We are committed to providing you with the best possible
fees reflect our professional commitment to excellence. If you have insurance, we are happy to help you receive
your maximum allowable benefits. In order to achieve
these goals we need your assistance and your understanding of our payment policy. For the convenience of our patients we offer the following methods
of payment of fees.
• Payment in full by cash, bank card or alternate
financing of each appointment as service is rendered. Alternate financing (payment plans)
must be arranged before treatment
• For insurance
patients, we will accept payment directly from the
insurance company only for that percentage the company will cover and do require
that the deductible and non-covered fees be paid at each visit.
• Bank charge
cards- Visa, MasterCard,
and Discover cards are accepted.
• There will be a 5% discount for accounts
paid in full on the day of service.
This does not apply to credit card payments since the clinic pays a credit card
• Senior citizens (65+) will receive a 5% discount
on all services provided.
additional 5% discount (for a total of 10%) is extended
to senior citizens
who pay in full on the day of service. The additional
5% does not apply when using a credit card for payments
due to credit card user fees charged
to the clinic.
• There will be a flat fee of $25 charged for any appointment not cancelled within 24 hour notice
of that appointment.
staff understands insurance, and we will be glad to assist you in obtaining the maximum benefits
specified in your contract.
It is important
that you realize,
however .. ..
• Your insurance benefit is a contract between
you, your employer, and the insurance company. We
are not a party to that contract. This office files your
insurance claim as a courtesy to you.
• Our fees generally, but not necessarily, fall within the usual and customary fee structure determined by your carrier.
• Not all services are a covered benefit in all contracts.
• You (not the insurance
company) are responsible to us for all fees for services
rendered to you.
• Upon request,
a pre-determined estimate
of benefits can be given to you.
• We will gladly discuss
your proposed treatment
and answer any questions you might have as to the involvement of your benefit
program in receiving
this care. We appreciate the opportunity to serve you.
THERE IS NO INTEREST
OR FINANCE CHARGE ON CURRENT
After 90 days, all accounts are subject to a Finance Charge of 1.5% per month, which is 18% per annum, with a minimum charge