Fees and Insurances

The staff at The Medical Procedures Center, P.C., is concerned about the high cost of medical care just as you are. Our costs continue to rise at an alarming rate. We feel that we significantly reduce the overall costs of your health care since our procedures are performed in the office. This often means a 50-75% savings compared to a procedure performed in the hospital.

The following guidelines have been developed to help you understand our billing policies. We would be happy to discuss our fees with you before any procedure. It is your responsibility to discuss insurance issues with your insurance company.

The Medical Procedures Center, P.C., formally participates with the following insurers (except for sclerotherapy and other cosmetic treatments):

For most other insurances, we will usually accept the fee that the insurance company allows, if reasonable.

It is important for patients to understand that ALL PATIENTS ARE RESPONSIBLE FOR ANY COPAY, DEDUCTIBLES, AND FOR NON-COVERED SERVICES for all insurances, including Blue Cross and Blue Shield. Payment of these fees is expected on the date of service as are all cosmetic service charges.

Should any insurance company deem a service non-allowable under the patient's current insurance contract, that patient will be responsible for payment of the entire charge. This is often the case for cosmetic surgeries, such as sclerotherapy for small veins in the legs. Some policies do not cover elective sterilizations. You can call your insurance if you have questions about your coverage.

For patients that are self pay:

Because of contractual agreements with insurances noted above, discounts have already been incorporated into the fees they allow. All these insurances will be billed directly and there will be no additional discount of payments made on the date of service.

Sclerotherapy patients:
In general, ALL INJECTION FEES MUST BE PAID ON THE DATE OF SERVICE, REGARDLESS OF INSURANCE COVERAGE. No discounts or participation agreements will be honored since this procedure is generally not covered. You will need to submit the bill on your own for reimbursement by your insurance company. Please refer to our sclerotherapy handouts for more details.

We accept Mastercard, Visa, and Discover, personal checks, and cash. If you would like us to charge your insurance directly, we will request your credit card. If your account has not been paid by you or your insurance company 90 days after service, your credit card will be charged.

If any tissue, blood samples, or urine samples are sent to the hospital or other laboratories for analysis and evaluation, those laboratories will bill separately for their services. If you belong to an HMO, we will use the lab you designate.

If you have any questions on your billing statements, please call Med Trust Billing at 888-248-7235

Please notify the office at least two days in advance for any appointment cancellation. CANCELLATIONS OR NO-SHOWS, WITH LESS THAN 48 HOURS NOTICE, WILL BE CHARGED $50.00 for a 15 minute appointment, and $100.00 for a 30 minute appointment.

 

Pfenninger and Fowler's
Procedures for
Primary Care
,
3rd Edition
Dr. Pfenninger
has edited this
comprehensive text.

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