|Frequently asked questions Billing|
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|What is a Copay?
A copay is a set amount that your insurance company requires you to pay at each office visit. It will range from $10-$30.
What is coinsurance?
Coinsurance is a percentage of what your insurance allows for a procedure or office visit. It is usually 20%. So if the allowable amount from the insurance company was $100.00 you would owe 20% or $20.00 and they would pay $80.00.
What is deductible?
The deductible is a set amount that a patient must pay before the insurance starts paying. Deductibles include labs, procedures, tests and sometimes office visits. If your deductible is $2000.00 until this out of pocket is met the insurance does not pay. Some insurance companies pay at 80/20. They pay 80% until the deductible is met and then pay at 100 %.
What is a rebilling fee on my statement?
If your balance due on your statement is not paid within thirty days or you do not call to make payment arrangements then a $10.00 rebilling fee will be added each month until we hear from you.
If I have had several test and cannot pay my balance within thirty days what should I do?
Contact our billing office and we will help with payment arrangements. We accept all major credit cards over the phone at no extra charge. If you are unable to pay the balance in full we will set up a monthly payment plan based on your income. Rebilling fees will stop when you are on a payment plan.
What is my balance for?
Your balance may be part of your deductible, coinsurance, or what is left after your insurance has paid. If you have questions regarding your balances please contact the billing department. If you have questions about how much your insurance has paid. You can contact your insurance company about benefits. You should have received an explanation of benefit from your insurance company in the mail bring this into the office and the billing department will go over this with you. It is very important that we have your most current insurance cards for both primary and secondary insurances.
What is an IPPE
If you are new to medicare you have 1 year to have an initial preventative physical exam (IPPE). This exam is required to start your Medicare.