- For Patients
Financial Policy
We are committed to providing you with the best possible care with clear understanding of our financial policy. We are happy to discuss our professional fees with you at any time, please ask if you have any questions about our fees, financial policy or your financial responsibility.
Insurance: it is your responsibility to know the limits and coverages of your medical and/or dental insurance. Please make sure you bring your current medical and dental insurance cards with you to each visit.
Please be aware that some or perhaps all of the services rendered may or may not be covered by your insurance policy. It is up to you to contact your insurance company and inquire as to what benefits you have. It is impossible for us to know every aspect of your insurance policy, but as a courtesy to you, we will coordinate with your insurance company to provide you with the most accurate treatment estimates.
Regardless of any insurance status, you are responsible for any and all professional services rendered. Please understand that payment of your bill is considered part of your treatment, and you are responsible for any balance on your account. We are committed to your treatment being successful and will make every effort to keep the cost of your care as low as possible.
Full payment is due at the time of service. If insurance benefits apply, then patient co-payments, deductibles and co-insurances are due at the time of service. If you are unable to comply, then a $20.00 billing surcharge will be added to your account. If you have any questions concerning your treatment estimate and/or fee for service, it is your responsibility to have these questions answered prior to treatment to minimize confusion. Any balance on your account is your responsibility to pay, whether or not your insurance company pays any portion. After 90 days, if your insurance company has not paid on the received claim, it becomes the patient’s responsibility for payment and following up with the insurance company.
If you have or do not have medical and/or dental insurance, we expect payment in full at the time of service. We accept cash, checks, visa, mastercard, american express, discover and care credit.
Billing: payment for your treatment is expected in full at the time of service, however if additional services are rendered at the time of service or your insurance company does not pay the estimated amount you will receive a statement with the amount due. Statements will be generated every 30 days, and a $15.00 penalty fee will be charged for each subsequent statement printed and mailed for charges appearing on the first statement that are not paid in full.
If your account becomes delinquent after 90 days, we will begin the collections process and will add a 30% processing fee to your account. If any legal fees are accrued, you will be responsible for the full bill.
If your personal check is returned to us unpaid from your bank, a $50.00 returned check fee will be added to your account, and we reserve the right to place your account on a ‘cash only' basis.
We make every effort to return a credit balance on your account in a timely manner. Once your treatment is complete and the account is closed, we will issue refunds in 90 days. Please speak to our billing office for questions or concerns.
Missed appointments: broken appointments, same-day cancellations/rescheduled appointments and late arrivals represent a cost to us, to you and to other patients who could have been treated in the time set aside for you. We reserve the right to charge a fee for these circumstances and collect pre-payment for your treatment in order to be rescheduled with our practice. A $100.00 fee may be charged for the above occurrences and if repeated, will result in dismissal from our practice. For new patients, a $100.00 fee will be charged if the first appointment is missed.
Please remember that you are fully responsible for all fees charged by this office regardless of your insurance coverage.