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I am not a provider for any insurance company,
HMO, PPO or other socialized form of medicine, but am in a private medical
practice. I understand this is rare these days, and there are fewer and fewer
of us left. I’ve had a bad experience “participating” in the past, since HMO’s
and insurance companies dictate what I can do by choosing either to pay or not
to pay for virtually any service. Once I sign the paper saying I will
“participate”, should they decide they do not want to pay for a service, by law
I cannot collect fees from patients for that service. The problem is that
insurance carriers tend to deny coverage in retrospect, leaving the
physician holding the bag for services that companies may arbitrarily decide they will not
cover.
We inform our patients that their care is a
matter between us them, and payment is due at the time of each service. Most
insurance companies pay for most of what we do at our office, but patients always
must check with their insurance to see that they allow them to see any physician
of your choice, if they wish to be covered.
We will provide you with completed standard
HCFA forms for every service we render, but it is up to you to provide these
forms to your insurance and receive reimbursement. We do no accept direct payment from any insurance provider.
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