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Thank you for letting us serve you. To acquaint you with our billing
and insurance policies, please read the following information and sign
below.
You are responsible for co-pays, deductibles, non-covered services,
co-insurance, all balances and any services considered not medically
necessary by your insurance company. Payment is expected at the time of
service. It is your responsibility to know your deductible status.
Here is a list of the majority of our currently contracted insurance
companies. There may be periodic additions or deletions to this list.
Aetna
AARP
Blue Cross Blue Shield
Cigna
First Health
Health Care Savings
Humana/Choice Care
Medicaid
Medicare
MedCost
PHCS
TriCare
United HealthCare
If your insurance company is not listed, please ask us. We file with the majority of insurance companies. If
your insurance company requires a referral, please make sure you have
proper documentation before coming to your appointment. Patients
without proper referrals will be responsible for paying their balance
in full when services are rendered.
Please provide us with complete and up to date insurance information.
If this information is not provided at the time of service we cannot
file your claim and you will be billed. Remember, co-pays, coinsurance
and deductibles are due when services are rendered. A statement fee may
be applied to each date of service if above are not paid at time of
service. If your account becomes delinquent, we may refer the account
to a collection agency or attorney.
While there may be some exceptions, cosmetic and non-covered
services are usually not reimbursed by insurance. If you have any
questions regarding coverage for these services, we recommend that you
speak with your insurance representative before the time of service.
All lab work, including pathology, is sent outside of our
office. The lab we use, selected on the basis of quality and service,
may or may not be part of your health plan. These charges are separate
from ours, and they will bill you.
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