Timeliness
IT IS IMPORTANT YOU ARE ON TIME FOR YOUR APPOINTMENT. When one patient is late, it can set back the schedule for all patients for that day. Accordingly, please understand if you are more than 10 minutes late, we reserve the right to shorten your appointment or reschedule it depending on the appointment type/length.
Payment For Care
Self-pay services must be paid for at the time of service to receive the self-pay discount. We are legally permitted to discount insurance fees up to 15%, due to the fact that we are collecting at the time of service and do not have the administrative fees of submitting to insurance, filing appeals for denials etc.
Copays are due at the time of service per insurance contracts.
If you have a deductible, our policy is to collect $60 toward your deductible at the time of service. This is likely not the full fee for your service depending on your insurance allowable. What insurance does not pay, less any payments made at the time of service will be billed at the end of the month. This prevents you from getting a larger bill all at once if your insurance is late processing your claims etc. If you have met your deductible, you will be billed for your coinsurance at the end of the month. Please consult your insurance Explanation of Benefits (EOBs) for guidance. They should match up with our statements.
Invoices are emailed to your email on file at the end of each month from Fortis with a link for you to pay. The balance is due within 30 days of billing. Any balance not paid within 40 days will be collected using the credit card on file per your signed agreement.
HSAs can be used for all services and medical supplies. (Hypnotherapy and Reiki excluded)
Cancellation Policy
24 hours cancellation is required for all appointments. This allows us amble time to offer your appointment to a patient on our waiting list. For Monday appointments, cancellations must be received by 12 noon on Saturday to allow us time to fill the appointment.
Cancellation Fees: Call ASAP and if we are able to fill the appointment from our waiting list, you will not be charged!
- Follow up w/ Doctor – $25 fee
- Re-exam or X-ray Review – $50 fee
- Massage Therapy – $60 fee (we have to pay the therapist a fee per their contract) Again, call asap and if we are able to fill the appointment from our waiting list, you will not be charged!
IT IS OUR GOAL TO NEVER HAVE TO CHARGE FOR A SERVICE YOU DIDN’T RECEIVE. TEXT OR EMAIL REMINDERS ARE SENT TO YOU AS A COURTESY. TECHNOLOGY IS NOT 100% RELIABLE, SO YOU ARE ALSO RESPONSIBLE TO KEEP TRACK OF YOUR APPOINTMENTS.
Understanding Insurance Terms & Goals of Care
Visit Limits
We verify your benefits and limits at the beginning of the year as a courtesy. Our software, and our staff do not track your individual limits. While we may be able to help you, tracking is your responsibility.
Deductible
Think of a deductible as the money you have to personally pay from your own pocket before your insurance kicks in to help cover your expenses. For example, if you have a $500 deductible and make a claim for $1,000, you’ll need to pay $500, and your insurer will cover the remaining $500.
Copay
A copay is a fixed dollar amount a patient must pay upfront for medical services as part of their health insurance coverage. Your copay may vary depending on the service. That means you might owe a $20 copay for visiting your primary care doctor and a $50 copay for a specialist.
Coinsurance
Coinsurance is the percentage of costs that an insured person pays toward a covered claim after the deductible is met. (Example: Insurance pays 80%, you pay 20% of allowable costs.)
Out-of-pocket maximum
An out-of-pocket maximum is a cap, or limit, on the amount of money you have to pay for covered health care services in a plan year. If you meet that limit, your health plan will pay 100% of all covered health care costs for the rest of the plan year.
Health Savings Account (HSA)
A Health Savings Account (HSA) is a tax-advantaged savings account that lets you set aside money to pay for qualified medical expenses. You can use HSA funds to pay for deductibles, copayments, coinsurance, and many times medical durable goods like glasses, contact lenses, and physical therapy equipment.
Medical Necessity
Medical necessity is a determination that a medical service or procedure is essential to diagnose, treat, or prevent a condition. Insurance companies use medical necessity to decide which services to cover. So, what is considered medically necessary? The service is in line with accepted medical standards The service is clinically appropriate. The service is not for experimental, investigational, or cosmetic purposes. This is the reason you must be seen by the doctor within several weeks of having massage/manual therapy. We need to be able to prove the treatment is medically necessary. While your insurance allows this treatment, they also require it be medically necessary.
Maintenance Care
Chiropractic maintenance care is treatment that helps maintain optimal health and prevent chronic conditions from worsening. It involves continuing treatment after a patient has reached the best results. This helps prevent painful episodes from recurring, can cut down on costs of long treatment plans, and can help maintain overall function of the body and nervous system, improving overall health.
We are grateful you are trusting our team with your care and look forward to helping you heal, move, thrive, and feel your best!