Question: Why do I have to present my ID and insurance card for each visit?
Answer: For your protection, we are required to verify your identification and insurance eligibility for each visit. It is very important that when you receive a new insurance card, that you have it for all of your doctors. Your signature acknowledges that you have given us the most accurate information. We take identity theft very serious, and use all precautions in protecting you.
Question: What is a Primary Care Provider (PCP)?
Answer: A PCP is a physician that you or your insurance company has selected to be your main provider of your routine health care.
Question: What is meant by the term “network provider”?
Answer: A network provider is a doctor, hospital, or other type of facility that provides testing or treatment and has a contract with your insurance company. The network provider agrees to offer services to you, at prices set by your insurance company.
Question: Do you always see people in the order they arrived?
Answer: Not always, we use a triage process in order to save you time. Patients requiring immediate attention may be moved up.
Question: What will happen during the triage?
Answer: We may start tests and take x-ray in preparation of your visit with the Doctor; just like most hospitals we have standing orders. This allows for the most effective use of your time. This is a process commonly used in most emergency rooms.
Question: I need to have a CT/MRI/or Ultra Sound, where can I have this done?
Answer: You may have these tests performed at any facility of your choice. You will need to indicate to us where you want to go. This decision may be influenced by your insurance company and your personal preferences. Your insurance company may pay more of your costs when you stay in network.
Question: How do you determine what I must pay at the end of my visit?
Answer: We may use secure insurance company websites, call centers or fax. When we are unable to verify your benefits, we may estimate your responsibility based upon our experience and the information you provide. When we are forced to estimate your cost, we apply all applicable discounts before we collect your co-pay or deductible.
Question: What is a deductible?
Answer: The deductible is the amount you must pay before your insurance will start to cover the cost of your health care.
Question: What is the co-pay?
Answer: This is the amount of money that your insurance company requires you to pay for an office visit. It is usually a set dollar amount. The co-pay usually only applies to the office visit. Any additional testing may be subject to your co-insurance or deductible.
Question: What is co-insurance?
Answer: This is the amount of money that your insurance company requires you to pay for every service provided. It is usually a percentage of the allowed charge amount. The co-insurance does not usually start until your deductible has been met.