Financial Policy
Self-pay: All patients without proof of insurance are financially responsible for all expenses incurred during their office visit. Payment, in full, is due at the time services are rendered. A minimal office visit fee of $100 will be collected before services rendered.
There may be additional charge(s) depending upon the service and/or procedures performed during the visit. Payment for additional services is due before leaving the office.
*If you have a DEDUCTIBLE, your payment due at the time of service is $25 and the rest will be billed to your insurance. YOU WILL BE RESPONSIBLE for the remaining balance as determined by your insurance explanation of benefits. We are not able to verify if you have met your deductible. You will be charged the $25 initially and then will wait for your insurance company to provide us with your payment status; at that time you may be issued a credit or refund if you have met your deductible.
* Your copayment is also due at the time of service.
The adult/guardian/parent accompanying the patient is asked to pay for the child's healthcare at the time of service. This may include but is not limited to: deductible, co-pays, co-insurance, non-covered services, or any other outstanding balance at the time of service.
We are sensitive to the fact that sometimes agreements are made between parties during a separation or divorce regarding the responsibility of payment for healthcare. However, this agreement does not include Lyndon Pediatrics. We do not split bills for services. We hold to our policy that the accompanying adult will pay for services that day and/or any outstanding balance. For your convenience, arrangements can be made with our office to keep a credit or debit card on file to make the necessary payment at the time of service.
Sometimes a child is brought to the office for a Preventative "Well Child" visit and will present with a complaint of illness/symptoms or they will be found on examination. This situation will be billed for both the preventative and sick visits as allowed by guidelines established by the CMS and the AMA. You may be charged a co-pay, co-insurance, or deductible as per your contract with your insurance carrier.
It is the parent or guardian's responsibility to provide the most current insurance information at every office visit. You will be asked to present the card upon arrival, along with any co-pay or outstanding balances due. It is the responsibility of the parent or guardian to know what your insurance covers and what it requires for payment and referral services. If you receive a bill that you question please contact our office right away.
There is a $40.00 fee for returned checks. Parent/guardian may be required to pay cash or use a credit card for any future payments if your check is returned. If your child(ren) has more than two returned checks for insufficient funds, you may be discharged from the practice.
Please confirm with us that we are participating providers with any insurance carriers that you may be switching to before making that change. Their manuals may not be current.
If you find that you have a balance that is difficult for you to pay in one or two installments please contact our office to make payment arrangements. As long as you are able to keep our arrangements we will be able to defer any billing fees. Payments will be due on the 10th of each month. We want to work with you! Please call. Any arrangements made and not kept will be forwarded to our collection agency as a delinquent account.
Remember you are financially responsible for, but not limited to, the following:
- Co-pays at the time of service
- Co-insurance
- Deductibles
- Outstanding account balance due at the time of service
- Non-covered services/balance billing
- Out-of-network services
- Failure to list one of our providers as your Primary Care Provider (PCP)
- Terminated Coverage
- Contract Limitations
- No Insurance Coverage
- Failure to respond to your insurance company's correspondence
- Returned check balance and the $40.00 administration fee
- Late payment billing fees
Your children are important to us. We appreciate your cooperation with our financial policy.