We participate in most major insurance plans. Since these contracts frequently change, we may ask you to contact your insurance company to verify our participation in your plan. Our staff will verify your insurance status and may ask for your card(s) at each visit. Some insurance plans have co-payments and this will be collected at the time of service. If insurance verification cannot be established during your visit, full payment will be expected at that time until the matter can be resolved.
Our office manager and/or insurance coordinator can assist you further should you have additional questions.
We currently contract with Medicare, BCBS, TriCare, MailHandlers, Workmans Compensation, and Medicaid just to name a few.
If you are not sure about your coverage, please contact your insurance provider to verify that we are in network with your plan.
If you have an HMO or other managed care plan, you need a referral authorization from your primary care physician. This is also necessary for out-of-state plans. If we have not received an authorization prior to your arrival at the office, your appointment will have to be rescheduled.
If you have commercial insurance, which is also known as indemnity, regular insurance, insurance, and 80%/20%, then payment is your responsibility for all office visits, office procedures, and other charges at the time of the office visit. Our staff will call your insurance company ahead of time to determine deductible and co-insurance.
If the services are covered by your plan, then all applicable co-pays and deductibles are requested at the time of the office visit. If the services are not covered by the plan, then payment in full is requested at the time of visit. Our staff will call your insurance company ahead of time to determine co-pays, deductibles, and non-covered services for you. We will also file an insurance claim on your behalf.
If you have an HMO with which we are not contracted, then payment is required in full for office visits, office procedures, and other charges at the time of the visit. Our staff will provide the necessary information for you to complete and file your claim directly with the insurance company.
If you have a point-of-service plan or out-of-network PPO, then payment that is the patient’s responsibility (deductibles, co-pays, non-covered services) is required at the time of the visit. Our staff will call your insurance company ahead of time to determine out of network benefits, copays, deductibles covered and non-services. We will also file an insurance claim on your behalf.