Insurance rates generally differ from patient to patient, depending on a number of factors. Some examples are:
1) whether provider is "in-network" or "out of network"
2) nature and complexity of service rendered
3) which insurance company/carrier
4) rules associated with specific health plan within a given company/carrier
5) patient deductible responsibility
6) patient co-insurance responsibility
7) yearly "out of pocket maximum"
9) whether patient is past due on monthly premium payments
Due to this variability, we encourage all patients to review your health plan's "Explanation of Benefits" (EOB) PRIOR to your scheduled appointment. It is the patient's responsibility to understand his/her own eligibility for services, coverage limitations, and financial obligations.
At the time of service, our clinic will verify your eligibility and collect any required copay/co-insurance payments upfront. Insurance plans are generally billed for remaining balances afterward.
If you have not met your deductible yet, you may be responsible for additional payment after your appointment as well. At subsequent appointments, until your deductible has been met, these payments will be collected upfront and will be pre-determined amounts (based on your specific health plan’s contracted rates with our clinic).
Acceptable forms of payment for insurance-related costs are cash, credit/debit card, personal check, and some forms of electronic payment such as Apple Pay, Google Pay, Zelle, and Venmo.
Some portion of patient costs (such as copays) are due at the time of service. Remaining patient-responsible portions/balances may be billed at a later time, long after the appointment.
Telehealth (when applicable) is generally offered at no additional cost. However, when using health insurance, please check with your specific plan to verify telehealth coverage.