If you have… |
You Are Responsible For: |
Our Staff Will: |
Commercial Insurance Also known as indemnity, “regular” insurance |
Payment of the patient responsibility for all office visits, x-ray, injections, and other charges at the time of office visit. |
Call your insurance company ahead of time to determine deductibles and coinsurance. File an insurance claim as a courtesy to you. |
HMO & PPO plans with which we have a contract |
If the services you receive are covered by the plan: All applicable copays and deductibles are requested at the time of the office visit. If the services you receive are not covered by the plan: Payment in full is requested at the time of the visit. |
Call your insurance company ahead of time to determine copays, deductibles, and non-covered services for you & file an insurance claim on your behalf |
HMO with which we are not contracted |
Payment in full for office visits, x-ray, injections, and other charges at the time of office visit. |
Provide the necessary information for you to complete and file your claim directly with the insurance company |
Point of Service Plan or Out Of Network PPO |
Payment of the patient responsibility – deductible, copay, noncovered services – at the time of the visit. |
Call your insurance company ahead of time to determine out of network benefits, copays, deductibles, and noncovered services & file an insurance claim on your behalf |
Medicare |
Any services not covered by Medicare are requested at the time of the visit. If you have Regular Medicare as primary, and also have secondary insurance or Medigap: No payment is necessary at the time of visit |
File the claim on your behalf, as well as any claims to your secondary insurance. |
Office Appointment No Show |
Letting us know 24 hours in advance if you can’t make an office appointment. Paying a $35 administrative fee if you aren’t able to cancel 24 hours in advance. |
Confirm your appointment 1-2 days in advance of your appointment. |
Procedure/Surgery Scheduling |
We have a $100 deposit which is applicable to your deductible/coinsurance. It is non-refundable if you reschedule (more than once) or cancels less than 48 hours in advance. |
Our staff will handle all your insurance authorization and questions. They will also coordinate with the surgery center |
No insurance |
Payment in full at the time of the visit. |
Work with you to settle your account. Please ask to speak with our staff, if you need assistance. |