Financial Policy
In order to provide the highest level of medical care to the patients of Seaside Medical Practice, all patients are required to adhere to our financial policy, which is outlined below.
Medical Insurance Coverage
Our providers participate in the majority of regional health plan networks allowing you the benefit of in-network coverage. After collecting a copy of your insurance card, we make every attempt to verify your current insurance coverage. Please understand that it is ultimately your responsibility to know your coverage. Information that we collect includes: effective dates, deductibles, co-payments and co-insurance amounts. We will review this information with you at your next visit.
Deductible and Co-payments are part of you contractual agreement with your insurance company and it is our responsibility as participating providers to collect those fees. Co-payments will be collected each visit. If your insurance company reimburses more than the billed amounts we will reimburse you immediately upon overpayment.
Verification of benefits is NOT a guarantee of payment. Please remember that any changes made to your insurance policy may affect coverage and reimbursement rates.
Worker's Compensation and Motor Vehicle Accidents
It is your responsibility to provide us with the name and address of the insurance carrier along with your claim number. If we do not have verifiable billing information within three clinic visits, your treatment will continue on a cash basis until we receive the necessary billing information pertaining to your injury or obtain private insurance information. If, for any reason, your claim is denied, we will attempt to bill your private health care insurance, but please understand that ultimately you are responsible for full payment. We do not accept attorney “letter of protection” for claims being disputed or in litigation. If that is the case we will need alternate insurance information or transfer your account to a cash pay basis.
For those patients with worker’s compensation claims, we will need to insure that the claim is not part of a managed care organization. If you have information on your enrollment with a managed care organization, please notify us immediately.
Medicare
Our providers are participating providers with Medicare, and we will attempt to bill Medicare as well as any supplemental insurance company provided. You are financially responsible for any co-insurance or your annual deductible if applicable.
Uninsured / Cash Rate
Seaside Medical Practice believes that no one should be denied services secondary to lack of insurance coverage. Our practice offers a cash rate to those who do not have appropriate insurance coverage. Payment will be required at the time of service unless arrangements are made in advance. Please inquire about our current cash pay rate by contacting us online, or by calling our office directly at (310) 393-5000.
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