We are committed to providing you with the best possible care and are pleased to discuss our professional fees with you at any time. Your clear understanding of our Financial Policy is important to our professional relationship. Please ask if you have any questions about our fees, financial policy or your financial responsibility.
Insurance Information/Assignment of Benefits
Patients are required to provide Amherst Ear, Nose & Throat with current insurance information at every visit. Your FAILURE to provide us with accurate information with result in a patient bill that you may be held responsible for. You will be held responsible for any amount.
By law we MUST collect your carrier designated co-pay. This is part of your agreement with your insurance company. This payment is expected at the time of service. Please be prepared to pay the co-pay at each visit. Should you not pay at the time of service and we subsequently send you a statement, an administrative fee of $10 will be added to your account.
In accordance with the provision of your insurance plan, you are required to pay for a portion or all of your medical services. As a result, if you have a deductible or co-insurance with your insurance plan, payment is expected at the time of service. Please be prepared to pay the deductible at each visit. The amount charged is the allowable fees directly from your insurance company. The amount taken is a deposit and other charges may occur once it has been submitted to your insurance company.
24 hour notice must be provided in the event you cannot keep an appointment. Should you not provide this notice; a cancellation fee of $25 may then be added to your account.
If your plan requires a referral from your primary care physician, it is YOUR responsibility to obtain it prior to your appointment and have it with you at the time of your visit. If you do not have your referral, YOU WILL BE ASKED TO RESCHEDULE YOUR APPOINTMENT.
You are responsible for the timely payment of your account. Should it become necessary for us to use an outside agency to collect payment form you, you will be additionally responsible for whatever charges we incur as a result of this.
We accept Cash, Checks, MasterCard, Visa, American Express, and Discover Card.
Payment is expected at the time of service.
We will submit claims to Medicare. The patient will be responsible for the deductible and the 20% co-insurance, which can be billed to a secondary insurance if you have one.
Divorced/Separated Parents of Minor Patients
The parent who consents to the treatment of a minor child is responsible for payment of services rendered. Amherst Ear, Nose & Throat will not be involved with separation or divorce disputes.