Insurance

Thank you for choosing our practice! We are committed to the success of your medical treatment and care. Please understand that payment of your bill is part of this treatment and care.

np_entrance3PAYMENT OPTIONS:

For your convenience, we accept several forms of payment, including the following:

Cash / Personal Checks:

(patient will receive a 5% discount)

Credit Cards:

FINANCING OPTION:

Care Credit-Patient Financing Available.

INSURANCE:

We participate in many managed care programs. These insurance contracts are frequently reviewed and changed; therefore, we will ask for a copy of your ID card at each visit. Prior to your visit, please contact your health plan to verify our participation in your plan. Most plans require members to pay an office co-payment for each office visit. Payment of the co-payment will be expected at the time of your visit. If there is a problem with verification of your insurance information, full payment for services rendered will be expected at your visit. Therefore, it is incumbent upon you to ensure that you provide the practice with your most recent and correct insurance information.

For your convenience, we have answered a variety of commonly-asked financial policy questions below. If you need further information about any of these policies, please ask to speak with one of the patient coordinators or with the Insurance Coordinator.

HOW MAY I PAY?

We accept payment by cash, check, VISA, Mastercard, American Express, Discover and financing through Care Credit.

DO I NEED A REFERRAL?

If you have an HMO plan with which we are contracted, you need a referral authorization from your primary care physician. This is also true for Georgia Better Healthcare patients. If we have not received an authorization prior to your arrival at the office, your appointment will have to be rescheduled, or you will be responsible for payment in full for your visit.

WHICH PLANS DO YOU CONTRACT WITH?

Please contact the office or your insurance company to insure that we are in network with your plan.

WHAT IS MY FINANCIAL RESPONSIBILITY FOR SERVICES?

Your financial responsibility depends on a variety of factors, explained below.

If you have… Commercial Insurance also known as indemnity, regular insurance or insurance. 80% / 20%.

You are responsible for… Payment of the patient responsibility for all office visits, office procedures, surgery and other charges at the time of the office visit or at the pre-op visit.

Our Staff will…Call your insurance company ahead of time to determine deductible and co-insurance.


HMO & PPO Plans which we have a contract.

If the services are covered by the plan:
All applicable co-pays and deductibles are requested at the time of the office visit.

If the services are not covered by the plan:
Payment in full is requested at the time of visit.

Call your insurance company ahead of time to determine co-pays, deductibles, and non-covered services for you. File an insurance claim on your behalf.


HMO with which we are not contracted.

Payment in full for office visits, office procedures, surgery and other charges at the time of the visit.

Provide the necessary information for you to complete and file your claim directly with the insurance company.


Point of Service Plan or Out of Network PPO.

Payment of the patient responsibility -deductible, co-pays, non-covered services- at the time of the visit.

Call your insurance company ahead of time to determine out of network benefits, copays, deductibles covered and non-services. File an insurance claim on your behalf.


Medicare

If you have Regular Medicare, and have not met your $100 deductible, we ask that it be paid at the time of service.

Any service not covered by Medicare are requested at the time of the visit. If you have Regular Medicare as primary, and also have secondary insurance or Medigap: No payment is necessary at the time of visit.

If you have Regular Medicare as primary, but no secondary insurance: Payment of your 20% co-pay is requested at the time of the visit.

File the claim on your behalf, as well as any claims to your secondary insurance.


Worker’s Compensation

If we have verified the claim with your carrier: No payment is necessary at the time of visit.

If we are not able to verify your claim: Payment in full is requested at the time of the visit.

Call your carrier ahead of time to verify the accident date, claim number, primary care physician, employer information, and referral procedures.


No Insurance

Payment in full at the time of the visit.

Work with you to settle your account. Please ask to speak with our Insurance Coordinator if you need assistance.


Cosmetic Patients

Payment is due in full at your history and physicial appointment usually scheduled one week prior to surgery.

Provide you with information for financing options through Care Credit.


SURGERY

teresa-turkIf your physician recommends surgery, you will be escorted to his patient coordinator. She will answer specific questions about the cost of surgery, the surgery scheduling process, the paperwork and tests involved. If pre-certification/prior authorization is needed the Insurance Coordinator will send a letter to your insurance company.

A 10% deposit is required on all cosmetic surgeries when scheduled. The balance for these cosmetic surgeries is to be paid at the pre-operative visit one week prior to the surgery. For insurance surgeries the co-pay and/or deductible is also required at the pre-operative visit. A cost estimate which shows your financial responsibility will be provided prior to that visit.

WHAT IF MY CHILD NEEDS TO SEE THE PHYSICIAN?

A parent or legal guardian must accompany patients who are minors on the patient’s first visit. This accompanying adult is responsible for payment of the account, according to the policy outlined on the previous pages. If the minor requires surgery the same is true for the pre-operative visit. A minor is considered anyone under the age of 18.

If you have any questions please feel free to contact our office at (478) 474-2200.

 

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