FINANCIAL POLICY
Our goal is to maximize the quality of your care and minimize misunderstandings regarding fees and payment. To ensure quality communication, it is the patient’s (and/or guardian’s) responsibility to inquire about Podiatry coverage/limitations prior to any service being performed. We accept many different insurance plans; however, all plans are not the same and do not cover the same services.
Please note: It is the patient’s (and/or guardian’s) responsibility to provide correct insurance information. If the current insurance card is not provided, payment in full at the time of the visit is required until we can verify coverage. In addition, it is the patient’s (and/or guardian’s) responsibility to recognize if a referral is required by their primary care physician. If a referral is required, it must be sent to Green Foot & Ankle Care, LLC prior to the appointment. If there is no referral in place by the time of the appointment, we are either required to reschedule the appointment, or the patient will be responsible to pay for the services provided.
Managed Care Patients/Private Insurance
If you are in a managed care plan (HMO, PPO, IPA) with whom we participate, we abide by our contract with them. We will bill your insurance company; however, you are responsible for paying any Co- pays, Co-insurance and Deductibles required by your plan at the time of treatment.
Medicare Patients
We accept assignment for Medicare but that does not mean that all services are covered. Patients are responsible for paying their annual deductible. You are also responsible for any co-insurance, which is usually 20% of the allowed amount for an item or service.
Uninsured Patients
We follow a set fee schedule for all services. A minimum of $150.00 in the form of cash, check or credit card is due at the time of service. A payment plan may be set up for the remaining balance if charges are above the $150.00 minimum.
All Patients
For your convenience, we accept CareCredit, Visa, MasterCard, Discover, American Express, Debit, Cash or Check. There is a $35.00 service fee for all returned checks. A payment plan may be set up for any balances if needed. Any appointment cancelled without 24 hours’ notice will be charged $35.00. If you arrive 15 minutes or later to your appointment, the appointment will be rescheduled.
Separate Billing Notice
Please understand you will receive a statement for services from Green Foot & Ankle Care, LLC. If a procedure is performed, you may also receive a separate statement from the lab for pathology testing. You also understand if any services are performed at an outside facility, you may incur expenses with them.
Durable Medical Equipment Policy
It is the policy of this office to help obtain insurance benefits regarding a patient’s individual coverage of these items. This is a courtesy, which we are happy to provide; however, Green Foot & Ankle Care, LLC is not responsible for the accuracy of the information received. Information received by phone is not a guarantee of payment and if any doubt exists as to eligibility, it is highly recommended that you check your plan booklet for a detailed outline of your benefits or make a personal phone call to your insurance company. Please note, if these items are denied by insurance due to coverage limitations, the patient hereby accepts responsibility for the cost.
Patient or Authorized Representative’s signature represents that you read, understand, and accept these policies.