We offer several methods of payment for your chiropractic care and you may choose the plan which bests fits your needs. Please read carefully and choose the plan which you prefer. If Special Financial Arrangements are necessary, please request a consultation with our Office Manager. Our main concern is your health and well-being and we will do our best to help you.
The insurance plan is an agreement between you and your insurance company. We will bill your insurance company for you as a courtesy, but please understand that you are ultimately responsible for the final payment of fees that insurance: does not cover, applies to your deductible, or denies. We expect payment of your personal portion (co-pays or the percentage not covered by your plan) on the day of your treatment. You must supply us with your insurance card so that we can have a copy for our records – this is required by most insurance companies. We do not bill supplemental insurance companies.
Cash Plan / Wellness Plan
Payment at the time of treatment is expected unless previously approved by our Office Manager. For those who wish, we have established a membership plan that offers services at more affordable fees. Please ask the receptionist for details. For your convenience, Visa and MasterCard are accepted.
We accept assignments on Medicare claims. Please note that Medicare does not pay for your initial exam or any x-rays taken at this office, you will need to pay for these services. Medicare does pay for your chiropractic manipulation if it is deemed “medically necessary”. You will need to inform us of a current date and cause of injury to substantiate medical necessity every 3 to 6 months. If you have secondary insurance coverage, Medicare usually, automatically bills your insurance. If you do not have secondary (supplemental) coverage or if Medicare doesn’t bill your supplemental, your payment of $5.01 to $8 per manipulation is expected at each visit.
Personal Injury/Automobile Accident
You will need to provide our office with both your auto insurance and any other party’s insurance who were involved in your accident. If you have Personal Injury Protection (PIP), we will bill your company immediately and they should begin paying soon. If you do not have PIP, the third party insurance company will not pay on your account until you are ready to settle, which can be months and even years later. IN this instance, we will first try to bill your health insurance. If there is none available, we will need to file a lien so that we will receive direct payment when settlement is made and would request some sort of monthly payment to show good faith for services rendered to you. Please see our Office Manager for any questions.
An opening application must be completed. We will call your employer to verify that you were hurt on the job and that your employer has industrial coverage. If you have been seen by another doctor for this injury, we must receive a referral or you may transfer care to our office. Payment is not required by you unless your claim is not allowed by your worker’s compensation company or payment is denied by them. You will then be responsible for the full payment of your account if these conditions occur.
I understand that all responsibility for payment of services provided in this office for myself or dependents is mine, and is due and payable at the time of service unless other arrangements have been made. In the event payments are not received by the agreed upon dates, I understand that 1.5% finance charge (18% APR) will be added to my account. I authorize release of medical information necessary to process insurance claims and payment of benefits directly to this office.