Before starting medical services and treatment or at your first visit,
we will require all of your insurance information, including a
current insurance identification card and any referral or
authorization that may be required. If you have any questions
regarding your insurance coverage prior to your visit,
please call your insurance company and our
office (203) 226-0731.
We are not associated with any state-sponsored insurance program.
If you are covered by such a program, you must contact our office
prior to your first visit.
You are required to pay any co-payment amount at the time of service.
Additionally, you are responsible for the timely payment of your account.
All
patient balances are due within 30 days of our statement date.
If your visit requires lab tests, x-rays, MRI, bone scans or CT scans,
or any other services done outside of our office,
these services will be billed to you directly by the provider.
We will give these providers all your insurance information.
Our office staff is always willing and available to discuss billing
matters with you at any time.
We know that you will agree that your clear understanding of our
financial policy is important to our professional relationship.
Payments and Insurance
We require payment for office visits (and telephone services) at the time of your appointment.
We accept checks, cash, Master Card and VISA. A list of fees is available on request.
You will receive a statement at the time of your visit that includes all the information
needed by you to bill your insurance company. This statement should be attached to your completed
insurance form and forwarded to the address your company provides. No other copies will be provided.
Medicare and Managed Care patients' statements will be submitted by IMAW directly.
If you are a member of a PPO or HMO Managed Care plan with which we contract, your insurance ID card must be presented at every visit. Patients are ultimately responsible for knowledge of specific coverage guidelines and requirements pertaining to their individual plan.
For example, if your plan allows a physical every three years, you will be responsible for
payment if you choose to have a physical more often than your plan offers.
IMAW participates in the following Health Maintenance Organizations:
Blue Cross & Blue Shield
CIGNA
Connecticare
Healthnet
NEHCA/HMCPPO
Oxford
PHCS
United Healthcare
Aetna (as of 3/1/05)
Medicare Billing Guidelines
For a Non-Assigned Office
You are NOT responsible for payment of your bill for services rendered on that date.
IMAW will forward your charges for that days service to Medicare and Secondary Insurance.
Medicare and your Secondary Insurance will pay the office directly. Any outstanding balance after Medicare and Seconary will be billed to the patient.
