Please bring your current insurance card to each appointment. We reserve the right to reschedule appointments if proof of insurance cannot be furnished at the time of the appointment. If your insurance has changed since your last appointment, please notify the receptionist upon check-in.
If your insurance company does not pay the full balance, you will be sent a statement notifying you of any amount due from you. If you cannot pay the full amount, please contact our insurance department to make payment arrangements. While we are willing to work with you regarding outstanding balances, it is necessary that you remain in contact with us. Delinquent accounts may be turned to a collection agency.
Appointment Times
Although we endeavor at all times to maintain on-time appointments, our doctors are often called to the hospital during the day for deliveries. This may mean a delay in your appointment or may mean that you will be given the option of seeing another one of our providers. We appreciate your understanding and patience during these times and request that you allow time in your schedule for possible delays in your appointment time.
Insurance
We accept most insurance plans. We will file your insurance claim; however, we will not become involved in disputes between you and your insurance carrier. You are responsible for the timely payment of your account. Your responsibility may include, but is not necessarily limited to, deductibles, co-payments, co-insurance and non-covered charges.
Medicaid and KanCare patients must notify us of their coverage within the month they first become eligible. We are permitted by Medicaid to charge you directly for certain services if your card is presented late.Referrals
If a referral form is required, it is the patient’s responsibility to obtain this form from the primary care physician prior to any appointment. Failure to obtain a referral form may result in a reduction of benefits or may require that your appointment be rescheduled.
Co-Pays
Co-payments are due at the time you check in at the front desk and PRIOR to being seen. This requirement is part of the contract you have with your insurance carrier.
Minors
The parent(s) or guardian(s) is responsible for full payment and will receive a billing statement for any balances not covered by insurance. A signed release to treat may be required for unaccompanied minors.
Payments
We accept cash, checks, VISA, MasterCard, Discover, American Express and CareCredit.
Returned Checks
The charge for a returned check is $30.00. This amount will be applied to your account in addition to the insufficient fund amount. You may be placed on a “Cash Only” basis following a returned check.
Cancellations
A specified amount of time is reserved for each patient and certain costs are incurred by the practice in preparation for the appointment. If you are unable to keep your appointment, please call within 24 hours of your appointment time so your appointment time can be released to someone on our waiting list. We reserve the right to impose a charge of $35.00 for patients who miss appointments without calling to cancel.
Personal Items
Personal items are the responsibility of the patient and we encourage you to keep your personal items with you during your office visit. Food and beverages are not permitted in the waiting room or patient treatment areas. To insure that proper attention can be focused on our patients, we encourage you to bring no more than one child between the ages of two and six to your appointment. Infants and well behaved older children are welcome.
Office Policies