Your financial responsibility for your medical care...
Our Financial Policy...
Patient Payment Responsibility:
Co-payments are due at the time of the visit. You are responsible for all charges associated with your treatment and for those of your minor child. Payment in full is expected at the time services are rendered for all cosmetic and elective procedures.
Methods of Payment:
We accept cash, personal checks, VISA, MasterCard, and Discover
Insurance Billing:
As a courtesy to our patients, when you present your current insurance card, we will bill your insurance. You will then be billed after we have heard from your insurance. If you have any questions about our bill to you, please call our office.
Payment Plan:
Payment plans are available only for extenuating circumstances.
Missed appointments:
There may be a charge for missed medical appointments or for those not cancelled 24 hours in advance. There will be a $ 75.00 charge for missed surgical or procedure appointments or for those not cancelled 24 hours in advance.
Returned Checks:
There will be a $ 25.00 charge for returned checks to cover our bank fees.
Rewritten Prescriptions:
There may be a charge to re-write an existing prescription to conform to changing insurance company requirements.
Outstanding Accounts:
Please keep your account current. All outstanding accounts of 90 days after the patient bill is sent are reluctantly submitted for professional collection.
Medical Records:
We keep all patient records of both active and inactive patients for 3 years. If these records are needed during this time, we will copy them and give them to you in person or send them to another physician after you sign an authorization for the release of your records. There may be a
handling fee plus fee per page (as set by Illinois law). We will still keep the originals in our office for a period of 3 years. After that, all records are archived and ordinarily unavailable.
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