Patient
Visits
Please bring to your visit:
- Current insurance card
- Co-payment
- Driver’s license or picture
ID
Cancellation
Patient’s credit card information will be requested
prior to their initial visit. If patient fails to cancel
their appointment 24 hours prior to visit a $25.00 fee
will be automatically charged to their credit card. |
Insurance
Filing
We participate with most medical insurance
plans, including Medicare. We do not
participate in any HMO plans, Unicare,
or the IDPA (Illinois public aid) program.
Although we may be a provider in your
plan, it is the patient’s responsibility
to check with their insurance company
to verify benefits and confirm podiatric
coverage. Claims will be filed on the
patient’s behalf to their insurance
of record. The patient is responsible
for making sure the office has the most
up to date insurance information.
Co-payments and all uncovered services
are payable at the time of service.
Additional amounts determined to be your
responsibility by your insurance carrier
will be billed to you upon receipt of
your insurance carrier’s
explanation of benefits, and payment
in full will be expected upon receipt
of your statement. As a courtesy, patients
will be sent two statements, thereafter,
each additional statement will be subject
to a $25.00 statement charge. |
Self-Pay
Patients
Patients that do not have health insurance
or are receiving services that are uncovered
according to their insurance plan are
considered, “self-pay”.
- Payment in full is expected at the
time of service.
- Accepted forms of payment include
cash, check, VISA, American Express,
and Mastercard.
Payment Plans
Patients with extenuating circumstances may be able to establish
a payment plan. Should you qualify for a payment plan, payment
is expected in full,
over a six month period. The Statement charge will not apply to patients on
a payment plan.
|