Payment & Cancellation Policies

We must make the appointment process as efficient as possible. No-shows and late cancellations cause problems beyond a financial impact on our practice. In addition, difficulties collecting copayments, cost shares, and deductibles cause undue financial hardship to the practice.

A credit or debit card is required to reserve your appointment.  A no-show fee of $50 will be charged if a 24hr notice isn't given before cancellation. Also, copayments and deductibles will be applied to the fee. 

We are committed to providing you with quality and affordable health care. Please read the payment policy below: 

• Insurance. We participate in most insurance plans, including Medicare. If you are not insured by a plan we do business with, payment in full is expected at each visit. If you are insured by a plan we do business with but don’t have an up-to-date insurance card, payment in full for each visit is required until we can verify your coverage. Knowing your insurance benefits is your responsibility. Please contact your insurance company with any questions about your coverage.

• Co-payments and deductibles. All co-payments and deductibles must be paid at the time of service. This arrangement is part of your contract with your insurance company. Failure on our part to collect co-payments and deductibles from patients may constitute fraud. Please help us in upholding the law by paying your co-payment at each visit.

• Non-covered services. Please be aware that some – and perhaps all – of the services you receive may be non-covered or not considered reasonable or necessary by Medicare or other insurers. You must pay for these services in full at the time of the visit.

• Proof of insurance. All patients must complete our patient information form before seeing a provider. We must obtain a copy of your driver’s license and current valid insurance to provide proof of insurance. If you fail to provide us with the correct insurance information in a timely manner, you may be responsible for the balance of a claim.

• Claims submission. We will submit your claims and assist you in any way we reasonably can to help get your claims paid. Your insurance company may need you to supply certain information directly. It is your responsibility to comply with their request. Please be aware that the balance of your claim is your responsibility, whether or not your insurance company pays your claim. Your insurance benefit is a contract between you and your insurance company; we are not a part of your individual contract.

• Coverage changes. If your insurance changes, please notify us before your next visit so we can make the appropriate changes to help you receive your maximum benefits. If your insurance company does not pay your claim in 45 days, the balance will automatically be billed to you.

• Nonpayment. If your account is over 90 days past due, you will receive a letter stating that you have 20 days to pay your account in full. Partial payments will not be accepted unless otherwise negotiated. Please be aware that if a balance remains unpaid, we may refer your account to a collection agency, and you and your immediate family members may be discharged from this practice. If this occurs, you will be notified by regular and certified mail that you have 30 days to find alternative medical care. 

• Missed appointments. Our policy is to charge for missed appointments not canceled 24 hours before your appointment. These charges will be your responsibility and billed directly to you. Please help us to serve you better by keeping your regularly scheduled appointment.

Our practice is committed to providing the best treatment to our patients. Our prices reflect the usual and customary charges in our area.

Thank you for understanding our payment policy. Please let us know if you have any questions or concerns.