Insurance

We participate with most major insurance carriers.  Below is a detailed list of plans with which we participate. To find out if a particular physician or clinician participates with your plan, please contact our office or your insurance carrier. If you have an HMO plan, please make sure we are listed as your primary care physician.

Co-pays will be collected at the time of service when you check-in.  If there are any deductibles, co-insurance, or non-covered services, you will be billed after the claim has been processed by your insurance carrier. Please verify your co-pay amount for wellness care with your insurance carrier. If you do not have a co-pay for wellness care please inform the check-in receptionist.

We make every effort to provide care within the covered services by most insurances.  If there are any concerns whether your insurance will be covering a specific service, please contact your insurance to verify benefits.  If your insurance company denies services, you will be responsible for the charges.                     

If we do not participate with your insurance plan, you will be responsible for payment in full.  An itemized bill will be provided to you at the end of each visit and you may submit the receipt to your insurance company for reimbursement. 

To make it as easy as possible for you, we accept cash, checks, Visa®, Master Card® and American Express® at our offices.  If a check is deposited to our bank and it is returned due to insufficient funds, there will be a  $30.00 service charge applied to your account. If this occurs, you will be asked to pay by cash or credit card on all future visits.

 

To new and expecting parent(s), according to each insurance carrier, you have 30 days from date of birth to add your baby to your insurance plan.  Please contact your employer as soon as possible to add your baby.

 

Insurance terminology you should know:

  

  • Co-payment (co-pay) or co-insurance: A dollar amount or percentage you’re responsible for paying for your covered health-care services.  You may have to pay a set amount every time you make an office visit and a different amount for lab work.  You may have to meet a deductible before your co-pay or co-insurance kicks in.

  • Deductible:  This amount is owed by you for covered medical services before your health plan starts paying on any claims.  Everyone has a different dollar amount per person or per family.  You will need to contact your insurance company to find out what applies to you.

  • EOB: Explanation of Benefits; this is the notification you get from your insurance company explaining to you what was paid to the provider of service and letting you know what your responsibility is.

  • COB:  Coordination of benefits; this means that your insurance wants to know if your child is insured by any other health plan.  If they are, you need to provide that information to them.  If they are not, the policy holder needs to call and notify them.  Once that is done, the insurance carrier will reprocess all the claims that have been denied for this reason.

If you do not see your insurance on this list, please contact your insurance carrier directly.