Russel Smith, D.C. QN
Good old Chiropractic
Pure and Simple
|
Fees: |
Download our Health History Here |
| 10 Minute Consultation | No Charge |
| Initial Examination | $37.00 and up |
| Office Visits | $25.00 and up |
FINANCIAL POLICY
Our recommendations are based on a desire to see you get well and stay well. Structural and Neurological Rehabilitation is covered under many insurance plans. Regardless of your coverage, we’ll suggest the Structural and Neurological Rehabilitation care that we determine you need. As Always, the choice is yours.
PATIENTS WITHOUT INSURANCE
We request that 100% of the first visit be paid at the time of the visit. On other visits, payment may be made at the end of the week if you sign a credit guarantee form. We are happy to accept your check, Master Card or Visa. We are pleased to offer a time of service payment discount as a book keeping saving we pass on to you.
GROUP OR INDIVIDUAL INSURANCE
Your insurance is an agreement between you and your insurance company, not between your insurance company and our office. We cannot be certain if you insurance covers Chiropractic, although most policies do provide coverage. The amount they pay varies from one policy to another. When possible, we will call to verify benefits on your insurance, however, the benefits quoted to us by your insurance company are not a guarantee of payment. As a courtesy to you, our office will complete any necessary forms at no additional charge, and file them with your insurance company to help you collect. It is to be understood and agreed that any services rendered are charged to you directly and you are personally responsible for payment of any non-covered services, deductibles or co-pays. You may also pay the full amount due each day thereby qualifying for our Time of Service Reduction in fees. You may then submit the bill to your insurance carrier for reimbursement.
“ON THE JOB” INJURY (WORKER’S COMPENSATION)
If you are injured on the job, your care should be paid for under your employer’s Worker’s Compensation insurance. You will need to inform your employer of the accident and obtain the name and address of the carrier of their insurance. If you employer does not provide us with this information, if a settlement has not been made within 3 months, or if you suspend or terminate care, any fees and services are due immediately. PERSONAL INJURY OR AUTOMOBILE ACCIDENTS Please present your auto insurance card, your health insurance card, and tell us if you have retained an attorney.
MEDICARE
YES we do accept assignment for Medicare. The check is usually sent directly to our office in payment of the services that Medicare will cover which for Chiropractors is ONLY manual manipulation of the spine. Medicare pays 80% of the allowable fee once the deductible has been met. You are required to pay the deductible and the remaining 20%. All other services we provide are NON-COVERED. These services include, but are not limited to, examinations, therapies, and/or nutritional supplements. Medicare patients are fully responsible for charges of non-covered services. Secondary insurance may or may not pay for these non-covered services. Our office completes and files the forms for Medicare at no charge.