Financial Policy
FINANCIAL POLICY:
Cosmetic Surgery Financial Policy
Please be advised that all cosmetic surgery payments must be paid in full 14 days prior to the date of operation. If you cancel your surgery with less than 7 business days of notice in advance of the date of your surgery, you will forfeit 50% of the total surgery cost to Priti P Patel MD LLC. Certified bank checks or money orders must be provided at least 2 weeks prior to the surgical date.
Cosmetic surgery charges are accepted in the office for the surgeon’s portion. Facility and anesthesia charges are paid separately to those entities. We can provide an estimate, however, they will provide an exact amount but this can vary based on the surgical timing and complexity. They reserve the right to bill in excess of what was paid for these situations. Anesthesia and facility charges are paid prior to the visit. Our office does not handle those portions of the payments, thus, it is importance to finalize payments PRIOR to surgery for anesthesia and facility charges.
Cosmetic Surgery Financial Policy – Some office-based procedures such as lasers or facial rejuvenation may require a non-refundable deposit to schedule the service. If the services are canceled without adequate notice you will forfeit this amount.
All esthetician and injectable services may require a credit card hold when scheduling to ensure that we are able to meet the needs of all our clients. Cosmetic Surgery Financial Policy – Canceling a visit without adequate notice may result in a full charge for the treatment. Kindly provide at least 48 hours’ notice for all changes or cancellations for office visits.
What is the cost of my treatment?
We charge $150 for all cosmetic consults (surgical and nonsurgical). This charge is only applied towards a treatment performed or product purchased the same day as the consultation. Surgical consults do have $150 charge. Shortly after your visit we will provide a pricing quotation for services requested. A surgical date hold fee of $500 is charged at the time of surgical scheduling. This charge of $500 is nonrefundable and is applied towards the cost of the surgery. Please note that health insurances do not cover any cosmetic surgery or treatments that are not medically necessary.
Medical Patient Policy
For medical visits, we MUST have a copy of your current insurance card in order to file for you or your family member. If your insurance requires a referral or pre-authorization, we must have this in our office prior to your appointment. Patients are responsible for obtaining referrals if needed. If a visit is denied because of lack of referral or authorization, you will be responsible for the charges.
A $35.00 service charge will be applied to your account for all returned checks or any stopped payment on an issued check.
Please note that we are out of network with all commercial insurances. Allowed amounts are only applicable for contracted plans. It is the responsibility of a member to perform any member appeals that may be necessary.
Our practice only accepts medicare rates for medicare plans that we participate with.
Missed Appointments/ Cancellation
Our policy is to charge for missed appointments or appointments cancelled with less than 48 hours notice at a rate of $59.00. A $250 fee will be charged for any medical (non-cosmetic) surgery missed or cancelled with less than 1 week notice.
Form Fee
$25 per form that will need to be filled out by the office (FLMA, disability, work release, etc)
We Are Out Of Network With Commercial Insurances
Please verify all insurance benefits prior to the visit. This is a patient responsibility. As per state and federal regulations, you have been made aware that we do not participate with commercial health insurance plans. We do participate with medicare.
For breast reconstruction or patient’s previously treated by the provider (for continuity of care), we may be able to get a network exception. Kindly let our office staff know if you require this type of prior authorization.
Financial Policy – Your Insurance Policy is a contract between you and your insurance company. We cannot guarantee to you that your insurance will pay all or any part, of your claim. Please note that member appeals may be required and this is a patient responsibility.
If you have any questions regarding your outstanding deductible and/or surgical co-pays, please consult your insurance company PRIOR to scheduling surgery or visits. Payment of services rendered to any dependent children rests with the parent who seeks treatment.
If you have requested a plastic surgeon for emergency room treatment, you will be balance billed if we are unsuccessful in negotiating with your insurance plan unless otherwise regulated by state or federal laws. It is a member responsibility to contact the insurance carrier and file any member appeals if needed. Please note that any unpaid balances will be forwarded to our collections department. You will be responsible for payment along with collections fees and interest if applicable.
Certain health insurance plans may send a check for services rendered to you. This must be forwarded to our office in a timely manner. All insurance checks must be forwarded to our office within 30 days. After 30 days, we will apply late fees and interest charges to the balance. You will be responsible for any collections-related fees.
