If You Have...

You Are Responsible For...

Our Staff Will...

Commercial Insurance
 Also known as indemnity, "regular" insurance, or "80%/20% coverage."

Payment of the patient responsibility for all office visits, tests, 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, tests, 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, non-covered services � at the time of the visit.

Call your insurance company ahead of time to determine out of network benefits, copays, deductibles, and non-covered services.

File an insurance claim on your behalf.

Medicare

If you have Regular Medicare, and have not met your $134 deductible, we ask that it be paid at the time of service.

Any services not covered by Medicare are requested at the time of the visit. Medicare does not pay for annual preventive physicals, services that are considered medically unnecessary or cosmetic in nature.

If you have Regular Medicare as primary, and also have secondary insurance or Medigap:
No payment is necessary at the time of the visit unless your secondary does not coordinate benefits.

If you have Regular Medicare as primary, and no secondary insurance:
Payment of your 20% co-pay is requested at the time of the visit.

File the claim on your behalf, as well as any claims to your secondary insurance.

Worker's Compensation (Out of State)

Our office does not participate.
However, if you choose to be seen, payment in full is requested at the time of the visit.

Provide you a receipt so you can file the claim with your carrier.

Occupational Injury

Our office does not participate.
However, if you choose to be seen, payment in full is requested at the time of the visit.

Provide you a receipt so you can file the claim with your carrier.

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.