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Telemedicine Visits: Telemedicine appointments may be offered and coordinated by your provider for visits that can be handled safely remotely, and for special circumstances to allow for continuity of care when established patients are traveling or home-bound.  Please refer to your insurance benefits as not all insurance providers may choose to continue offering Telemedicine coverage post Covid Pandemic Emergency status-- as this is a moving target in constant flux we are not able to be responsible for knowing the specifics of your specific insurance plan allowances and coverage for remote services.  Please remember for many instances, there is no substitute for in person encounters with pertinent detailed physical exams, vital sign monitoring, and relevant clinic testing-- please work with your provider team to determine the best mode of care for your situation!

If you do not have insurance, or are undergoing services or procedures not covered by insurance (ear piercing, circumcision, nutrition counseling, botox, etc), we ask for payment at the time of service.

We offer a 20% cash discount to our clinic visit fee-schedule to patients paying for their services in full at the time of their visit.  Short-term payment plans are available but must be requested prior to services. When payment plans are instituted, no discounts apply.  

Co-payment and Keeping Insurance Information Up To Date: Our contracts with the insurance companies require us to collect co-pays at the time of service.  We will bill all health insurance companies that we are contracted with as long as you provide the correct billing information (a copy of your card works best).  If you do not have a co-pay listed, you will be required to pay $30 at the time of service. We suggest you call the number on the back of your card and know your co-pay and deductible amount.  It is your responsibility to know your coverage, please make sure you have us listed as your primary provider, and be sure our office is contracted with your insurance. If your Insurance is updated or changed, it is your responsibility to inform us. If we bill old information,  this frequently causes a several month delay in payment and a re-billing fee might apply.  

Annual Preventative & Medicare Wellness Appointments: It is our clinic's policy to collect a co-pay at the annual Preventative physical and Medicare Wellness visits as frequently we are  discussing much more than just immunizations and preventative screenings, which does warrant an additional E&M office visit code be applied to your account.  We find it very valuable to be comprehensive and intentionally touch on all chronic conditions once annually so they do not get lost to follow up, get any Rx refills lined up for the year after making sure all are still important & safe  in your care, review labs together in detail addressing abnormals at that time, and in some cases ordering new diagnostic tests or referrals.  To accomplish this level of detail to your care we set aside much longer appointments, and this frequently saves you from being asked  to come back for a separate appointment to manage these other conditions!   If no additional medical conditions or concerns are addressed outside of preventative wellness screening and review, then your copay will remain as a credit on your account and be applied to your next visit!

We understand that unforeseen situations may arise causing you to cancel or reschedule your appointment. However, please be respectful of our patients that need to be seen sooner by notifying our office at least 24 hours prior to your scheduled appointment time.  Cancellation without 24 hours advance notice will be considered a "late cancellation".  For missed appointments or if showing up >15 minutes past your appointment time, these will be considered “no show's”.  Multiple "no-shows" can be very disruptive to our physicians’ schedule, and prevent other patients an opportunity to see their provider.  Every effort is made to remain on schedule.  In order to keep the schedule on time, being more than 15 minutes late for an office appointment will mean cancellation for that appointment and rescheduling for a later date.  This is important so that we do not run into the next patient’s appointment time and shift the entire schedule behind.

 If you have had multiple late cancellations or no-show’s (this includes presenting more than 15 min late to appointments) you may be given first a warning notice, then a letter of dismissal from the clinic if the warning is not heeded.