Financial Information

CareCredit buttonOur office accepts the following forms of payment: Visa, Mastercard, Discover, Cash, Care Credit, or Personal Checks. A valid ID must be presented and copied at the time of initial consultation.

It is our policy to submit an insufficient fund (NSF Checks) to an outside collection agency that will electronically obtain any payments due to our office, and a $30.00 NSF Check Fee will be charged to your account. If payment has not been made to your account, within 90 days after services are rendered, and no contact or appropriate arrangements have been made with our office; the account will be referred to the necessary collection parties.

All payments are due at the time services are rendered.

INSURED PATIENTS:

As a service and courtesy to our patients, we will file your insurance. This courtesy does not relieve the patient of financial responsibility, nor suspend payments until the insurance company has paid the claim. Every effort will be made to estimate your co-payments and deductibles, with assistance from your insurance company. The insurance company does not guarantee payment during the verification process. The charges for services rendered, by this office; are the responsibility of the patient or patient guarantor. Co-Payment and deductible fees are due at the time of service. Please understand that the insurance policy is a contract between you and your insurance company. If an insurance company has not paid within 90 days of billing, and unpaid professional and clinical fees are due and payable in full from you, to our office. Please be advised to follow up with your insurance company to verify they are processing your claim. In addition, some services offered may not be covered by your insurance policy. By presenting for care, you agree to be responsible for all services and charges, regardless of your insurance status. Should any provided services not be covered by your insurance, you are to cover the charge. In addition, you are responsible for any remaining balance.

We participate in the following DENTAL PLANS, as an In-Network Provider:

BCBS DNoA, CIGNA, AETNA, METLIFE, and DELTA

We participate in the following MEDICAL PLANS, as an In-Network Provider:

CIGNA

This office will accept and file to Out-of-Network plans as well, with the understanding that you will be due any fees they do not cover. We will also file to any other insurance plans you provide, as a courtesy to your financial health.

UNINSURED PATIENTS:

Our fees will be due and payable at the time services are rendered. Please inquire to our Practice Director regarding payment plans/options, such as Care Credit.

PERSONAL INJURY CASES:

This office does not accept liens or bills for auto accident, liability, or lawsuit-related cases. It is the patient’s responsibility and obligation to pay at the time services are rendered.

FOLLOW-UP/AFTER HOUR VISITS:

Periodic post-operative office visits may not be covered by your insurance policy, but may be required by your treating provider. Additional fees may apply.

CANCELLATION of APPOINTMENTS:

Our goal is to provide high quality care at a low cost to our patients, and in fairness to other patients and providers; we require a 24 hour notice when cancelling an appointment. There is a fee for visits not cancelled within this timeframe. This office reserves the right to dismiss patients with excessive cancelled appointments.