We accept most medical insurance plans. The amount of money each insurance plan will pay depends on the specific plan, your coverage, and the procedure. Please contact us at 999.999.9999 for specific details regarding your insurance plan.
We want our patients to be fully-informed about the strengths and weaknesses of their medical plans when making decisions for medical treatment. Processing medical insurance has become much more complex in the last few years. To enable us to estimate your benefits, we ask that you provide us with as much information about your insurance plan as possible. Insurance fee schedules or benefit booklets are an invaluable tool in assisting our office staff. Please make yourself aware of your plan's exclusions and limitations, yearly maximum, deductible, and any possible waiting period.
There are often many factors involved in determining benefits for an individual where one insurance company is involved, and even more concerns when a coordination of benefits between two insurance companies is necessary. In many instances, a husband and wife may each have insurance coverage. It is a common fallacy, however, that having two insurances guarantees 100% coverage. In actual fact, two medical insurance plans seldom means 100% coverage anymore.
As a courtesy, we are pleased to estimate your benefits and bill your treatment to your insurance company. Our staff will assist you in obtaining maximum medical insurance benefits, but please understand that we deal with literally hundreds of different insurance plans every day. Although we try very hard to be as accurate as possible with our estimates, due to the sheer number of plans and their diverse benefits, we must rely on you, the subscriber, to assist us with information gathering.
Treatment provided in another medical office during your current plan year may alter your co-payment due for services in our office. In such cases, we are not able to track whether or not you have reached your yearly maximum benefits. Please call your insurance company if you feel that this applies to you.
It is also important that the office be notified when family circumstances change, especially if children are involved. Insurance companies have specific rules regarding which parent or stepparent is the primary insurance provider for a child.
Our office staff does its best to verify the coverage that your particular program provides. We accept payment from your insurance carrier for the portion covered by your policy. On the date of your office visit, you are responsible for your deductible and the portion we estimate your insurance does not cover. If your insurance company payment is not received within 75 days after the date of service, the entire balance is due from you. You can then obtain reimbursement directly from your insurance company.
If your insurance plan changes, or its billing address changes, it is your responsibility to inform us prior to any further claims being sent. We cannot be responsible for tracking changes in your plan. We appreciate your help, and look forward to working with you.
Medical Clinic
Phone: 999.999.9999
e-Mail: xx@xxxx.com
Address:
999 Main St.
Your Town, US 99999
Affiliation: |