We contract with many insurance companies through our Physician Associations. We are also Medicare approved providers. For specific plan enrollment and benefits please check with our office. For those without insurance we try our best to make health care affordable and thus offer non-insured discounts. We are here to serve you.
The information below summarizes our policies in regards to billing and insurance.
We are members of several Health Maintenance Organizations (HMO) and Preferred Provider Organizations (PPO), however it is important that you check with your insurance carrier to verify that we are participating providers and in-network. If we are not a provider and you receive a referral to see us from your physician, this does not guarantee that we will receive full payment for our services and the balance may become your responsibility. Thus, it is essential that you ensure we are a participating provider and in-network.
We will file your Medicare claims for you, as well as your secondary insurance, if you so wish. You will be responsible for the amount remaining after Medicare has processed and paid for your claim.
We do not accept Medicaid, therefore we cannot see patients who are on Medicaid as their primary insurance.
If you have insurance coverage, such as Medicare, Tricare, PPO, HMO, EPO, POS or other, we will file any insurance claims for services received in our office as a courtesy or as required by some of our contracts with our insurance carriers and networks. We are happy to provide this service to you. NOTE: We must file all claims for any services provided for patients who are a member of any of the networks in which we participate. Because of these requirements, we request that you notify us promptly of any insurance changes.
If your insurance coverage is outside our network, or is a plan such as major medical or indemnity, we will still be happy to file your claims for you in order to expedite the processing of your claims (the exception would be any out of network HMO).
Infrequently, some patients do prefer to file their own claims. If you would like to do so, we will provide you with the necessary information (such as a statement or an invoice for dates of service requested) needed to process your claim. However, your visit must be paid in full at the time services are received.
At the end of each month, you will receive a statement showing you your balance after the insurance has completed their processing and payment of the eligible benefit.
You will be responsible for your co-pay, co-ins and/or deductible required by your insurance plan at the time your services are rendered. You will also be responsible for any non-covered charges that your insurance determines to be your responsibility for payment.
We accept cash, checks, Visa, MasterCard, Discover, and American Express. If your balance becomes more than 90 days old, then interest of 12% and late fees of $25.00 will be assessed monthly on the overdue balance. The fee for a returned check is $25.00.
As always, if you have questions about your insurance benefits for the treatments provided, please discuss them with our insurance department, as well as, your insurance provider. Because it is our goal to assist you in achieving clear and accurate information with your particular insurance carrier we ask that you review your benefits prior to your appointment. And, if there are any questions about the fees or services, please call our office at (214) 369-1901.