TMC Financial Policy

Payment:  If you are not insured by a plan we are contracted with, payment in full is expected at each visit.  If you are insured by a plan we are contracted with, but don’t have an up to date insurance card, payment in full for each visit is expected until your eligibility can be verified.  It is your responsibility to know your insurance benefits and coverage. If you have questions about your coverage, contact your insurance company.

Co-payment:  All co payments must be paid at the time of service. This arrangement is part of your agreed upon contract with your insurance company.  Failure on our part to collect co-payments from patients, while billing insurance, can be considered fraud.  Please help us in complying with the law by paying your co payment at each visit.

Services not covered:   Please be aware that some, and possibly all of the services you receive may be not covered or may not be considered reasonable or necessary by your insurance company.  You must pay for these services in full at the time of your visit or as soon as your insurance company denies coverage of the services.

Proof of insurance:  All patients must complete our patient information form before seeing the doctor.  We must obtain a copy of your current valid insurance card to provide proof of insurance.  If you fail to provide us with the correct insurance information in a timely manner, you may be responsible for the balance of the claim.

Claim submission:  We will submit your claims and assist you in any way we reasonably can to help get your claims paid.  Your insurance company may need you to supply certain information directly.  It is your responsibility to comply with their request.  Please be aware that the balance of your claim is your responsibility whether or not your insurance company pays your claim.  Your insurance benefit is a contract between you and your insurance company; we are not party to that contract.

Coverage changes:  If your insurance changes, please notify us before your next visit so we can make the appropriate changes to help you receive your maximum benefits.

Non payment:  If your account is over 90 days past due and you have not contacted us to set up payment arrangements, your account will be referred to a collection agency.  There will be a note on your 90 day statement that it is your final statement prior to collections. If you have unusual financial hardship or other extenuating circumstances please let us know that.

We strive to keep our prices representative of the usual and customary charges for our area.