Basic Policy—Pay for service is due in full at the time service is provided in our office. A government issued photo I.D. is required to be seen. Minors must be accompanied by a parent, legal guardian, or have a signed document granting approval.
Your insurance policy is a contract between you and the insurance company. You are responsible for all charges incurred on your account. It is your responsibility to make sure all of your information on your account is current and accurate. It is your responsibility to know what your contract covers or pays regarding your co- pay/deductible/co-insurance amount and any restrictions your insurance company might have, including, but not limited to, pre-existing exclusions, cosmetic exclusions and prior-authorizations.
Should your payment result in non-sufficient funds, we will apply an additional $35.00 to the balance for fees applied by the bank. At any time if your balance is referred to collections for non-payment we will apply an additional $20.00 administration fee to your current balance. You will also be responsible for any fees charged by the agency for cost of collections.
HMO, PPO or other managed care patients—You will be responsible for paying your annual deductible, co-pays, balances and any non-covered or cosmetic services at the time of service. We bill most insurance carriers for you if proper paperwork is provided to us. We will also bill most secondary insurance companies for you. Copays and deductibles are due at the time of service. Since your agreement with your insurance carrier is a private one, we do not routinely research why an insurance carrier has not paid or why it paid less than anticipated for care. If an insurance carrier has not paid within 60 days of billing, professional fees are due and payable in full from you.
If your health plan requires a referral or authorization for specialty services, it is your responsibility to make sure your primary care physician sends this to us before your scheduled appointment. If a referral is required and has not been received in our office, you may either (1) pay for your services in full at the time of service or (2) change your appointment to a later date.
Commercial Patients—Patients who are covered by private, commercial plans in which our physicians are not providers will be required to pay 50% of the total bill at the time of the service. The entire unpaid balance left after payment from your insurance will be billed to you regardless of the benefits and payment policies of your carrier.
Medicare Patients—We will bill Medicare for you. We will also bill secondary insurance carriers for you.
All copayments or deductibles are due and payable at the time service is provided.
Medicare Patients: Signature on File—For the convenience of our Medicare patients and to expedite billing of services to Medicare on their behalf, Dermatology Center of McKinney will request and maintain your signature on file.
Medicaid—At this time, we do not accept Medicaid.
Surgery Fees—All copays, deductibles, and payments for non-covered surgical procedures are due prior to your surgery. Prior authorization may be required by your carrier.
Non-covered Services—Any care not paid for by your existing insurance coverage will require payment in full at the time services are provided or upon notice of insurance claim denial.
Personal Injury Cases—This office does not bill for auto accident or other liability or lawsuit-related cases.
You are responsible for payment at the time of service. We do not accept liens.
Worker’s Compensation—If your injury is work-related, we will need the case number and carrier name prior to your visits in order to bill the worker’s compensation insurance company.
Yearly Skin Screenings—Periodic preventive skin screenings may or may not be covered under your health insurance policy; however, they may be required by your physician.
NO-SHOW POLICY:
We understand that there are times when you must miss an appointment due to emergencies or obligations for work or family. However, when you do not call to cancel an appointment, you may be preventing another patient from getting much needed treatment. Conversely, the situation may arise where another patient fails to cancel and we are unable to schedule you for a visit, due to a seemingly “full” schedule.
If you are unable to keep your scheduled appointment, please notify us at least 24 hours in advance so we can accommodate our other patients. You may also reschedule your appointment at that time. Our no-show policy is as follows: a 24-hour notice is required (this may include a voicemail left on our phone system). You will be charged $50 ($100 for surgeries or cosmetic treatments) for the time slot we were not able to fill when you were a no-show. Appointment cancellations made under 24 hours will be billed a $50 ($100 for surgeries or cosmetic treatments) cancellation fee. To help prevent you missing your appointment and being charged a no-show/rescheduling fee, as a courtesy, we offer email reminders, text reminders, and phone call reminders. However, these are offered as a courtesy and failure to receive an appointment reminder does not exclude you from being subject to our no show/cancellation policy.
The patient is ultimately responsible for all professional fees.