NEW PATIENTS

All co-payments, deductibles and non-covered services are required to be paid at the time of service. For your convenience, we do accept check, cash, debit and credit cards.

We are committed to providing you with the best possible care. If you have medical insurance we are eager to help you receive your maximum allowable benefits. In order to achieve these goals we need your assistance. Insurance coverage is not a guarantee of payment for services provided including procedures considered not medically necessary and/or cosmetic in nature. If you have questions regarding your benefits, coverage, or if our providers are contracted with your plan please call the customer service telephone number on your insurance card.

1. CONTRACTED INSURANCE: All contracted insurance companies are billed directly as a courtesy. Any remaining balance for non-covered benefits, deductibles, and co-insurance are your responsibility. Payment for any patient responsibility is due upon receipt of your monthly statement.
2. CO-PAYS: All co-pays are expected at the time the service is rendered. It is the patient’s responsibility to notify the receptionist upon arrival that a co-pay is due. A $20.00 handling fee maybe added to your statement if you do not pay at the time of service.
3. NON-CONTRACTED INSURANCE: All charges are considered patient responsibility if we are not contracted with your insurance. A claim will be filed as a courtesy; however, a contractual adjustment will not apply. Payment is due upon receipt of your monthly statement.
4. RETURNED CHECKS: There will be a $25.00 charge for all returned checks.
5. NO SHOW/CANCELLATION POLICY: There may be a $100.00 charge for no-show appointments or cancellation of appointments without 24-hour advance notice.
6. BENEFITS/COVERAGE: It is your responsibility to understand your insurance benefits. Insurance coverage is not a guarantee of payment for services provided including procedures considered not medically necessary and/or cosmetic in nature. If you have questions regarding your benefits, coverage, or if our providers are contracted with your plan please call the customer service telephone number on your insurance card.
7. REFERRALS/AUTHORIZATIONS: It is your responsibility to obtain referrals from your PCP. Please notify the receptionist if your plan requires a referral or pre-authorization. If a referral is not in place your appointment may be rescheduled.