PAYMENT/INSURANCE
I am happy to see patients regardless of insurance coverage, but I do not "participate" in any insurance plans. I do my best to keep charges for services reasonable, but am forced to balance
lower charges to you against the business costs of individualized care and ever increasing overhead expenses such as rent, lab fees, and medical liability insurance.
Payment for services is expected at the time of your visit. Cash, check and credit card are all accepted.
As a courtesy my staff will submit the claim for your care to your insurance company and reimbursement should come to you. In order to do this you must provide us with accurate insurance information at the time of your visit.
We will submit an accurate claim and you should hear promptly from your insurance company regarding the claim. If you do not hear within 8 weeks, you should directly communicate with your insurance company to verify that the claim is being processed. If this matter is addressed promptly we can, if necessary, resubmit the claim for you.
Most patients will receive a substantial reimbursement if they are covered with "out of network" benefits. Patients with no "out of network" benefits, such as is the case with HMO insurances, and expenses for services which "are not covered" by their insurance will likely not be reimbursed.
If you are notified that payment has been sent to us, please contact the office and we will reimburse you that amount.
Given the complexity of health insurance, it is important for patients to know and understand their insurance coverage. Your benefits will be greater if you know:
whether you are covered for well woman exams or only problem visits
if your plan has a preferred list of medications referred to as a "formulary"
That even with insurance, some services are considered "not covered" and therefore not paid for by your insurer
Insurances typically will cover you for only one service per visit e.g. no procedures, such as a biopsy, at the time of an annual visit
A better understanding of your coverage helps us code for your optimal reimbursement.
lower charges to you against the business costs of individualized care and ever increasing overhead expenses such as rent, lab fees, and medical liability insurance.
Payment for services is expected at the time of your visit. Cash, check and credit card are all accepted.
As a courtesy my staff will submit the claim for your care to your insurance company and reimbursement should come to you. In order to do this you must provide us with accurate insurance information at the time of your visit.
We will submit an accurate claim and you should hear promptly from your insurance company regarding the claim. If you do not hear within 8 weeks, you should directly communicate with your insurance company to verify that the claim is being processed. If this matter is addressed promptly we can, if necessary, resubmit the claim for you.
Most patients will receive a substantial reimbursement if they are covered with "out of network" benefits. Patients with no "out of network" benefits, such as is the case with HMO insurances, and expenses for services which "are not covered" by their insurance will likely not be reimbursed.
If you are notified that payment has been sent to us, please contact the office and we will reimburse you that amount.
Given the complexity of health insurance, it is important for patients to know and understand their insurance coverage. Your benefits will be greater if you know:
whether you are covered for well woman exams or only problem visits
if your plan has a preferred list of medications referred to as a "formulary"
That even with insurance, some services are considered "not covered" and therefore not paid for by your insurer
Insurances typically will cover you for only one service per visit e.g. no procedures, such as a biopsy, at the time of an annual visit
A better understanding of your coverage helps us code for your optimal reimbursement.