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Insurance, Fees and Payments

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Fees & Payments

We make every effort to decrease the cost of your medical care. Therefore, we request payment arrangements for all office services at the time they are rendered unless prior arrangements have been made. We accept debit and credit cards only for your convenience (no cash or checks). If we are a participating provider of your insurance company, we will bill them. Payment is the patient’s responsibility.
If we do not accept your insurance plan, we can provide an invoice for you to send to your insurance company, as an out-of-network provider. We will help in any way we can to assist you in handling claims and can set up payment plans.
According to our insurance contracts, we must collect by law all co-payments at the time of visit. Due to Medicare laws, these co-payments are non-refundable. We are unable to refund any costs once services are rendered.

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Direct Primary Care Packages

We are now offering a Direct Primary Care Package for patients who have opted out of the Affordable Care Act or have an insurance plan we are NOT contracted with. (If we are contracted with your insurance, we can not offer this plan).

In addition to everything offered with our direct care packages, every patient receives: 

  • Patient portal access to email directly with providers
  • After hours access to the providers]
  • Discounted radiology studies with participating vendors
  • Discounted in-office lab testing if needed – (strep tests, pregnancy, Urinalysis and further lab testing)
  • Discounted injections
  • Discounted prescription resources
  • Assistance in scheduling with specialists for quicker appointments if needed (does not include payment to specialists, ancillary testing, outside office testing, injections, pharmaceuticals)

Additional Information

Insurance
For medical visits, our office accepts a variety of insurance plans including Aetna, CIGNA, Medicare, BCBS, United Healthcare, Tricare, Multi-plan and many more. Please call our office to verify acceptance of your insurance carrier. We must verify your insurance prior to being seen for medical visits. While we do our best to verify each plan, patient is ultimately responsible for payment not made by insurance for any reason. If we do not accept your insurance, you can pay us directly the cost of the visit and we can provide you with the appropriate forms to submit to your carrier for reimbursement. For holistic services, we are unable to bill most insurance but depending on your plan, you may be able to pay with your  Flexible Saving Accounts. Please check with your plan first. Virtual visits are paid directly to the online service at the time of the scheduled visit.
Appointments

Please call ahead to book your appointment time. We will try our best to accommodate same day or next day appointments. Please be sure to check-in with the front desk at least 30 minutes prior to your scheduled appointment time. New patients need to fill out paperwork ahead of time or come in 60 minutes prior to appointment time. This will help keep the patient flow and assist the providers in staying on schedule. If you are late for your appointment, you may need to reschedule. `

While you wait for your appointment, you may need to fill out necessary paperwork, or need insurance verified. You are also welcome to enjoy relaxing in our outdoor meditation atrium, meditate to one of our guided meditations, color one of our adult coloring pages, enjoy a refreshing aromatherapy session at our “Breathing BarTM” or relax with a hot pack steam treatment (both for nominal fees*).

Every attempt is made to comply with insurance company’s requirements. Since policies and benefits differ among every type of insurance and the plans within them, we are unable to know the specifics of your policy. Insurance companies inform all participants that it is ultimately the patient’s responsibility to verify benefits and coverage information prior to having any services rendered. 

Gartenberg Family Medicine, PLLC dba Modern Family Medicine cannot guarantee the cost of services performed will be covered by your insurance. To limit the charges that you may be responsible for please ensure that we always have up to date information regarding your insurance coverage and any name/address/phone/employment changes.