Thank you for choosing us as your health care provider. Our practice is committed to providing the best treatment for our patients and we charge what is usual and customary for our area. We are committed to your treatment being successful. Please understand that payment of your bill is considered a part of your treatment. The following is a statement of our Financial/Billing Policy, which we ask you to read and sign prior to any treatment.
Insurance
Insurance billing is done as part of our care for all of our patients. There are hundreds of health insurance companies available in the United States. Please be aware that some of the services provided may be non-covered services and/or not considered reasonable and necessary under the Medicare Program and/or other medical insurance. Your insurance policy is a contract between you and your insurance company. It is your responsibility as the subscriber to know what your health insurance mayor may not cover as ultimately you are responsible for your bill. It is your responsibility to inform our office of any changes in your insurance or your insurance coverage.
Cash Patients (no insurance)
Payment for all services and materials is expected at the time that service is rendered.
Miscellaneous Billing Policies
Co Pays and some balances are due before seeing the doctor:
Laboratory services performed or lab specimens processed may be billed separately to you by t1 laboratory. It is not the doctor's responsibility to assure insurance coverage for laboratory fees.
Disability and other forms and/or dictated letters are not covered by insurance. There will be a fee of $25.00 for these services billed directly to the patient.
Telephone consultations longer than 15 minutes may be subject to a consultation fee to be charged in accordance to the time spent and the degree of expertise involved.
An APR of 18% is assessed if your account is unpaid after 30 days. Failure to pay your bill may result in the account being given to a collection agency.
Thank you for understanding our Financial Policy. Please let us know if you have questions or concerns.
