Effective June 1, 2014
To Our Patients:
In order to ensure a positive patient-physician relationship, we want to be sure you understand and agree to our Financial/Credit Policy.
Please be aware that you are ultimately responsible for the balance of your account for any professional services rendered, regardless of insurance.
We will bill your insurance company for our services on your behalf. However, you ensure that your insurer pays its share of these services. If your insurer fails to pay, you will be responsible for full payment of all charges, unless limited by law (Medicare, Medicaid). Unpaid balances may be sent to an outside collection agency.
We will bill you for balances after insurance payment. If the balance is more than you can pay within 30 days, you must contact the office manager to make payment arrangements, which may include a 1.25% per month interest on unpaid balances due after 45 days (annual rate of 15%).
Once unpaid balances reach 90 days, the account may be turned over to an outside collection agency. If that occurs, you will be responsible for all costs related to collection, including but not limited to court costs and attorney fees that may ensue. This also may include collection fees not in excess of 50% of the unpaid balance.
Insurance Deductibles and Co-Pays:
You are responsible for paying deductible amounts and copays on the day of service. For surgical services, payment is due at your pre-operative visit.
Payment is due at the time of service. We will give you a 10% discount (discount only applies to services that are excluded from insurance coverage). If you fail to pay for these services, the discount is void and the account may be sent to an outside collection agency, which may include additional fees.
Uninsured Established Patients:
If you are an uninsured, established patient, you must pay in full at the time of your visit. We will give you a 10% discount for payment at time of service. If you fail to pay for these services, the discount is void and the account may be sent to an outside collection agency, which may include additional fees.
Uninsured New Patients:
We request that you bring a minimum of $200 to your first appointment. If the treatment costs less than $200, we will refund the difference. However, if the service amounts to more than $200, you must pay a minimum of $25 or 25% of the balance due (whichever is greater) each time we send you a bill. Failure to do so may result in the account being turned over to a collection agency, which will cause you additional charges.
Patients may be charged $25 for appointments that are missed and/or not cancelled 24 hours before the time of the appointment, per individual insurance regulations.
Payment may be made by cash, check, money order, VISA, Mastercard or Discover. Returned
checks are subject to a $20 processing fee, plus the amount of the balance due.
Failure to abide by these guidelines may cause us to be unable to provide medical services to you.However, you will remain financially responsible for all balances due.
Samuel S. Badalian, M.D., P.C.
Policy effective June 1, 2014