Financial Policy, Fee Schedule
Thank you for choosing us as your health care provider. We are committed to your treatment being successful. Please understand that payment of your bill is considered a part of your treatment. The following is a statement of our Financial Policy, which we require you read, and sign prior to any treatment.
Please note that a regular series of treatments is generally recommended to experience the maximum benefit of Acupuncture. Within a few weeks we will evaluate the progress of treatment. Sometimes positive effects can be seen as early as the first session, although not always. Some things to consider when evaluating the length and response to treatment include the duration of the disorder, as well as your overall health and lifestyle.
FULL PAYMENT IS DUE AT TIME OF SERVICE. We accept cash, personal check, and all major credit and debit cards. Returned checks will incur a $30 fee.
Single Visit
Regarding Insurance
We do not bill or take medical insurance. We will be happy to provide a superbill for you to submit to your insurance company for your reimbursement.
Usual and Customary Rates
Our practice is committed to providing the best treatment for our patients and we charge what is usual and customary for our area. You are responsible for payment regardless of any insurance company's arbitrary determination of usual and customary rates.
Missed appointments
Unless canceled, at least 24 hours in advance, our policy is to charge for missed appointments at the rate a normal office visit. Please help us serve you better by keeping scheduled appointments.
Returned Checks
A $30 Returned Check fee will be charged to your account if our bank returns the check due to insufficient funds in your account.
Past Due Accounts
All balances over 30 days past due will be charged a 19.8% interest rate compounded monthly. The Patient or Responsible Party is responsible for any collection or legal fees or costs necessary to collect unpaid balances.
Thank you for understanding our Financial Policy. Please let us know if you have questions or concerns. I have read the Financial Policy. I understand and agree to this Financial Policy.