Financial Policy

 

Thank you for choosing our office as your health care provider.  The following is a statement of our financial policy which we request that you read prior to any treatment.

 

INSURANCE

Your insurance policy is a contract between you and your insurance company.  We will submit the medical services to your insurance carrier if you have given us all the required information.  We must have correct policy, group, and ID numbers, etc., along with a correct insurance billing address.  Please be aware that some and perhaps all of the services provided may be "non-covered" services according to your policy.  You are reaponsible for payment of these services.

A liability action against someone (auto accident, etc.) is not a reason for delaying payment of your bill.  Payment of the bill is the responsibility of the individual who has received the treatment, not the individual who is being sued.  For this reason, in addition to the fact that lawsuits are often delayed, we ask that our bill be paid promptly.

We accept assignment for some major insurance companies such a Highmark Blue Shield, Medicaid, Unison, Health America, UPMC, Benefit Services, and for some seleted HMO, POS, and PPO Programs; however, you will still be responsible for payment of any co-payment, deductible, coinsurance, or non-covered services such as the office visit.

If you do not have insurance, the office visit charge is due at the time of the visit.  If necessary, other prodedures done in the office may be paid in monthly installments.

If both parents have insurance, the parent with the first birthday in the year is most often the primary insurer.  Please check your insurance policy to determine which compnay is primary before your appointment.  In divorce cases, we will bill the insurance requested, but the parent who brings the child in for services is ultimately the responsible party.

 

FOR PATIENTS WITH COMMERCIAL COVERAGE OR WHERE WE ARE NOT A PREFERRED PROVIDER

Our practice is committed to providing quality care for our patients and we charge what is usual and customary for our area.  Your are responsible for payment regardless of the insurance company being unwilling to pay for the quality of care your choose.

BILLING

A billing statement covering medical servies received will be mailed to you on a monthly basis.  If you have a financial problem, please ask to disuss a payment plan with our billing department.  If a budget payment plan has been offered to you, we require regular monthly payments or the plan is void.  After that, the account may be turned over to our collection agency.  You then will be responsible for any collection costs.  We accept cash, checks, Visa and Master Card.  In the event a personal check is returned unpaid from your bank for any reason, your account will be charged with a $30.00 return check fee.

COLLECTION BALANCES

If you had a previous collection balance or are presently in collection, the physician may use his discretion as to seeing you again.  It may be required that you pay your previous balance prior to being seen.  If seen by the doctor, we must verify current insurance coverage.  You will be responsible for payment of the office visits, co-payment, deductible, etc., on the day of the visit.

*If you have any questions about our financial policy, please contact our billing department.

 

Co-Payments Policy

 

Co-Payments are a contractual obligation with your insurance company.  You are required to pay your co-payment, and we are required to collect your co-payment, at the time of each visit. 

If the co-pay is not paid, you will be presented with 2 options.  We can reschedule your appointment to a different day, or you can agree to return by the end of the next business day to pay your co-payment. 

In the case of an unaccompanied minor, it will be the parent's responsibility to pay the co-payment within the next business day.  The parent is aware the minor should come to the visit prepared to pay the co-payment.

By choosing this option, you understand if the payment is not made by the end of the next business day, there will be an additional fee.  Payment can be made over the phone using a credit card or in person using cash, check, or credit card.  For your convenience, we accept Visa, MasterCard, and Discover.