- Medicare Plus Blue
- BCN Advantage
- United Health Care
- Health Plus
- Priority Health
- Total Health Care
- Medicaid - NOT ALL MEDICAID
- Tricare - NOT ALL TRICARE
What to bring to your appointment:
All new patients are required to bring the documents outlined below. Established patients will need to provide updated information about their insurance policy, medications, medical conditions diagnosed and/or any surgical procedures since last appointment if it has been more than one year.
- Drivers license, health insurance card
- Physician referral forms if applicable
- List of prescriptions and/or over-the-counter medications, including dose and frequency, copies of medical records and lists of information about your medical and surgical history.
- Any recent x-rays or relevant records (please bring actual x-rays if possible)
- Any co-pays, balance or checks for current or previous visits.
- To save time, please print and fill out the Patient Information Sheet. You can find the form by clicking here for men, or here for women. If you have not completed your Patient Information Sheet prior to your appointment, plan on arriving at least 20 minutes early. If you complete your Patient Information Sheet ahead of time, please just arrive at the time of your scheduled appointment.
- You may request a list of any charges or payments made to your account.
- You can request assistance from the officer manager in resolving complaints or grievances regarding your treatment.
- Doctors can be reached after hours, if your condition warrents, or if there are any issues iwth your care. Please call 248.857.9496.
- We do not give results over the phone for privacy reasons. Please schedule an appointment to speak with your doctor about your results.
- If tests have been performed on you, please ensure that you have had the opportunity to discuss with our physicians in person.
- Our Physician Assistant, John Addington, PA-C, is involved in your care and will see you in conjunction with our physicians.
About your insurance coverage:
- Co-pay: Co-pays are a set dollar amount that you are required to pay according to your insurance policy at each office visit. Every patient will be responsible for paying their office visit co-pay on the date of service.
- Deductibles: This is a set dollar amount that is required annually to be paid by the insured. The insurance will not pay any of your claims until this amount is paid by the patient. We are required to collet this amount in full; we are not allowed to adjust off any portion of this payment.
- Commercial/Indemnity Insurance: Your policy is a contract between you and your insurance company. Since we are not a party to that contract, your account balance, and whether your insurance pays or not, is your responsibility. As a courtesy, we will file a claim on your behalf.
- Medicare/Medicaid: As required wit our participation we will file claims with Medicare/Medicaid. You are responsible to pay for services not covered under the Medicare program and all Medicare co-payments/Medicaid spendown. If Medicare does not forward claim information to your secondary insurance, our office will do so and attach the primary explanation of benefits. **If you have a Medicare/Medicaid HMO or Medicare Advantage plan, please contact our office to see if we participate. We do not participate with all Medicare Replacement plans/Medicaid HMO plans**
- Managed Care Plan (PPO, POS, HMO): You are responsible for paying any co-payments, deductibles and non-covered services. It is your responsibility to verify a physician's participation in your health plan prior to making an appointment. Please understand that if you fail to do so your insurance carrier may not authorize the visit. We must comply with your insurance company's rules and most insurance companies will NOT issue a retroactive referral for services.
- Self-Pay or Self-Filing: Patients who do not have insurance coverage, who are unable to provide us with valid insurance information, or who wish to file their own insurance claims are responsible to pay 100% of the charges at the time services are rendered.
- Work-Related or Auto-Related Injuries: We require written approval or authorization for work-related and auto-related claims. If a written denial of the claim is received you will be responsible for payment in full.
- Returned Checks: The fee for each returned check for insufficient funds is $25.00. This fee will automatically charge to your patient account when your check is returned from the bank.
- Surgical Procedures: Pre-authorization will be obtained by our office if needed. If your deductible has not been satisfied for the year you will be required to pay a deposit for the surgery. The deposit amount will be based on the amount of your deductible and the type of procedure that you are scheduled for. This deposit will need to be paid on the day o fthe procedure at check-in.
**Your insurance policy determines the amount you are responsible to pay.**
**Medical Providers are not allowed to adjust off any Co-payments or Deductibles.**
Our staff has been trained to understand many insurance policies, but they DO NOT have all the answers about your specific benefits. Please contact your insurance company to obtain detailed information about your plan coverage.
Any outstanding balances from previous visits will be collected prior to being seen by the doctors, regardless of receiving a statement. If balances cannot be paid in full, your appointment will be rescheduled until the balance is taken care of.