Basic Financial Policies

Basic Financial Policies

Medical Insurance

If you are covered by a medical insurance plan we ask that you read your policy / contract. There is great variety in the types of coverage offered in medical insurance. To avoid any misunderstanding and disappointment we strongly suggest to all patients that you contact your insurance company to verify your benefit / coverage assumptions are correct.

Insurance companies will not cover 100% of all expenses. It is the responsibility of the patient/parent /guardian to pay any and all deductibles, co insurance co pays or any other amount that your insurance  carrier reflects as a patient balance.

Some insurance plans will require a referral from the primary care physician. The patient is responsible to obtain the referral prior to their scheduled appointment. Should you arrive at the appointment without the referral from your primary care and the appointment is not urgent it will be necessary for our staff to reschedule.

Co Payments Are Expected at the Time of Service

It is the responsibility of the patient to present their insurance card and information at the time of check in. should you have any changes in your carrier or identification numbers please notify the office and provide a copy of your new card for billing.

Our office will submit claims to your insurance carrier(s) for you. You will be balanced billed for any amount that insurance lists as a patient responsibility.

Self Pay

The fees are the same for all patients whether there is insurance coverage or not. A deposit of $75.00 is required for Self Pay patients at the time of service.  You will be billed for any remaining balance –if necessary the office manager will arrange a monthly payment plan for you.


Payment is expected from all patients with a balance within 30 days of the first statement unless previous arrangements have been made with the office manager. Any balance over 120 days will automatically be forwarded to our collection agency and your account will be assessed a $35.00 process fee.

Payment is accepted in the form of cash-check-master card- visa. 

Should a check be returned from the bank for insufficient funds your account will be assessed a $50.00 fee.

Motor Vehicle

Our office does not bill insurance for motor vehicle accidents. Payment is the direct responsibility of the patient for services rendered. In the event that surgery is required as a result of the accident payment is expected from the patient. We will provide you with an itemized receipt acceptable for submission to your automobile insurance carrier or attorney. A copy of your medical records, treatments and financial statements will be provided to an attorney or insurance agency for you upon receipt of a signed release from the patient / parent/ or guardian.

Workers Compensation

Patients will be billed directly for services rendered. Upon receipt of the statement please present to your place of employment for resolution. Your place of employment will be required to provide our office with the name of the company insurance case number date of accident as well as a contact name and phone number of the person in charge of your case.