Medical Insurance & Payment Policies
Health Insurance Companies
We participate with most major insurance plans, including those listed below. Please remember you are responsible for any bill or portion of a bill that is not paid by your insurance company. If we do not participate with your plan, you are responsible for the full amount not paid by the insurance plan.
- Anthem Blue Cross Blue Shield
- Aetna
- United Healthcare
- Martin’s Point Generations Advantage/US Family
- Maine Care – (currently not taking new patients)
- Medicare (currently not taking new patients)
- CIGNA
- Harvard Pilgrim
- Tricare – Standard and Prime
- Maine Community Health Options
- Medicare Advantage Plans
Counseling patient In-network Insurance participation:
- Maine Community Health Options
- Anthem Blue Cross Blue Shield
- Aetna
- all others are out of network/self-pay. You may request a superbill to submit for possible out of network benefits for insurances other than medicare.
Our office makes a concerted effort to provide services within the scope of your insurance policy. Because of the many insurance plans on the market today, it is impossible for us to stay well informed about each individual policy. If you are concerned that your insurance may not cover a service, please contact them prior to your date of service. It is your responsibility to know what your insurance will and will not cover. The providers assign codes according to the services provided. They can not alter coding submitted to your insurance in order for your insurance carrier to make payment.
Quick Facts
Co-pays: Your insurance company requires our office to collect co-pays at the time of service, so please bring this with you.
Self Pay Patients: You are required to pay in full at the time of the visit, unless arrangements have been made in advance with our office manager.
No Show Policy: Please give 24 hours’ notice if your appointment needs to be
rescheduled or cancelled, otherwise it will be considered a “no-show”. We
charge a fee of $35 for no-show appointments. Arriving 10 minutes past
your appointment time will result in rescheduling your appointment and a
no-show fee. Three “no-shows” will be grounds for dismissal from the
practice. If you no-show your initial appointment, your no-show fee will
need to be collected prior to you scheduling your next appointment. Any
missed appointment rescheduled for the same day, that is also no-showed, the
charge will be the cost of a full exam.
Method of Payment: We accept cash, personal checks, Master Care and Visa. Please note that if your check is returned to us, a $35 service charge will be added to your balance and will need to be paid in full within 10 days.
Payment for labs or testing: Laboratory test, outside of the office, as well as radiology and pathology services are billed by a separate facility. You will receive a separate bill for these services. Again, check with your insurance company if you have questions regarding coverage.
Copies of Medical Records: We will send your medical records to another provider at no cost to you. If you want copies of your records, the charge is $10 for the first page and .35 for each page up to $25 maximum. This charge must be paid before records are picked up or mailed.
Fees for completion of forms: If our providers are asked to complete a medical form without an office visit (insurance policies, physical forms, disability applications, etc.) there will be a charge of $10 per page. This fee must be paid before forms can be picked up or submitted.
Past due accounts: We will make every effort to work with you on payment plans, although we do not carry balances over 2 years. Any cost incurred in trying to collect payment will be added to your account. Failure to make payments will result in the termination of the physician/patient relationship.
