Financial/Payment Policy

Thank you for choosing us as your primary care provider.  Because some of our patients have had questions regarding patient and insurance responsibility for services rendered, we have developed this informational sheet.  We made several changes which became effective on January 1, 2009.  Please read it and ask us any questions you may have. 

INSURANCE

We participate in most insurance plans, including Medicare.  If you are not insured by a plan we do business with, payment in full is expected at each visit.  If you are insured by a plan we do business with but don’t have an up-to-date insurance card, payment in full for each visit is required until we can verify your coverage.  Knowing your insurance benefits is your responsibility.  This includes knowing whether or not you have wellness or preventative coverage.  You must notify us PRIOR to your visit whether or not this will be billed as a wellness or preventative service.  We will bill your insurance company only once.  Please contact your insurance company with any questions you may have regarding your coverage.  The insurance plans that we participate with include:

    Medicare, Medicaid, Blue Cross/Blue Shield, Blue Care Network, PPOM/Cofinity. United Healthcare, CareSource, Molina, and Priority Health.

NO INSURANCE

Beginning January 1, 2009, if you do not have insurance, you will be asked to pay $98.00 during the check-in process.  If you are unable to pay, we may ask you to re-schedule your visit with us.

CO-PAYMENTS AND DEDUCTIBLES

All co-payments and deductibles must be paid at the time of service.  This arrangement is part of your contract with your insurance company.  Failure on our part to collect co-payments and deductibles from patients can be considered fraud.  Please help us in upholding the law by paying your co-payment at each visit.  You may pay with cash, check, money order or credit card.

CLAIMS 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.