Office Policies

Thank you for choosing PrimeMed Medical Group as your health care provider. We are committed to providing you and your family with quality and affordable healthcare. The following is a summary of our office and payment policies.

Insurance

We participate in most insurance plans, including Medicare. At each visit, we must validate your current insurance. If you fail to provide us with correct insurance information you will be responsible for your bill. Due to the number of insurance plans, it is impossible for your doctor or the staff to know your plan limitations. It is your responsibility to be aware of coverage issues. Please contact your insurance company directly with any questions you may have regarding your coverage.

If we are unable to verify your insurance coverage, you will be expected to pay a deposit associated with your type of service at time of check-in. Once current insurance information is made available and insurance payment received, we will either issue a refund or send a bill for the balance to the address on record.

Co-payments

All co-payments are expected at the time of service. This arrangement is part of your contract with your insurance company, and co-payment/coinsurance amounts are determined by your contract.

Referrals and Authorizations

If your insurance company requires a referral from your Primary Care Physician (PCP) for specialist services, it is your responsibility to obtain one. If a valid referral is not on file, you will be responsible for payment in full at the time of service.

It is your responsibility to verify that your PCP is listed correctly with your insurance company. If the PCP is not correct at the time of service, you will be responsible to pay for the services at the time of the visit. At the completion of your visit you will receive an itemized bill for the services provided and the amount due.

Non-Covered Services

Please be aware that some, perhaps all, of the services you receive may be non-covered or not considered reasonable or medically necessary by Medicare or other insurers. If you and your provider agree non-covered services are needed to provide you with the highest level of care, payment in full for these services is expected at the time of the visit.

Claims submission

We will submit your claims and assist you in any way we reasonably can to help get your claims paid. Your insurance company may need you to supply certain information directly. It is your responsibility to comply with their request. Your insurance benefit is a contract between you and your insurance company.

Treatment of Minors

Patients under the age of 18 will not be seen unless accompanied by a guardian or unless we receive a signed authorization from the legal guardian allowing the physician to provide medical treatment. The person accompanying the patient is responsible for all co-payments or other money due at the time of service.

Non-payment

If your account is 90 days past due, we may refer your account to a collection agency. The collection agency may report your delinquency to a credit bureau, which could impact your credit rating. You may also be discharged from this practice.

Returned Checks

Checks returned by the bank will be assessed a $25.00 processing fee. These charges will be your responsibility and billed directly to you. Repeated returned checks will result in acceptance of cash only at the time of all future visits.

Missed appointments

Our policy is to charge for missed appointments not cancelled within 24 hours. These charges will be your responsibility and billed directly to you. Please help us to serve you better by keeping your regularly scheduled appointment.