Insurance Policies
Medical insurance can be complex. The information here outlines important details about your health insurance, along with common terms you may encounter when reviewing your coverage or medical statements. Our billing team is always available to assist with any questions.
Billing FAQ's
What insurance plans do you accept?
We accept most major private insurance plans. Coverage varies by plan, so we recommend contacting your insurance company directly to confirm network participation and benefits prior to your visit.
What is the difference between HMO, POS, and PPO plans?
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HMO/POS plans: These plans typically require you to select a Primary Care Physician (PCP). If your PCP is not listed correctly with your insurance, your claims may be denied, and you may be responsible for payment.
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PPO plans: These plans allow you to see any in-network provider without selecting a PCP or obtaining referrals.
Do I need a referral to see a specialist?
Some insurance plans require a referral from your PCP before seeing a specialist. It is the parent or guardian’s responsibility to confirm referral requirements with their insurance carrier prior to the visit.
What payments are due at the time of service?
Co-pays and any outstanding balances are due at the time of your visit. We accept cash, credit cards, and debit cards.
What if my insurance denies a claim?
If a claim is denied due to incorrect insurance information, lack of referral, or PCP selection issues, the balance will become the patient’s responsibility. Our billing team is happy to assist with questions or claim resubmissions when appropriate.
Will I receive a bill after my visit?
Yes. After your insurance processes the claim, you may receive a statement for any remaining balance not covered by your insurance, such as deductibles, co-insurance, or non-covered services.
Are there fees for forms or letters?
Yes. There is a $10 administrative fee for the completion of forms or non-medical documentation (such as camp or sports forms) and a $20 fee for letters written on a patient’s behalf. Please allow up to 5 business days for completion. Same-day requests are subject to an additional $10 rush fee.
Who can I contact with billing questions?
For billing or insurance questions, please contact our billing department. We are happy to help clarify charges, insurance coverage, and payment options