Please bring the following information to your visit, if you have not already faxed or brought this information to the practice prior to your scheduled visit:
It is our payment policy to collect the appropriate payment due from the patient at the time the service is rendered. This may only be your co-payment, deductible and/or co-insurance, but we do ask for payment at the time of your visit. We accept all major credit cards.
Co-payment – The cost-sharing part of your bill that is a fixed dollar amount designated by your insurance company that is your responsibility to pay at each visit (also known as “co-pay”). Common co-payment rates are $10 or $20 per visit, but be aware that co-payment rates vary from insurance company to insurance company.
Deductible – The amount of cost sharing that you must pay for medical services often before your health insurance company starts to pay.
Co-insurance – The part of your bill, in addition to a co-pay, that you must pay. Co-insurance is usually a percentage of the total medical bill—for example 20 percent.
Blue Cross Blue Shield – All Plans
Great West PPO
Humana (Choice Care )
PHCS-Private Healthcare Systems
Primary Physicians Care
Southcare – Ethix PPO Tricare (Healthnet)