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| 1701 Spring St., Jeffersonville, Indiana 47130 | ||||||||||||||||||||||||||||||||||||||||
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Office Policies and InsuranceIn an effort to better inform our patients of their financial obligations we have implemented the following Financial and Insurance Policies. Please read all of the information below. Your cooperation in following our Financial Policy will allow us to better serve you. Accepted Insurance Plans:
We accept nearly every insurance plan! This makes it convenient for the patients. Accepting most plans allows you to keep the same doctor even if you don't keep the same health care plan.
It is the patient's responsibility to make sure we are in their insurance network. Please contact your health plan prior to your visit to assure we are in network for your plan. Insurance Plans that we participates with:
If you have a health insurance plan that we participate with, then you are not obligated to pay any balance in excess of what your insurance company is contractually obligated to pay. However, you (the member) are responsible for co- pays, deductibles and any non-covered services. We will attempt to notify you of any special services you may require that are not covered by your insurance company but ultimately it is the responsibility of the member to know their insurance benefits. We will be glad to provide you with any information you need in order to verify coverage. It is of the utmost importance that you provide us with current copies of your insurance card and notify us immediately if there are changes in this information.
Insurance Plans that we do not participate with:
If you have a health insurance plan that we do not have a contractual agreement with, you will be responsible for any and all fees that exceed or are not covered by your health insurance benefits. As a courtesy to you we will file with your insurance company; however you are ultimately responsible for timely payment. It is of the utmost importance that you provide us with current copies of your insurance card and notify us immediately if there are changes in this information.
No Insurance:
If you do not have health insurance, payment for services is expected at the time of your office visit.
Referrals:
According to most health insurance companies it is the responsibility of you (the member) to obtain any referrals required by your insurance company and update them as needed. If you do not have a current referral you may be asked to reschedule your appointment. Should you (the member) fail to obtain a referral you will be required to sign a waiver stating that you will be responsible for payment of services rendered.
Co-payments:
(HMO, PPO) are to be made at time of service. Payment by Visa, MasterCard, Discover, check or exact change is appreciated.
Monthly Statements:
Any outstanding balance is due immediately upon receipt of statement. Payment by Visa, MasterCard, Discover or check is appreciated.
Divorce:
In divorce situations, the parent who brought the child in is responsible for payment of the bill. We will file with any insurance company we have a contractual agreement with.
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