As a courtesy, our office will verify insurance coverage for our new patients. If we are contracted with your insurance, we will bill your insurance company on your behalf and only collect the amount deemed your responsibility by your insurance plan. This will include co-payment, deductible/coinsurance or non-covered services determined by your policy with the insurance company.
The verification that we receive from your insurance plan is not a guarantee of benefits. It is the patient's responsibility to verify your Specialist Physician level benefits with your insurance company prior to your first appointment. We recommend you call your insurance company to determine coverage for visit with Dr. Eskander (Diabetes and Endocrine Specialists, Inc) and specifically understand your deductible, co-insurance and co-payment responsibility.
A co-payment is a per-person, per-visit amount that you are expected to pay before your insurance company begins covering the cost of your care. The required co-payment amount due by the patient is based on the contract you have with your insurance company, chosen by you or your employer. Co-insurance is a form of medical cost sharing that requires an insured person to pay a stated percentage of medical expenses after the deductible has been met. The co-insurance percentage due by the patient is based on the contract you have with your insurance company, chosen by you or your employer. A deductible is a fixed dollar amount during the benefit period that an insured person pays before the insurance company starts to make payments for covered medical services. Your insurance will not pay for any of the services we provide until your deductible has been paid by you.
I understand and agree that it is my responsibility to know if my insurance has any deductible, co-payment, co-insurance, out-of-network, or any other type of benefit limitation for the services receive and I agree to make payment in full.
I understand and agree that I am financially responsible for all charges for any and all services rendered. This includes any medical services, visits or tests ordered by the doctor or staff.
I agree to inform the office of any changes in my insurance coverage. If my insurance has changed or is terminated at the time of service, I agree that I am financially responsible for the
If I am a Medicare patient, I understand that I need to provide the office both my Medicare ID card and my secondary ID card. If the office does not have the proper information for a secondary insurance, the secondary may not be billed. It will be my responsibility to pay the balance and then file a claim with the secondary for reimbursement. Please also note, our office does not accept Medi-Cal.
If I am uninsured, I agree to pay for the medical services rendered to me at time of service.