Financial Policy: We expect full payment at the time of service and will accept personal checks, VISA, MasterCard, American Express and Discover. Prompt payment helps keep both our costs and fees down. Payment will be collected at the time of arrival and you will receive receipt of your payment and any insurance forms that you may need.
Our Nurse Practitioners share your concern about the cost of medical care. We strongly believe that the best medical service is based on a friendly, mutual understanding between healthcare provider and patient. We ask you to discuss with us any questions you may have regarding our services or fees. If you anticipate problems with your payment, you are encouraged to contact us. The earlier we know about a possible problem, the better we are able to develop payment options for you.
Returned Checks: There is a fee of $25.00 for checks returned by the bank. If a returned check is received on your account you will be required to pay all fees associated with this check. All future visits will need to be paid by cash or debit/credit prior to being seen.
Insurance Policy: At this time, we are no longer billing insurance companies. However, we will supply an itemized receipt (superbill) for you to submit to your insurance company for reimbursement or to apply to your deductible.
Late and/or Missed Appointments: When a patient does not show for an appointment or cancels with less than 24 hour notice, the patient may be subject to a $25 fee for routine appointments and an $50 fee for extended appointments (Psychiatric Evaluation or Physical Exam). This fee would be due prior to scheduling a new appointment. We will then keep a credit card on file to charge future late cancellation or missed appointment fees to.
If you are 15 minutes or less late for your appointment, you may have a reduced appointment time. If you are more than 15 minutes late for your appointment, we consider this a missed appointment and depending on scheduling, you may have to reschedule and you will be charged the missed appointment fee.
Good medical care requires a mutual relationship of trust, confidence and respect.
Persistent failure to keep scheduled appointments may result in dismissal from the practice.
Workers Compensation: We do not provide treatment for work-related illness/injury. If you do not disclose your visit is job related, you are financially responsible for all charges incurred for that visit.
Personal Injury/MVA: If you are a personal injury patient you will need to complete the appropriate forms prior to the first visit. Please ask for the personal injury forms.
Physicals: There is a fee for sports, college or camp physicals. This is not a covered benefit by most medical insurance plans.
Effective 07/01/2018
Updated 01/15/2020
