Our office knows that insurance plans can be complicated, and we make every effort to answer your questions. It is up to you to know the requirements of your health plan prior to your visit. Please let us know if your plan requires you to use a contracted lab, radiology group or a certain group of specialists, doctors or hospitals. In addition, if your health plan requires a referral to see someone other than your primary care physician, be sure that the referral is approved before seeking care. Again, it is your responsibility to know the procedures and protocols of your health plan.
If your insurance requires a co-pay, please be prepared to pay at the time of your visit. Please bring your HMO or PPO/POS card to each visit in case we need to verify any insurance matters. If there is no eligibility for the date of the visit, be prepared to pay for the services at the time of the visit. Please be aware that some health plans do not cover well visits and vaccines, and you will be responsible for the balance due if this is the case.
Please do not assume that we know the details of your health plan. We deal with over 100 different plans, and each plan has different requirements and benefits.
We ask that you read your health plan booklet carefully and understand your coverage.
Laura Norton Petrovich, MD, and Staff
By typing your name below, you are signing this application electronically. You agree that your electronic signature is the legal equivalent of your manual signature on this application.