Answer: What is your payment policy?

Thank you for choosing Bayshore Family Medicine as your primary care provider. We are committed to providing you with quality and affordable health care. Because some of our patients have had questions regarding patient and insurance financial responsibility for services rendered, we have developed this payment policy. Please read it, and ask us any questions you may have. You will be asked to sign one of these at your next office visit. It will be placed in your medical chart. A copy will be provided to you upon request.

Insurance We participate in most insurance plans, including Medicare. If you are not insured by a plan we do business with, 50% of the billed charges will be due at the time of service unless other payment arrangements have been made. If you are insured by a plan we do business with but do not have an up-to-date insurance card, payment in full for each visit is required until we can verify your coverage. It is your responsibility to know your insurance benefits. Please contact your insurance company with any questions you have regarding your coverage.

Co-payments and Deductibles We accept all forms of payment including major credit cards. All co-pays and deductibles must be paid at the time of service. This arrangement is part of your contract with your insurance company. Failure on our part to collect co-payments and deductibles from patients can be considered fraud.

Non-covered Services Please be aware that some, and perhaps all, of the services you receive may be non-covered or not considered reasonable or necessary by Medicare or other insurers. It is your responsibility to know what is and is not covered by your insurance coverage. You must pay for these services in full at the time of service.

Proof of Insurance All patients must complete our patient information form before seeing the doctor. We must obtain a copy of your valid insurance card to provide proof of insurance and insurance billing information. If you fail to provide us with the correct insurance information in a timely manner, you may be responsible for the balance of the claim.

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. Please be aware that the balance of your claim is your responsibility whether or not your insurance company pays your claim. Your insurance benefit is a contract between you and your insurance company; we are not party to that contract.

Coverage Changes If your insurance changes, please notify us before your next visit so we can update your account and help you receive your maximum benefits. If your insurance company does not pay your claim in 90 days the balance will automatically be billed to you.

Nonpayment If your account is over 60 days past due, you will receive a final notice stating you have 30 days to pay your account in full. Partial payments will not be accepted unless otherwise negotiated. Please be aware that if a balance remains unpaid we may refer your account to a collection agency and you and your immediate family members may be discharged from the practice. If this is to occur, you will be notified in writing by mail that you have 30 days to find alternative medical care. During that 30-day period, any services we provide must be paid in full at the time of service.

Missed Appointments Accounts showing more than three missed appointments may be denied further care. Please help us to serve you better by keeping your regularly scheduled appointments.

Bayshore Family Medicine is committed to providing the best treatment for our patients. Our billed amounts are representative of the usual and customary charges for our area.

Thank you for understanding our payment policy. Please let us know if you have any questions or concerns.