Financial Policy

FINANCIAL POLICY

Thank you for choosing Advanced Dermatologic Surgery for your dermatologic needs. The following information states our facility’s policies regarding financial fees and responsibilities. Your medical insurance is a contract between you and your insurance company. Although we will make a good faith effort to assist you in obtaining your benefits, we cannot force your insurance company to pay for the services we have provided. It is your responsibility to understand your insurance plan and ultimately you are responsible for understanding your coverage.

Please review the following policies prior to your office visit.

1) CO-PAYMENTS, DEDUCTIBLES, AND FEES – Advanced Dermatologic Surgery will bill insurance plans with which we participate. At time of scheduling, we will verify your insurance. We will notify you in advance of your visit if you will have any co-pays, co-insurance, or deductible amounts for which you will be responsible. Please note, some insurance plans stipulate that the patient is responsible for a physician co-pay and an Ambulatory Surgical Facility co-pay. All copayments, insurance deductibles, and fees for services not covered by your insurance policy are due at the time the service is rendered. We accept cash, check, or credit cards.

2) INSURANCE –You must present a current insurance card at each visit. If you do not present a current insurance card, you will be responsible for payment at the time of your visit. You will receive reimbursement from Advanced Dermatologic Surgery if your insurance pays the claim at a later date. If your insurance carrier is not one with which we participate, you are responsible for payment in full. Insurance plans and Medicare consider some services to be “non-covered,” in which case you are responsible for payment in full. Your insurance policy is a contract between you and your insurance company. We are not a party to that contract. We reserve the right to limit non-emergent medical care if you disregard your financial responsibility by ignoring our attempts at collection.

3) PROMPT PAYMENT – We will make every effort to accommodate you when you need medical care, and we expect that you will make every effort to pay your bill promptly. If you have a financial hardship or if you are unable to pay your bill in its entirety please contact our administrator to discuss payment options. If your account becomes delinquent and you have not established or discussed payment options with our administrator, your account will be turned over to a collections agency after three statements go unpaid.

4) LAB AND PATHOLOGY SERVICES – Lab and pathology services are often utilized as a result of services provided by Advanced Dermatologic Surgery. Any charges for lab and pathology services will be billed directly to you and/or your insurance company. These charges are your full responsibility.

5) COSMETIC SERVICES – Cosmetic services are separate charges and are not covered by your insurance. Fees for cosmetic services must be paid at time of service.

6) RETURNED CHECKS – There will be a $35.00 charge for any check returned by your bank for any reason.

7) CREDIT CARDS – All patients will be required to leave a credit/debit card information on file at the time of their visit. Credit card information is stored in a safe and secure PCI compliant payment gateway, and the practice and staff will only have access to the last 4 digits of the credit card number. Payment Card Industry (PCI) Security Standards Council offers robust and comprehensive standards to enhance payment card data security and reduce exposure to credit card fraud. we will not bill your card initially when you receive your first statement. If after the first billing cycle, we do not receive payment, or you have not communicated your payment preferences, we will run the payment for your credit card on file.

8) PAYMENT PLANS – Payment plans must be set up to be paid in full within one calendar year.

9) CANCELLATION POLICY – Please carefully consider your surgical date before scheduling. Each missed appointment or last-minute cancellation is a missed opportunity to treat another patient. Re-scheduling procedures requires significant time and expense. If you cannot make it to your appointment, please call our office 24 hours prior to your scheduled appointment. Failure to do so will result in a $450 no-show fee for Mohs surgery. Such fees are not billable to insurance. This fee must be paid in full before your appointment can be re-scheduled. Patients who repeatedly cancel late or no-show may be declined future appointments.