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Financial Policy
Financial responsibility
- You are responsible for full payment of all fees incurred
with the physicians of Town Center Ear Nose & Throat
Clinic. We file your insurance as a courtesy to you, but
this does not diminish your responsibility for payment in
full.
- We do not get involved in any way with disputes between
divorced parents of a child we are treating. If you bring
the child for treatment, you are responsible for payment
in full for services rendered. We do not bill the other
parent. We will provide extra copies of your child's bill
should you need it.
- If the patient is a child 18 years of age or older and
still on the parents insurance, you must supply us with
a full time student status form from the high school or
college they are enrolled in. Until this form has been received,
you will be responsible for payment in full for any services
rendered.
- We do not file Medicare supplemental insurance policies.
You are expected to pay your annual deductible and any coinsurance.
We will give you a copy of your bill when you check out
so you can file if Medicare does not do this automatically
for you. In the event your secondary policy pays us you
will be refunded. Our refunds are done on or about the 15th
of each month.
- You are responsible for obtaining any required referral
from your Primary Care Physician (PCP) to our office. If
you do not have a valid referral from your PCP, you will
be expected to pay in full for your services.
- While we expect most patients know their insurance benefits,
the following is a brief outline of changes that might occur
due to the fact that you are seeing a specialist:
Your co-payment may be different from the co-payment at
your PCP's office.
- Your co-payment may cover the office visit only. Any
procedure done such as a scope of the sinuses or throat
and/or hearing tests may be subject to your deductible and
co-insurance. Payment of deductibles and co-insurance is
expected at the time of the service.
- Some insurance companies require their referrals be marked
for certain procedures. If your referral is not marked for
the needed procedure you may elect to wait while we get
the referral marked, return on another day after the referral
is marked or pay in full for the services.
- Any fees we charge are for our services only. Any patient
having office laboratory procedures done or having surgery
will be billed separately for any laboratory, radiology,
anesthesiology or hospital. We have no control or authorization
over their fees, rules or financial expectations. You should
speak directly with those providers regarding any questions
you may have for them.
We accept following Insurances:
AETNA
AMERIGROUP
BLUE CROSS/BLUE SHIELD
CIGNA
COMMUNITY HEALTH CHOICE
EVERCARE
FIRST HEATLH
FORTIS INS. COMP.
FOX
GREATWEST
HUMANA
MEDICAID
MEDICARE
MEMORIAL HERMANN FREEDOM
ONE SOURCE HEALTH NETWORK
PACIFICARE
PHCS
SOUTHERN BENEFITS
STARMARK
TEXAS CHILDREN
THE CLAIMS TRUST
TML
TRICARE
UNICARE
UNITED HEALTHCARE
UTMB
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