- CAREPLUS MEDICARE ADVANTAGE ONLY WITH OON AUTH & LOA
- MEDICARE TRADITIONAL and RAILROAD
- Will accept and file any secondary supplement to Medicare; if unpaid becomes patient responsibility
- BCBS MARKETPLACE {My Blue}BCBS MEDICARE HMO/PPOBCBS COMMERCIAL/TRADITIONAL/FEDERAL PPO/HMO
- DEVOTED MEDICARE ADVANTAGE HMO
- AETNA COVENTRY SUMMIT MEDICAREAETNA COMMERCIAL EPO/PPO/HMOAETNA MEDICARE HMO/PPO
- COVENTRY/AETNA HEALTH CARECOVENTRY MEDICARECOVENTRY ONE
- FIRST HEALTH
- UHC PPO/HMO ONLY (NO MEDICARE OR MEDICAID PLANS)
- WELLCARE MEDICARE ADVANTAGE
- Humana Medicare HMO/PPO (NO MEDICAID PLANS UNTIL APPROVED CONTRACT)
- Humana CHOICE CARE NETWORKS
- Humana Commercial HMO/PPO
- Lucent/ Heritage Solutions need Authorization (Jail Inmates)
- VACCN/VA COMMUNITY CARE (MUST HAVE APPROVED AUTH FROM VA TO TREAT)
Effective 11/01/23
Each patient is expected to pay his/her estimated financial liability on or before the day of service. In the event a patient is unable to pay the estimated liability in full, our facility may offer a short term repayment schedule after a minimum down payment is made. For an extended repayment schedule, a patient may need to secure financing with an outside source. Please consult with our business office for further information.
Patients who are not eligible to receive services paid for by insurance or other third party payment sources may be eligible to receive an uninsured discount from our facility. The discount is a set percentage off of charges and is subject to change. If a patient’s services are subsequently found to be covered by insurance or other third party payment source, the uninsured discount may be disallowed.
A patient receiving treatment at our facility under insurance with which our facility is out of network may be eligible to receive an adjustment to their assigned out of network patient liability, assuming our facility is not prohibited from offering Out of Network adjustments under state/Federal laws or your insurance company’s provisions. If not prohibited, the application of any out of network discount is subject to vary based on a patient’s benefit coverage. Accounts which become delinquent may have the adjustment disallowed.
As a courtesy to our patients, we will file an insurance claim on behalf of the patient to his/her insurance plan. A patient is expected to respond to his/her insurance plan’s request for information timely, as needed, in order to minimize processing delays with the claim.
Patients are expected to pay their financial obligations in a timely manner including the estimated portion by the day services are received, and any remaining portion upon finalization of the claim by the payer. Unpaid claims by the payer may result in the account’s outstanding balance being fully transferred to the patient for collection.
If needed, the institute will attempt to reach a patient by any method available to us to secure payment on the outstanding balance utilizing internal and external resources. If the account becomes delinquent, it may be placed with an attorney or agency for collection in which their fees and expenses may be the obligation of the patient.
Services may be provided in this health care facility by the facility as well as by other health care providers who may separately bill the patient and who may or may not participate with the same health insurers or health maintenance organizations as the facility.
Patients and prospective patients may request from this facility and other health care providers a more personalized estimate of charges and other information. Patients and prospective patients should contact each health care practitioner who will provide services in this facility to determine the health insurers and health maintenance organizations with which the health care practitioner participates as a network provider or preferred provider.