Financial Policy:
We do not file insurance for clients, therefore payment is due at the time of service. We understand that medical care is expensive, by offering a reimbursement plan that you file with your insurance, we can pass a significant savings on visits and lab to our patients. One important benefit is you will have more time with your provider. This type of medical care is not dictated by the rules of insurance companies and allows you and provider to decide what is in your best interest.
What we and other out-of-network providers have found is that when our “superbill” is filed with your insurance, it is reimbursed at 60-80% of allowable charges. The superbill is an itemized form of services received, has all the necessary information and codes for your visit. This all depends on your plan. HMOs do not pay out-of-network, PPOs will. If you have not met deductible, charges would be applied to that.
Medicare or Medicaid does NOT pay for “opt out” provider services. Any lab you would like to file with Medicare is paid in the usual fashion. Many Medicare supplements or secondary insurance will reimburse clients after Medicare declines payment. Any other testing, such as Ultrasounds would be filed with insurance through the hospital as customary.
Medical devices, some birth control options, IUDs and Nexplanon, are filed with specialty pharmacies and are sent to us for insertion. It typically takes about a month for those services to be set up.
Methods of payment are cash, credit card or debit, health savings accounts (HAS) and flexible saving account (FSA). Aflac benefits are also taken. Care Credit and “one insurance card” are being coming soon.
Our typical charges are:
*** There are always exceptions to rules, your actual charges may be a bit less or more, but these are our usuals.