If you have insurance coverage, we will file claims on your behalf. Patients are responsible for their co-payments at the time of visit. Payments may be made by cash, check, money order, Visa, or MasterCard.
Regarding Insurance companies with which we participate: You are responsible to supply our staff with your primary and secondary, if any, insurance card(s) at the time of your appointment. If your insurance company requires a referral from your primary care physician, you must also present this to our receptionist prior to being seen, as we cannot bill your insurance without it. It is the patient’s responsibility to obtain any referrals. If you do not obtain a referral when your insurance company requires one, you will be required to pay in full for the visit or service.
Should your claim be denied or omitted/inaccurate insurance information be supplied causing a reduction or non-payment of benefits, the obligation of payment will be transferred to the responsible party.
Regarding Late Cancelations/no Show Appointments: Patients must give us 24 Hours notice prior to canceling or rescheduling their appointment. DHC may charge $50 for No show/Late cancel/Late reschedule. This applies to both telehealth and in-person office appointments.
Return check fee: The patient will be charged $15.00 return check bank fee along with their balance.
Regarding Patient Deductibles, Co-insurance, and/or Copays: Payment for known copays, co-insurance, and deductibles are the patient’s responsibility to know and understand. After insurance claims are paid, remaining balances on your account are your responsibility to be paid in full, within the regularly scheduled billing cycle of 30 days unless payment arrangements are made with our billing department. It is the insurance company that makes the final determination of your eligibility and benefits. If your insurance company is not contracted with us, i.e., if the practice is not part of your insurance’s network, we will notify you prior to your procedure.
Regarding Non-Participating Insurances: If we do not participate with your insurance, the bill is your responsibility and is due in full at the time of service. We accept cash, check, money order, Visa and MasterCard. Your policy is a contract between you and your insurance company. Our office is not part of that contract. Currently, this includes all managed Medicaid plans except NJ Health.
For patients without insurance: You are required to pay for services at the time of your visit. If you are scheduled for a procedure, we will go over the costs at the time your procedure is scheduled. A deposit equal to 50% is required on the day of your procedure.
If you don’t have health insurance through a job, Medicare, Medicaid, the Children’s Health Insurance Program (CHIP), or another source that provides qualifying coverage, the Marketplace can help get you covered. Just log on to www.obamacareplans.com or call 855-480-9344.
** There will be a $100.00 charge for cancelled procedures scheduled at Robert Wood Johnson University Hospital unless 48 hour notice is given ** Thank you for your cooperation in understanding our financial policy. If you have any questions or concerns, please feel free to ask. If you cannot pay in full at the time of service, you must inform us before you see the doctor. 12/27/2023 LB I have read the above financial policy. I understand and agree to abide by its terms.