 60 days past due, you will receive a letter stating you have 30 days to pay the account in full or set up payment arrangements. Please be aware that if a balance remains unpaid, we may refer your account to a collection agency. If you are in collections, you may not be able to make an appointment or get medication refills.

8. Billing Errors

Call to correct any billing errors promptly. If you ignore our billing statements or telephone calls, we can only assume that you do not intend to pay for the medical services that were provided, and your account will be forwarded to an outside collection agency.

Referrals – some insurance plans require that a referral from the primary care physician be obtained prior to being seen. It is the responsibility of the patient to obtain this referral. Failure to obtain it may result in a lower payment or no payment/benefits from your insurance company and you will be responsible for payment.