Financial Policy
FINANCIAL POLICY
We will bill your insurance company as a courtesy. Your insurance policy is a contract between you and your insurance company. It is your responsibility to know your benefits and how they will apply to your treatment by the doctor. We are not a party to that contract. If your insurance company has not paid your account in full within 60 days, the balance will be transferred to you and/or the guarantor listed on the Patient Information form. If unable to make payment in full, contact the billing department immediately to make payment arrangements. If the account is referred for collections, you will be responsible for the balance of your account plus a collection agency charge of 25% of the balance and reasonable attorney’s fees. If your account becomes delinquent or is referred for collections, your provider and/or any collection agent of your provider has authorization to obtain your credit report to assist them in the collection of your bill.
HMO Plans (with which we are contracted): All co-pays must be satisfied at every visit. There can be no exceptions due to contractual and uniform compliance issues with your insurance company. You are responsible for obtaining prior approval with your Medical Group or PCP prior to treatment.
PPO Plans (with which we are contracted): We have agreed to take a discount from your insurance company. Your co-insurance is your responsibility and is due at time of treatment. In the event your insurance coverage changes to a plan where we are not a participating provider you will be responsible for any out-of-network deductible or coinsurance amounts.
Medicare: We accept assignment with Medicare. Medicare pays 80% of their allowed amount after satisfaction of the yearly deductible. You are responsible for 20% of Medicare’s allowed amount. We will bill your secondary insurance as a courtesy.
USUAL & CUSTOMARY RATES
Our practice is committed to providing the best treatment for our patients and we charge what is usual and customary for our area. You are responsible for payment regardless of any insurance company’s arbitrary determination of usual and customary rates.
Self-Pay Patients
All services must be paid in full at time of treatment.
Returned Checks
A $25.00 fee will be charged for any returned checks. We will be unable to accept your check for any services thereafter.
Thank you for understanding our Financial Policy. Please let us know if you have questions or concerns. You can reach the Billing Manager at (904)-328-5979.
Accepted Insurances
Our specialists participate with most insurance plans including Medicare. Prior to making an appointment we recommend that you contact your insurance carrier to verify that the doctor you wish to see is contracted with your specific plan. At this time we do not accept auto insurance or third party insurance.
PPO Agreements
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Aetna US Healthcare
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Beech Street
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Blue Cross
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Blue Shield
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CIGNA HealthCare
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First Health / Coventry Health
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Great West Healthcare
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Health Net
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Orange County PPO
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PHCS / Multiplan
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Physicians Care of California
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United Healthcare
HMO Agreements
Provided through Greater Newport Physicians (Hoag Hospital), Edinger Medical Group (IPA), and St. Joseph’s Hoag Affiliated Physicians.
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Aetna
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Blue Shield
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Blue Cross
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Cigna
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Great West Healthcare
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Health Net
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PacifiCare
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United Heathcare
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Universal Care
Medicare HMO Advantage Senior Plans
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Blue Shield 65+
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Secure Horizons
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AARP
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United Healthcare
FaQs
Your questions, answered.
If you are a patient of the Heekin Clinic, you will need to complete a records request form found here so that we may obtain your records. If you are a patient of any other clinic you may request a release form by calling their office.
We have release forms in our office; otherwise you can fax a request that includes your personal information as well as information on where records are to be sent.
Yes, we are on call 24 hours a day, 7 days a week. Call our main number, 904-731-3131 for assistance. Please note that prescriptions are refilled during office hours only.
We generally do not require a physician referral to our office for the purpose of scheduling an appointment with one of our physicians, unless this is a requirement by your insurance carrier.
While X-rays are generally not required, all MRIs or other image studies on CD or film that are pertinent to the part of body being examined need to be brought in with the patient.
With a 48-hour notice, you may call your doctor’s assistant or you may call your pharmacy and they will request a refill from your doctor. Please note that Schedule II drugs cannot be refilled by phone and require a paper prescription.
Yes and Yes. Please park on the 6th floor of the DePaul garage and call the office in advance if you require assistance getting into the building.
