EFFECTIVE JULY 3, 2013
Thank you for choosing Weight Management Medical Associates as one of your healthcare providers. We are dedicated to providing the best possible care and service to you. Your clear understanding of our financial policy is important to our professional relationship. We make every effort to keep our fees reasonable while at the same time covering the cost of the services we provide.
FEES AND PAYMENTS:
Payment is required at the time services are rendered unless other arrangements have been made in advance. This includes applicable co-payments, co-insurances, and deductibles for participating insurance companies. We accept cash, personal checks (in-state only), VISA, Discover and MasterCard. There is a service charge of $25 for returned checks over and above what your financial institution charges. Patients with an outstanding balance 60 days or more overdue must make arrangements for payment prior to scheduling appointments.
REFUNDS:
Patient/guarantor credits in amounts less than $20.00 will be retained on account to be credited toward future balances unless a written request for refund is received. Amounts $20.00 and greater will automatically be refunded to the patient/guarantor.
INSURANCE:
We do not accept Medicare, Medicare Advantage, Medicaid, or managed care insurances that require a referral from your primary care provider. In order to address the needs of our patients without insurance and patients with coverage limitations, we charge reasonable office visit or self-pay fees. Please speak with our staff to obtain these costs.
It is the patient’s responsibility to know her/his insurance coverage benefits and present his/her card at each visit. Patients who have plans that we do participate with are expected to pay their co-payments, co-insurances, deductibles, or any non-covered services at the time of their visit. Patients who are not covered by insurance, on a plan that we do not participate with, or if we are not able to verify your coverage must pay at the time of service.
We bill insurance as a courtesy to you. If we have not received payment from your insurance company within 45 days of the date of service, you may be expected to pay the balance in full. You are expected to notify our office if your insurance coverage changes.
Not all services are a covered benefit in all policies, so it is very important that you understand the provisions of your individual policy. Insurance companies select certain services they will cover; therefore we cannot guarantee payment of all claims by your insurance company. You are responsible to be sure all charges are paid whether by you or by your insurance carrier. Your time of service receipt includes all information necessary for submitting claims to your insurance company.
If you need assistance or have questions, please contact our Billing Coordinator between 8:00 a.m. and 4:30 p.m., Monday through Friday at 972-303-8955, extension 101.
COLLECTION AGENCY FEES:
Should your account become severely delinquent, the patient or guarantor agrees to pay all costs of collection including collection fees, attorney fees, and contingent fees to collection agencies in addition to the amount owed.