Office Policies
Accepted Insurance Plans
Blue Cross Blue Shield (BCBS), Aetna, Cigna, United Healthcare, Humana, Medicare, Medicare Advantage, Blue Cross Community, Humana HMO (Gold Plus, referral and authorization number required from PCP prior to scheduling), Tricare. If your plan is not listed above, please call and our staff can help verify whether it is accepted.
Financial Policy
We are happy to bill your insurance as a courtesy. However, insurance coverage is not a guarantee of payment. You are responsible for all charges not paid by your insurance, including copays, deductibles, coinsurance, non-covered services, and services denied for medical necessity or eligibility. Please be sure to bring a valid insurance card to your visit and a photo ID.
Payment at Time of Service
Payment is required at the time services are rendered. This includes:
- Your insurance copay
- An estimated portion of your deductible or coinsurance
- Charges for services or equipment (including boots and orthotics) not covered by insurance
- Outstanding balances from prior visits
Credit Card on File
To provide efficient billing and reduce outstanding balances, we require a valid credit or debit card to be kept securely on file.
By providing a card on file, you authorize our office to charge:
- Any balance remaining after insurance processes your claim
- Charges for non-covered or denied services
- Fees for returned payments or unpaid balances
You will receive a statement or notification prior to any charge being processed. Patients who prefer not to keep a card on file may choose to pay a deposit at the time of their visit. The deposit amount will be based on anticipated charges for services rendered and will be applied to the final balance once insurance processing is complete. Payment plans are available but eligibility is at the discretion of the practice. All payment plans require balances be paid within 6 months of the visit date.
Insurance Verification
Verification of benefits is not a guarantee of payment. Patients are responsible for charges resulting from expired coverage, unmet deductibles, or plan limitations. It is each patient's responsibility to independently verify deductibles and out-of-pocket maximums prior to the initial visit with our provider.
If covered by an HMO plan, it is your responsibility to obtain a referral and/or authorization from your primary care physician prior to being seen by the doctor. If you do not have your referral at the time of your visit, we would kindly ask that you reschedule or pay for the visit at the self pay cost. Once your authorization has been received, we will process your insurance claim.
It is also the responsibility of all returning patients to provide updated insurance coverage information. Failure to do so may result in the rejection of claims and the need for the patient to be billed for the full amount until the corrected claim can be submitted.
Financial Responsibility for Minors
The parent or legal guardian who accompanies a minor to their appointment is considered the financially responsible party for all charges incurred at the visit. We are unable to bill or assign financial responsibility to a parent or guardian who is not present at the time of service, regardless of custody arrangements or divorce decrees.
Same day visits:
Walk-in appointments made for the date of service are welcomed based on provider availability. No additional fee is incurred for same day or emergency visits.
Late arrivals:
Your appointment time is reserved only for you. In the event that you are late to your visit, we are happy to accommodate you at the physician's discretion. However, please be aware that the length of your appointment will not be extended as it would potentially encroach upon another patient's visit.
Cancellations and "No Shows":
We understand that unforeseen events and emergencies may arise. Kindly give 24 hours' notice if you are not able to keep your appointment. Recurrent cancellations within 24 hours of the scheduled appointment date and time or no-shows can be subject to a cancellation fee or termination from the practice.
Durable medical equipment (i.e. surgical shoes, walking boots, ankle braces, over the counter orthotics) are also available for purchase.
Questions about what deductibles and out-of-pocket maximums are and how they play into your financial responsibility?