Financial Policy
Thank you for choosing us as your healthcare provider. We are committed to providing the best Cancer care possible. Please understand that payment of your bill is considered a part of your treatment. For your convenience the following statement explains our Financial Policy which we ask you to read, sign and return to us prior to your treatment:
All patients should provide accurate and complete personal and insurance information prior to being seen by the doctor.
All applicable co-pays, personal balances, both current and prior, are due at time of service.
We accept cash, check or Visa and MasterCard.
Regarding Insurance
We participate in most major insurance plans including Medicare and Medicaid. For some other insurance we accept assignment of benefits but in all cases we require that the guarantor, the person who is financially responsible, is personally liable for all balance not covered by insurance. It is your responsibility to understand and comply with any predetermination of benefits or referral requirements. Please be aware that some, and perhaps all, of the services provided may be non-covered services or may not be considered medically necessary under the Medicare Program or by other medical insurance companies.
Usual and Customary Rates
We are committed to providing the best treatment for our patients and we charge what we believe to be reasonable and customary fees for our region and specialty. If your insurance company uses a different fee schedule, you will be responsible for any balance remaining.
Past Due Accounts
Overdue accounts may be referred to a collection agency. Legal fees that we pay to secure past due balances will be added to your account.
Co-Pay Balances
Payment for co-pays are due at time of service.
Returned Checks
For checks returned to us as unpaid by your bank, we will charge a $25 fee.
Your financial responsibility depends on a variety of factors, explained below.
Office Visits and Office Services
| If You Have… | You Are Responsible For… | Our Staff Will… |
| Commercial Insurance Also known as indemnity, “regular” insurance, or “80%/20% coverage.” | Payment of the patient responsibility for all office visit and other charges at the time of office visit. | Call your insurance company ahead of time to determine deductibles and coinsurance. File an insurance claim as a courtesy to you. |
| HMO & PPO plans with which we have a contract | If the services you receive are covered by the plan: All applicable copays and deductibles are requested at the time of the office visit. If the services you receive are not covered by the plan: Payment in full is requested at the time of the visit. | Call your insurance company ahead of time to determine copays, deductibles, and non-covered services for you. File an insurance claim on your behalf. |
| HMO with which we are not contracted. | Payment in full for office visits, x-ray, injections, and other charges at the time of office visit. | Provide the necessary information for you to complete and file your claim directly with the insurance company. |
| Point of Service Plan or Out Of Network PPO | Payment of the patient responsibility—deductible, copay, non-covered services—at the time of the visit. | Call your insurance company ahead of time to determine out of network benefits, copays, deductibles, and non-covered services. File an insurance claim on your behalf. |
| Medicare | If you have Regular Medicare, and have not met your $100 deductible, we ask that it be paid at the time of service. Any services not covered by Medicare are requested at the time of the visit. If you have Regular Medicare as primary, and also have secondary insurance or Medigap: No payment is necessary at the time of the visit. If you have Regular Medicare as primary, but no secondary insurance: Payment of your 20% copay is requested at the time of the visit. | File the claim on your behalf, as well as any claims to your secondary insurance. |
| Medicare HMO | All applicable copays and deductibles at the time of the office visit. | File the claim on your behalf, as well as any claims to your secondary insurance. |
| Worker’s Compensation | If we have verified the claim with your carrier No payment is necessary at the time of the visit. If we are not able to verify your claim Payment in full is requested at the time of the visit. | Call your carrier ahead of time to verify the accident date, claim number, primary care physician, employer information, and referral procedures. |
| Worker’s Compensation (Out of State) | Payment in full is requested at the time of the visit. | Provide you a receipt so you can file the claim with your carrier. |
| Occupational Injury | Payment in full is requested at the time of the visit. | Provide you a receipt so you can file the claim with your carrier. |
| No Insurance | Payment in full at the time of the visit. | Work with you to settle your account. Please ask to speak with our staff if you need assistance. |
Please contact our Billing Office if you have any questions or concerns at 606 836 0202.