Financial Policy

We will bill your insurance company as a courtesy. Your insurance policy is a contract between you and your insurance company. It is your responsibility to know your benefits and how they will apply to your treatment by the doctor. We are not a party to that contract. If your insurance company has not paid your account in full within 60 days, the balance will be transferred to you and/or the guarantor listed on the Patient Information form. If unable to make payment in full, contact the billing department immediately to make payment arrangements.  If the account is referred for collections, you will be responsible for the balance of your account plus a collection agency charge of 25% of the balance and reasonable attorney’s fees.  If your account becomes delinquent or is referred for collections, your provider and/or any collection agent of your provider has authorization to obtain your credit report to assist them in the collection of your bill.

HMO Plans (with which we are contracted): All co-pays must be satisfied at every visit. There can be no exceptions due to contractual and uniform compliance issues with your insurance company. You are responsible for obtaining prior approval with your Medical Group or PCP prior to treatment.

PPO Plans (with which we are contracted): We have agreed to take a discount from your insurance company. Your co-insurance is your responsibility and is due at time of treatment. In the event your insurance coverage changes to a plan where we are not a participating provider you will be responsible for any out-of-network deductible or coinsurance amounts.

Medicare: We accept assignment with Medicare. Medicare pays 80% of their allowed amount after satisfaction of the yearly deductible. You are responsible for 20% of Medicare’s allowed amount. We will bill your secondary insurance as a courtesy.

Usual and Customary Rates

Our practice is committed to providing the best treatment for our patients and we charge what is usual and customary for our area. You are responsible for payment regardless of any insurance company’s arbitrary determination of usual and customary rates.

Self-Pay Patients

All services must be paid in full at time of treatment.

Returned Checks

A $25.00 fee will be charged for any returned checks. We will be unable to accept your check for any services thereafter.

Thank you for understanding our Financial Policy. Please let us know if you have questions or concerns. You can reach the Billing Manager at (904)-328-5979.

Accepted Insurances

Our specialists participate with most insurance plans including Medicare. Prior to making an appointment we recommend that you contact your insurance carrier to verify that the doctor you wish to see is contracted with your specific plan.  At this time we do not accept auto insurance or third party insurance.

HMO Agreements

Provided through Greater Newport Physicians (Hoag Hospital), Edinger Medical Group (IPA), and St. Joseph’s Hoag Affiliated Physicians.

• Aetna
• Blue Shield
• Blue Cross
• Cigna
• Great West Healthcare
• Health Net
• PacifiCare
• United Heathcare
• Universal Care