Click the link below to view and print our new patient forms:
GROUP OR INDIVIDUAL INSURANCE
We attempt to take out as much of the “insurance hassle” as possible for
you. We’ll happily telephone your insurance company to verify your
coverage benefits. Please remember, however, that the benefits quoted to
us by your insurance company are not a guarantee of payment. We will
file your claim and await payment for 90 days. If your company pays the
benefits they quote to us, the only services you will be responsible for
are any non-covered services, deductibles or co-pays. If you have any
questions at all regarding you financial responsibilities at our office,
please do not hesitate to ask. Our insurance clerk has years of
experience and will be happy to assist you.
PATIENTS WITHOUT INSURANCE
An increasing number of patients do not have insurance, or have plans
with limited coverage, such as catastrophic policies. We realize that no
one wants to build up a large bill. Therefore, we have several plans so
those patients may receive complete care without undue financial
difficulty. Of course we are always happy to accept cash, your personal
check, MasterCard, Visa or Discover cards.
“ON THE JOB” INJURY (Worker’s Compensation)
If you are injured on the job, your care should be paid for under your
employer’s Worker’s Compensation insurance. You will need to inform your
employer of the accident and obtain the name and address of the carrier
of their insurance. If your employer does not provide us with this
information, if a settlement has not been made within 3 months, or if
you suspend or terminate care, any fees and services are due
immediately.
PERSONAL INJURY OR AUTOMOBILE ACCIDENTS
Please notify your auto insurance carrier of your visit to our office
immediately. Notify our insurance department immediately if an attorney
is representing you. Although you are ultimately responsible for your
bill, we will wait for settlement of your claim for up to six months
after your care is completed. Once the claim is settled or if you
suspend or terminate care, any fees for services are due immediately.
MEDICARE
We do accept assignment from Medicare. The check is usually sent
directly to our office in payment of the services that Medicare will
cover, which for Chiropractors is ONLY manual manipulation of the spine.
Medicare pays 80% of the allowable fee once the deductible has been
met. You are required to pay the deductible and the remaining 20% as
well as any non-covered services. Our office completes and files the
forms for Medicare at no charge.
SECONDARY INSURANCE
Please inform us of any secondary insurance you may have. We will assist you if you need help in filing.