Financial Policy

We are dedicated to providing you with the best possible care and service, and we regard your understanding of our financial policies as an essential element of your care and treatment. If you have questions about your account, charges, insurance, or payments, please speak with a member of our business office staff.

Please have available at the time of your visit the following insurance identification:

1. Your insurance identification card so that we may copy the front
and the back of the card for accurate insurance information.

2. If you have a health plan that requires their own insurance claim
form, please bring us a signed completed claim form.

Patients with no insurance
If you do not have insurance, payment in full is expected at the time of service. If you have a financial hardship, special financial arrangements may be made with our financial counselor to discuss a payment plan option.

Policy Regarding Motor Vehicle Accidents
For patients who have been involved in a motor vehicle accident, payment in full is expected at the time of service.

Workers’ Compensation Policy
If you are involved in an “on-the job” work injury. We will require preauthorization from the insurance carrier. If your appointment has not been scheduled under workers’ compensation and you have had an on the job injury, please contact a member of our Workers’ Compensation Team.

Payment Policy
We appreciate your payment for services at the time services are rendered. For your convenience, we accept VISA and Master card. If the total payment is not made at the time of service you will receive a regular monthly statement. We require a monthly payment for a period not to exceed nine months, at which time we expect your account balance to be paid in full. If longer payment terms are needed, please ask our financial counselor about our extended payment option plan.

Your Insurance
If you are insured, we will bill those insurance plans with whom we have an agreement, and we will do all the paperwork for you. If you have a PPO or HMO insurance plan, we will collect the required CO-PAYMENT and any deductible that is due at the time of visit. In the event that your health plan determines a service to be “non-covered,” we will bill you, and payment is due upon receipt of that statement. Any amount not paid by your insurance company within 30 days will be billed to you for payment, and we ask that you assist us in contacting your insurance carrier for payment status. If your insurance coverage is with a plan that we do not have an agreement, we will send the claim in for you, and the insurance company might send the payment directly to you, on an unassigned basis. In this case, the charges for your care and treatment are due at the time of the service.

We are participating Medicare providers. We accept Medicare assignment. If you have Medicare, we will bill your Medicare insurance and supplemental carrier for you. We will collect co-payments at the time of service and bill you for the incurred balance. In the instance that you are covered by Medicare and your secondary insurance is a PPO or HMO plan, we will handle the insurance billing for you with benefits assigned to our office.