Co-Pays Co-pays are due at the time of your visit. Insurance companies require that patients pay their co-pay, therefore, we do not bill patients for their co-pays. We appreciate your cooperation in paying your co-pay at the time of registration. Please check your insurance card for your co-pay amount. We accept cash, personal checks, VISA, MasterCard, and American Express. An ATM is conveniently located within the Hospital. The office will provide you with a receipt for your payment at the time of registration.
Waiver Fee If you do not have a valid referral from your primary care provider (PCP), you will be asked to sign a waiver assuming all responsibility for payment of the visit. You will be asked to pay a $250 deposit. If you are able to obtain the referral from your physician before noon the following business day, we will refund your waiver deposit. After noon, the daily bank deposit is complete, and we are unable to refund your money until the insurance company has paid for your visit.
Insurance Card We will ask to see your insurance card (or your child's card if your insurance company issues one in your child's name) so that we can verify that we have the correct information. Please remember to bring your card or your child's insurance card to the office for each visit. If you change insurance companies, please notify the office immediately so that we may update our records.
Missed Visits If you are unable to show for your visit, we ask that you call the office to cancel at least 1 business day (24 hours) in advance. We have a high demand for appointments, and this will allow other patients to use this time.
Referrals
A referral is a form and/or code number from your child's primary care physician. It is an approval required for the office visit with most insurance plans. Referrals can vary in the number of visits they cover, the length of time that visits can be used, and the services covered. In addition, an authorization may be required from your child's primary care physician if you are coming out of your insurance network or you are from out of state. An authorization allows us to see your child even though we may not be contracted with your insurance company.
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