Internal Medicine Associates of Lincoln Park

Dr. Anju Budhwani

166 Main Street, Suite 1A Lincoln Park, NJ 07035

Phone: (973) 694-6260

Internal Medicine Associates is dedicated to providing our patients with the best possible care and service. 

We ask for your support by understanding and cooperating with our Financial Policy. 

It is important for you to understand that health insurance coverage is an agreement between you and your insurance company. Benefits are set by them as it relates to seeking care, notification to your plan and following your plans proscribed requirements. 

AND

Your doctor's bill for services provided is an agreement between you and your doctor. 

Your Responsibility

Our Physicians participate with many insurance companies. It is your responsibility to call your insurance company to verity that the doctor you are seeing is participating. 

If we do not participate with your insurance company and decide to move forward with seeking care in our practice we will expect payment from you. If we can not confirm insurance coverage we will consider you a self-pay and ask for full payment at the time of service. 

All co-payments/co-insurance or payments for non-covered services are the patient's responsibility and will be collected by our staff at the time of service. 

In the event that your insurance carrier denies payment for authorized services, you may be asked to help resolve these issues with your carrier. 

Primary Care Offices:  If you are required to choose a Primary Care Physician (PCP), be sure that you have chosen our physican with whom you have an appointment. You must contact your insurance company prior to scheduling an appointment to make this PCP selection. If your insurance company requires referral for services at a Specialist's office please allow seven (7) business days for that referral. If you go to the Specialist's office without a referral, you may be responsible for the entire bill. 

Specialist Offices & Referral : If your insurance company requires a referral/authorization from the Primary Care Physican, be sure that you have obtained a valid referral/authorization prior to your appointment. If you do not have a valid referral/authorization, you may be asked to reschedule your service to a future date. You agree to be responsible for payment of your account regardless of referral status. 

You undertand that it is your responsibility to know and abide by the terms of your benefit coverage including but not limited to properly securing referrals for specialized care before making appointments. You also understand that you are responsible for full payment for services provided if you fail to supply all required referral forms. 

Payment for Services Performed:

Our office accepts Visa, MasterCard, Discover, and American Express, as well as Cash, Debit Cards, Personal Checks for payment of services. 

Any co-payments, deductibles, or co-insurance as required by an insurance company must be paid at the time of service. 

All payments are expected at the time of service, inclusive of current copays and incurred open balances for prior dates of service. Should your account require the action of a collection agency, you would be financially responsible for all collection and legal fees that our office incurs through the process utilized to collect the outstanding delinquent balance. 

Returned Check Fee is $40

Release of Records:  If you require a copy of your records for personal use, you must submit a request and pay a copying fee of $1.00 per page to a maximum of $100.00. 

Copies of records will be provided at no charge to other healthcare providers pursuant to a Valid HIPAA authorization. 

We understand that situations may arise in which you must cancel your scheduled appointment. Therefore, we request at least 24 hours notice for cancelled or rescheduled appointments. Patients who do not show up for their scheduled appointments (“no shows”), patients who cancel their appointments less than 24 hours prior to the scheduled time (“late cancellations”), or patients that reschedule their appointments less than 24 hours prior to the scheduled time (“late rescheduled appointments”) may incur a charge.

We hereby notify and reserve the right to charge a fee to our patients who fall into any of these 3 categories, with less than 24 hours notice according to the following fee schedule:

First occurence: Patient will be charged a $50 fee.

Second occurence: Patient will be charged a $70 fee.

Third occurence: Patient will be charged a $100 fee.

Patients may be charged the full price of the scheduled visit, for any no show, late cancellations, or late rescheduled appointments after the third occurrence.

We understand that special unavoidable circumstances may cause you to cancel or reschedule within 24 hours, but we do firmly believe that a good physician/patient relationship is based upon understanding and good communication.

Please call the office at (973) 694-6260 if you have any questions regarding this policy.

Right to amend: You understand and agree that Internal Medicine Associates of Lincoln Park may amend the terms of this Financial Policy at any time without prior notification to the patient.