We ask that charges for professional services be paid at the time of service. We realize that there are occasional circumstances when this is not possible. In this case, we request that arrangements for later payment be made in advance of your visit with a patient account representative. We will be happy to provide you with an estimate of the cost of your visit when requested. However, please keep in mind that it is difficult to know exactly which tests or treatments will be necessary. Therefore, the estimate you receive may change after you have seen the doctor.
We do not bill insurance companies that we are not contracted with. We will provide you with all the information needed so you can obtain reimbursement from your insurance and we will assist you in any reasonable way possible. If you need a HCFA claim form to submit charges to your insurance company, please request this form as you check out of the office. However, if you have a secondary insurance that we are contracted with, we will bill both of your insurance companies as a courtesy to you.
If we are contracted with your primary insurance and you have a second insurance, we will bill both of your insurance companies. You will still be responsible for your primary insurance copay, deductible, or uncovered portion at the time of service. We will bill your secondary insurance as a courtesy to you. If you have questions regarding your fees or billing policies, please call the office at (435) 628-0498.
Medicare Patients:
We participate with regular Medicare and most Medicare HMO’s. We will submit any charges incurred during your office visit to Medicare. Although you have Medicare, you will need to make your payment of any uncovered portion at the time of service. If you have a secondary insurance, we will bill them for you.
Lab Fees:
You will receive a separate bill from the outside lab that processes your lab work including: pap smears, biopsies and blood tests.
Pregnancy Covered by Insurance:
We request that patients covered by insurance pay the out-of-pocket deductibles and uncovered portion of your insurance plan prior to the seventh month of pregnancy. Please provide the office with your insurance card at your first visit for pregnancy. If your medical coverage changes during your pregnancy, please notify the receptionist and give her your new insurance card.
Pregnancy Not Covered by Insurance:
A patient account representative will put you on a monthly payment plan if you do not have insurance coverage for pregnancy. Payments are to begin at the first visit and all charges are to be paid in full prior to delivery. If payment in full is made by the sixth month, a discount is available.
Surgery Patients Covered by Insurance:
Surgery patients are to give a copy of their insurance identification card to the insurance department prior to the surgery. Prepayment of any deductible and uncovered portion of the estimated surgery cost is required prior to the surgery. After insurance has paid, we ask that any remaining balance be paid within 30 days of the insurance payment.
Surgery Patients Not Covered by Insurance:
We request that surgery patients without insurance pay in full prior to their surgery. A discount is available if payment in full is made prior to the surgery date.
Returned Checks:
There is a $25 service charge for returned checks. After two returned checks, your account may be put on a cash status.
