We understand that medical insurance is complicated – we have some tips to help. Even though we participate with most of the major insurances plans vary within insurance companies. Therefore, please verify with your insurance that our doctors are on your plan and familiarize yourself with your benefits, restrictions, copays and deductibles.
If you are expecting a baby please notify your insurance and find out what their process is for getting your new baby on your insurance and designating one of our doctors as the baby’s primary care physician (PCP). This will make the payment for hospital and newborn visits go more smoothly.
If you are new to the area please verify with your insurance that our doctors are on your plan.
Unfortunately, due to the changes in the medical insurance environment we cannot provide service without accurate insurance information. The insurance companies, who control reimbursement, are very strict about effective dates, timely filing, patient names and date of birth. Any variation on these from their records will cause the claims to be denied; so we all have to be aware of this and act accordingly.
MISSING INSURANCE CHART
Birthday Rule – the Birthday Rule is approved by the National Association of Insurance Commissioners (NAIC). The Birthday Rule indicates that the plan of the parent whose date of birth (month and day) falls earlier in the calendar year is the primary plan for dependent children. For example, if the mother’s birth date is June 10 and the father’s birth date is April 23, the father’s plan would be primary. If both parents have the same birth date, the health plan in effect for the longer period of time will be primary.
No insurance? No problem. We can work out a payment plan with you.