Insurance and Payment Policy
Payment is expected at the time of service. Your co-pay, co-insurance, deductible or balance is due payable at the time of your visit. For your convenience, we accept cash, checks, Visa or MasterCard as form of payment. Please note that hospital, surgery centers and labs charge additional and separate fees. You are responsible for making payment directly to those facilities.
If we’re covered as one of your insurance companies network providers, you are required to pay your co-payment at the time of service. We will also need to take a copy of your insurance card. We will bill your insurance for your visit, but any deductible, co-insurance or non-covered services are your responsibility. For those plans that we are not contracted with, we will bill your insurance as a courtesy, but you will also be responsible for any deductible, co-insurance or non- covered services are your responsibility. Monthly statements will be sent to you for any balances and are due payable at your following visit. Please inform our staff immediately of any insurance changes.
Non-Covered Services Policy
There will be certain services performed by our office that are NOT COVERED by all insurance plans. Some of these services included Urine Drug Tests and Injections. We suggest that you contact your insurance carrier to verify your benefits. All non covered services are your financial responsibility. Medicare requires a signature on an Advanced Beneficiary Notice (ABN) for non-covered services.
There may be a $25.00 fee for all appointments cancelled less than 24 business hours from the scheduled appointment date and time with the Physician.
There will be a $25.00 no show fee for all appointments that are missed.
Missed Appointment Time Policy
If you are more than 5 minutes late fr your scheduled appointment, you may not be able to be seen. You may be asked to reschedule your appointment.
Should you request a copy of your medical records, please allow 7 to 10 business days for us to process your request.
Should you request our office to complete forms on your behalf for Disability, Work Status, FMLA, Ect there will be a charge of $25.00 per page that is fill out. Payment must be made to our office and is expected at the time of completion.
There will be a charge $25.00 for all accounts closed, stop payments or returned checks due to insufficient funds.
It is not our office protocol to refill lost or stolen medications except in very rare circumstances. Please keep track of your medications as they are your responsibility. We usually refill medications on a monthly basis. Please make sure to schedule a follow up appointment for the following month before you are due for a refill. We may not be able to help you if you run out of medication and do not have an appointment. We will not refill medications without an appointment, during the nights or on the weekends.
To schedule and appointment, please call our office 949.916.8100
After Hours Calls
If you have an EMERGENCY, CALL 911 IMMEDIATELY!
If you are an established patient with our office and you need to speak with your physician after our regular office hours, please call the main office number 949-916-8100. You will be connected to a on call service operator who will contact your physician. Please be sure to provide the operator with your name and a direct phone number so that you may receive a return call from your physician.
Monday through Thursday 8:00am-5:00pm