Financial Policies
Thank you for choosing LexMedical, Inc. as your health care provider. We are committed to your treatment being successful. Please understand that payment of your bill is your responsibility. The following is a statement of our financial policy. All non-emergent patients are asked to complete our insurance and information form before seeing the provider.
FULL PAYMENT IS DUE AT THE TIME OF SERVICE
We Accept: Cash, Check, Visa, and MasterCard debit and credit cards
Regarding Insurance & Co-Pays:
All co-pays and deductibles are due on the day of treatment. We cannot bill your insurance company unless you give us your insurance information. If you do not present a valid copy of your insurance card and/or Medicaid card at the time of service, you will be considered self-pay. The balance is your responsibility whether your insurance company pays or not. Regarding insurance plans where we are a participating provider please be aware that some, and perhaps all, of the services provided may be non-covered services that are not considered reasonable and necessary under the Medicare Program and/or other medical insurances. It is your responsibility to make sure that we are a participating provider under your insurance plan. If we are not a participating provider with your medical insurance, you will be responsible for the balance.
Charity Care Policy
If you feel you may qualify as indigent or medically indigent and have exhausted all other resources, you may apply for Charity Care if you meet all of the criteria. Please ask for a Charity Care Pre-Qualification form at the front desk.
Usual and Customary Rates
Our practice is committed to providing quality care for our patients and we charge what is usual and customary for our area. You are responsible for payment regardless of any insurance company’s determination of usual and customary rates.
Minor Patients
The adults accompanying a minor and the parents (or guardian of the minor) are responsible for full payment.
Missed Appointments
Our office policy for appointments states that once a patient has missed three (3) scheduled appointments he/she may be asked to seek care elsewhere and be dismissed from the practice. Please contact our office 24 hours in advance if you are unable to keep your appointments.
Nonpayment
If your account is over 90 days past due, you will receive a letter stating that you have 20 days to pay your account in full. Partial payments will not be accepted unless otherwise negotiated. Please be aware that if a balance remains unpaid, we may refer your account to a collection agency and you may be discharged from this practice. If this is to occur, you will be notified by regular and certified mail that you have 30 days to find alternative medical care.
Small Claims Court
Our practice will pursue small claims action as deemed appropriate by our collection agency. Your credit will be affected if you are turned over to our collection agency. Please be aware that any fees incurred by our practice for pursuing small claims action will be added to your bill and ultimately your responsibility.
Your understanding and assistance in this matter will enable us to continue to serve our patients in the future.
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