The Modern Plastic Surgery & Medspa: Financial Policy
Payment is expected for all office visits, services, treatments, and products at the time of each visit. For your convenience, we accept personal checks, checks, all major credit cards, Care Credit and Alphaeon Credit. The Modern Plastic Surgery & Med Spa participates with some insurance carriers.
The benefits paid by private insurance companies vary greatly from carrier to carrier and plan to plan. You are ultimately responsible for all charges whether or not paid by the insurance company. Since our services are rendered to YOU, you are responsible directly to us for settlement of your account within the time frame set, regardless of the status of your insurance claim. Please feel free to discuss your bill or charges at an early date, to avoid any misunderstandings. It is understood that failure to comply with this agreement would leave Walters Plastic Surgery no alternative but to seek collection action.
If for any reason you must cancel or reschedule your appointment, The Modern Plastic Surgery & Medspa must receive at least a 24 hour notice of that change. There will be a $75 fee for appointments cancelled with less than 24 hours notice.
Cosmetic surgery procedures are not covered by insurance. A non-refundable deposit of $500.00 is required in order to schedule your surgery date. All cosmetic surgery balances are required to be paid, in full, two weeks prior to your scheduled surgery date. If full payment is not received, The Modern Plastic Surgery & Medspa reserves the right to release your procedure date.
If the surgery is cancelled/rescheduled ONE WEEK or less prior to surgery, 50% of the surgeon’s fee will be retained. If you need to reschedule your surgery date, a $250 fee will be charged. If you are required to take a nicotine test and fail the morning of surgery, your surgery will be cancelled and there will be NO REFUND for the total surgeon fees.
**A 5% processing fee will be charged on any surgery that is cancelled for any reason on a credit/debit card transaction.
If you have any questions regarding this policy, please ask our staff for clarification.
I agree to pay all charges incurred at The Modern Plastic Surgery & Medspa not paid by insurance in consideration for medical and/or surgical benefits provided.
I have read the above and I agree to the terms of this payment policy.