Billing and Payment
- Insurance Patients: The clinic accepts private insurance and Medicare and Medicaid. Medicare and Medicaid patients must have a physician referral in order for the clinic to bill your insurance. If you do not have a physician referral, you will be responsible for the billed charges if they are denied by your insurance company. All private insurance will be verified prior to your visit and a minimum payment of $50.00 is required at the time of service as most hearing benefits are not covered until the deductible has been met.
- VA Patients: We participate in the Veteran's Patient Centered Community Care Program. This program allows Veteran's to access services outside of their local VA when those services are not readily available. The patient must contact the VA to access a referral, once that referral is obtained and an authorization has been issued, our office will schedule an appointment. We cannot accept patients without a valid authorization from the VA.
- NOW ACCEPTING CARE CREDIT! Click here to apply.
- Monthly Billing: Statements are mailed monthly. Monthly payments are required to avoid collections. If you cannot pay your bill in full, monthly payment plans are available. We accept cash, checks, debit/credit cards, health savings credit cards, and online payments.
- Online Payments Here:
No Surprise Billing Act
Your Rights and Protections Against Surprise Medical Bills
When you get outpatient/emergency care or get treated by an out-of-network provider, you are protected from surprise billing.
What is “balance billing” (sometimes called “surprise billing”)?
When you see a health care provider, you may owe certain out-of-pocket costs, such as a copayment, coinsurance, and/or deductible. You may have other costs or have to pay the entire bill if you see a provider or visit a provider that isn’t in your health plan’s network.
“Out-of-Network” describes providers and facilities that haven’t signed a contract with your health plan. Out-of-Network providers may be permitted to bill you for the difference between what your plan agreed to pay and the full amount charged for a service. This is called “balance billing.” This amount is likely more than in-network costs for the same service and might not count toward your annual out-of-pocket limit.
No Surprises Act Disclosure
“Surprise billing” is an unexpected balance bill. This can happen when you can’t control who is involved in your care – like when you have an emergency or when you schedule a visit at an in-network facility but are unexpectedly treated by an out-of-network provider.
You are protected from balance billing for:
- Out-patient healthcare services. When you get services at an in-network facility, certain providers there may be out-of-network. In these cases, the most those providers may bill you is your plan’s in-network cost-sharing amount. Out-of-network providers can’t balance bill you and may not ask you to give up your protections not to be balance billed unless you give written consent and give up your protections.
- Emergency services. If you have an emergency medical condition and get emergency services from an out-of-network provider or facility, the most the provider or facility may bill you is your plan’s in network cost-sharing amount (such as copayments, coinsurance, and deductibles). You can’t be balance billed for these emergency services. This includes services you may get after you’re in stable condition unless you give written consent and give up your protections not to be balance billed for these post-stabilization services.
You’re never required to give up protections from balance billing. You also aren’t required to get care out-of-network. You can choose a provider in your plan’s network.
When balance billing isn’t allowed, you also have the following protections:
- You are only responsible for paying your share of the cost (like the copayments, coinsurance, and deductibles that you would pay if the provider was in-network). Your health plan will pay out-of-network providers directly.
- Your health plan generally must:
- Base what you owe the provider or facility (cost-sharing) on what it would pay an in-network provider or facility and show that amount in your explanation of benefits.
- Cover emergency services without requiring you to get approval for services in advance (prior authorization).
- Cover emergency services by out-of-network providers.
- Count any amount you pay for emergency services or out-of-network services toward your deductible and out-of-pocket limit.
If you believe that you’ve been wrongly billed, visit the CMS website (https://www.cms.gov/nosurprises) for instruction about disputing charges as well as additional information about this ruling.