Pricing Policy

LUXORMEDICAL CENTER

FINANCIAL POLICY

We accept various methods of payment including:

CASH, CHECK, MC, VISA, DISCOVER, AMERICAN EXPRESS, AND DEBIT CARDS

Thank you for choosing us as your health care provider. We are committed to providing you with the finest health care available and a courteous and helpful staff. In order to make this process as smooth as possible for our clients, we offer this brochure outlining some of the policies followed by LUXOR MEDICAL CENTER.

All patients must complete check-in forms before seeing the doctor. Please bring any x-rays or MRI films related to your problem to the appointment. Also, bring your insurance card(s) and a photo ID to every visit.

 

Office visits:Payment in full for all office visits is expected on the day of your appointment unless you have applicable insurance that will be filed for your visit. Co-pays, deductibles and co-insurance amounts will be collected before being seen by the physician. Failure to pay your co-pay or co-insurance will result in your appointment being rescheduled.

 

Authorization for office visits:If your insurance requires authorization to see a specialist it is your responsibility to make sure this is received in our office prior to your appointment. Your visit will be rescheduled or a wavier must be signed making you responsible for payment if authorization is not obtained prior to seeing the physician.

 

Workers Compensation Cases:If you are visiting as a patient under Workers Compensation we must have a documented referral at the time of your visit or have your adjuster call and give information about your case prior to your appointment. Failure to provide this information will result in your visit being rescheduled.

 

Third Party Payers:Luxormedical center does not file medical liens for personal injury claims. If you are being represented by an attorney as a result of an accident or injury and are expecting reimbursement from a third party, you are still responsible for your bill at the time services are rendered. No arrangements will be made based on prospective third party payments.

 

Self Insured:If you are a non-insured patient you will be required to pay the full amount before being seen by the physician. On average, office visits are EURO 80.00 for established patients and EURO 100.00 for new patients. Your appointment will be rescheduled, if you are unable to pay for your visit at the time of service.

 

No Show Policy:As a courtesy, we attempt to contact every patient to remind them of their appointment; however, it is the responsibility of the patient to arrive for their appointment on time. Cancellations must be received 24 hours in advance, so that we may accommodate patients who need to be seen. Patients who do not contact us prior to their appointment will be charged a EURO 50.00 cancellation fee that MUST be paid prior to the appointment being rescheduled.

 

Surgical procedures:If after consultation with the doctor, your condition requires surgery, the procedure will be scheduled at Luxor medical center and our office will contact your insurance company to obtain benefits and preauthorization. However, verification of benefits is not a guarantee of payment from your insurance company. It is YOUR responsibility to contact your insurance company regarding your coverage, any required second surgical opinions, and preadmission certification. Failure to keep your scheduled surgery or procedure date will result in a EURO 50.00 charge, payable before your surgery will be rescheduled.

 

Other insurance plans:Insurance companies that we do not participate with or non-managed care plans will be treated as a commercial plan. They generally only pay a portion of the total bill. You will responsible for any unpaid portion; before any scheduled procedure will be performed.

 

Self insured:If you are a non-insured patient the Financial Coordinator will estimate the cost of your surgery. At that time you are required to pay at least 50% of the estimated charge. The surgery will be scheduled after the deposit has been received. Upon making your down payment, the balance should be paid within 60 days or a monthly payment arrangement made.

 

Billing procedures:As a courtesy, our office will submit your insurance claim on your behalf. Therefore, it is essential that we have complete and accurate information about your insurance carrier. Please remember that your insurance policy is an agreement between you and the insurance company. No insurance company attempts to cover all medical costs. Some pay fixed allowances for certain procedures; others pay a percentage of the charge. It is your responsibility to pay any balance not paid or covered by your insurance. If your insurance carrier sends you payment for our services, please sign over the check to LUXOR MEDICAL CENTER or you will be billed for the balance.

 

Collection process:Our Billing and Collections Department is able to help you with any questions you may have. You may contact them anytime between 10 AM and 10 PM. You will receive a statement from our office (if required). It notes any insurance/patient balances and payments made. Please review the statement for accuracy and contact your insurance company regarding any outstanding claims. Please understand that our services are separate from the medical center therefore you will receive a statement from us as well as the medical center.

 

Delinquent accounts:Any outstanding patient balances with no payment or activity for 60 days will result in your account being turned over to an outside collection agency. We will make every effort to negotiate a payment arrangement with you prior to this action taking place.

 

Forms and medical records:If you require our office to complete any forms for disability or out of work purposes there will be a EURO 10.00 charge to be collected prior to the form being completed and allow at least 2 weeks for completion. If you require a copy of your medical records you must sign a Medical Records Release of Information form and a payment of EURO 10.00 will be required. A form may be obtained by visiting our website at www.luxormedicalcenter.com.

 

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