Welcome New Medical Patients
Important Information
Payment & Insurance Billing:
As a courtesy to our patients we will submit insurances claims. Please be aware that some or perhaps all of the services rendered may or may not be covered. We recommend that you contact your health insurance company if you have questions regarding your coverage. If your insurance company denies payment, you will be billed.
Please bring your insurance card(s) for each visit. Please be aware it is your responsibility to know your co-pay and/or deductible information, along with information on covered services. If your insurance cannot be verified, payment in full is due at the time of service. Once your insurance has been verified, we require payment of co-payments as defined by your primary carrier. We accept cash, checks and major credit cards.
Payment:
We accept cash, personal checks, Mastercard and Visa. If you do not have insurance, payment is due at the time of service, unless arrangements have been make with the office manager. A minimum of $35.00 fee will be assessed on all returned checks. If you do not have medical insurance, payment is due at time of service. If you need special arrangements, please contact our office manager, prior to your appointment.
Insurance Billing:
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 – (currenlty not taking new patients)
- Medicare – (currently not taking new patients)
- Cigna
- Harvard Pilgrim
- Tricare – Standard and Prime
- Maine Community Health Options
- Medicare Advantage plans
Minors must be accompanied by a parent, especially on the first visit.
Appointment Cancellations/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.
Registration Forms:
Consent Forms:
For Your Records: