FINANCIAL POLICY FOR ASSOCIATES IN FAMILY MEDICINE
To our patients,
We feel it is important to have a clear understanding of our office financial policy. If you have questions or problems, we would be happy to discuss them with you.
We have contracts with many insurance companies, including Regence, Premera, Lifewise, Aetna, Cigna, Medicare, First Choice, Department of Labor and Industries, Medicaid (Washington State Only), Molina and Moda. It is your responsibility to verify we are on your insurance company’s list of Participating Providers. We are NOT accepting new Tricare, Champus or VA patients at this time. Your current insurance card needs to be presented at each visit.
We will bill for motor vehicle accident claims as a courtesy if we are given all the pertinent information, however, we will not wait for litigation for payment on this account. When your insurance coverage is exhausted, (most MVA claims have a limit of $10,000), you will be required to pay privately on the date of service or make arrangements with your healthcare insurance to cover the visits. This will be the patient’s responsibility to arrange and follow-up on.
All private pay patients are required to pay for their visits in full on the date of service. A pre-payment of $150.00 will be required at the time of check-in. Any additional balance must be paid upon check-out. We accept Visa, Mastercard, American Express, Discover, personal checks (subject to verification of funds available), and cash. Checks that are returned from the bank are subject to an insufficient fund fee of $35.00 in addition to the face value of the check. No further checks will be accepted as payment on these accounts.
ALL co-pays must be paid at the time you check-in for your appointment. Patients who do not make their payment on the date of service will be billed an additional service fee of $10.00. This fee is the sole responsibility of the patient and will not be covered by any insurance company.
We currently charge a $40.00 fee for missed appointments, (cancellations without 24 hour notice given to the clinic). This fee will extend to appointments for all types of appointments.
We will not become involved in any custody issues of minor children. The parent who presents to the clinic with the minor child will be personally responsible for any balance.