Tab Page – Financial Policies – Expected Payments
Expected Payments
If you are a Work Injury or IME patient – No payment is required at time of office visit
- If you are being seen as an authorized Work Injury patient or as an authorized IME, you will NOT be asked to pay anything. All your bills will be handled through your Worker’s Compensation Insurance Company or your attorney.
What is your payment if you have Medicare?
- If Medicare is your primary insurance, then we expect 20 percent of your “Medicare allowable charges” and any deductible required for the calendar year.
- Per federal regulations, the Medicare deductible for calendar year 2024 is $240.
What is your payment if you have commercial (PPO or HMO) insurance?
- We will typically verify your insurance before you arrive at our office.
- If we are a “participating provider” for your insurance plan, then we will only collect the co-pay (either a set dollar amount or percentage).
- You may also be asked to pay any deductible that may not have been met for the calendar year.
What if we are NOT in your insurance network?
- If we are not in your insurance network, you may be asked to pay your bill in-full.
Please discuss this with our office manager prior to your office visit.
What if you have NO insurance?
- If you are a NEW patient without a valid verifiable insurance, we will NOT be able to see you as a patient
- If you are an existing patient and have lost your insurance or we are no longer in your insurance network, then we expect full payment at the time of service.
Insurance Verification:
- We will verify your insurance PRIOR to your office visit.
- This verification will inform us of your insurance contract stipulations, including any co-pays you are required to pay.
WHEN to Pay:
- We expect payment at the time of service.
TYPE of Payment:
- Our office prefers cash or credit card (MC, Visa, Discover, and Amex).
- You may also pay On-Line thru this web site. We offer a Secure Payment process, powered by Pay-Pal.
- Due to the high number of “bounced checks”, we do NOT accept checks as a form of payment.