Policies,
Insurance & Fees
Patient Financial
Policy
Patient agrees to be responsible for all portions of services
at the time services are provided by our office. Patients are required
to present a valid insurance card at initial visit; at least annually
there after and anytime the insurance changes during the interim
of patient care. Patient is responsible for paying their bill in
full at the time of service unless prior arrangements have been
made or a verifiable insurance is presented. If insurance verified
then only the deductible, co-insurance and co-pays have to be paid
at the time of service.
Insurances:
Commercial Insurance Carriers: We bill most
insurance carriers for you if proper verification is provided
to us. Any outstanding balances, co-payments and deductibles
are due at the time of service. On insurance carriers that we
are not contracted with, it is the patient’s responsibility
to research why an insurance carrier may not have paid or way
it may have paid less than anticipated for care. If any insurance
carrier has not paid within 45 days of billing, fees are due
and payable in full from the patient. Any outstanding balances
and deductibles are due prior to the next appointments or within
10 days of the first statement after determined to be patient
responsibility by the insurance. We are contracted with the insurances
through our local PHO and Arkansas Blue Cross Blue Shield.
The Center for Women contracts with the same insurances
as Baxter Regional Medical Center Physician Hospital Organization
contracts with. There are a few other insurances we contract with
outside of the PHO.
Click
here for a list of insurances The Center for Women contracts
with >>
Medicare: Our office is a Medicare participating provider and
we will bill Medicare for the patient. We will bill secondary insurances
claims. Any outstanding balances and deductibles are due prior
to the next appointments or within 10 days of the first statement
after determined to be patient responsibility by the insurance.
Any co-insurance, deductible and non-covered service will be due
as service is rendered.
Medicaid: Our office is a Medicaid participating provider through
Arkansas and Missouri. We will bill Medicaid for the patient. Any
outstanding balances, co-payments and deductibles are due prior
to the next appointment or within 10 days of the first statement
after determined to be patient responsibility by the insurance.
Methods of Payment:
Our office accepts the following payment methods: Cash, Personal
Check, Credit Cards, Care Credit and Patient Financing options.
CareCredit® Payment Plans:
The Center for Women participates in CareCredit, a credit program
for healthcare costs not covered by the patient’s insurance.
It offers no-interest monthly payment plans for up to 18 months
on procedures costing $300 or more. There is no annual fee. For
additional details, click here.
For returned checks we assess a $25.00 NSF charge, expect repayment
within 1 week of being returned to our office. If not repaid within
the 1 week, the NSF check will be reported to the local hot check
collection office.
If accounts are not paid according to terms, the patient understands
that our office reports to an outside collection agency. In the
event that your account is turned over for collections patient
agrees to pay all additional fees accessed in the collection of
the debt. These fees include collection agency fees and attorney
fees. For accounts turned over to debt collectors for collection,
risk the possibility of not being able to return to the office
for patient care.
Prenatal Financial Arrangements:
The financial expectations will be discuss
about your prenatal care by our billing department on your first
visit. Your insurance, if you have insurance, will be verified.
A financial agreement will be completed showing the expected
charges, what insurance is expected to pay on those charges and
what the patient’s
expected portion will be. The patient’s expected portion
will be set up on payments to be paid by the 30th week of pregnancy.
If there is no insurance, the expected charges will be set up on
monthly payments for the entire amount to be paid by the 30th week.
The charges that are expected in a pregnancy would be the vaginal
delivery fee with expected prenatal visits, three ultrasounds as
needed, doctor induced anesthesia charges and the lab as listed
in our prenatal guide. What are not included in these fees would
be any NSTs (fetal stress test), any additional labs or ultrasounds
and/or C-section fees. If these occur, then additional fees will
be charged to the patient account.
Fees
The Center for Women fees are set by the
board based on contracted insurance fee schedule(s).
For all insurances that we are contracted with: the usual, customary
and reasonable adjustments will be applied according to the contract
of that particular insurance. Please review a list of the contracted
insurances to determine if your insurance is one that we are contracted
with.
General Consent for Medical Care
Medical consent for care can be authorized and empowered to consent,
either orally or otherwise, to any surgical or medical treatment
or procedure not prohibited by law which may be suggested, recommended,
prescribed, or directed by a licensed physician. Any of the following
can authorize such permissions:
- Any adult, for himself or herself;
- Any parent, whether an adult
or a minor, for his or her minor child or for his or her adult
child of unsound mind whether the child is of the parent’s
blood, an adopted child, a stepchild, or a foster child. However,
the father of an illegitimate child cannot consent for the
child solely on the basis of parenthood;
- Any married person, whether an adult or a minor, for himself
or herself.
- Any female, regardless of age or marital status, for herself
when given in connection with pregnancy or childbirth, except
the unnatural interruption of a pregnancy;
- Any person standing in loco parentis, whether formally serving
or not, and any guardian, conservator, or custodian, for his
or her ward or other charge under disability;
- Any emancipated minor, for himself or herself (proof of emancipation
required);
- Any unemancipated minor of sufficient intelligence to understand
and appreciate the consequences of the proposed surgical or medical
treatment or procedures, for himself or herself;
- Any adult, for his or her minor sibling or his or her adult
sibling of unsound mind;
- During the absence of a parent so authorized and empowered,
any maternal grandparent and, if the father is so authorized
and empowered, any paternal grandparent, for his or her minor
grandchild or for his or her adult grandchild of unsound mind;
- Any married person, for a spouse of unsound mind;
- Any adult child, for his or her mother or father of unsound
mind; and
- Any minor incarcerated in the Department of Correction or the
Department of Community Correction, for himself or herself.
These guidelines are followed
and set according to Arkansas
Code 20-9-602 for Consent generally.
Financial Liability of Minor
- Unless the parental relationship is terminated
by the court (requiring a Court Order as proof of emancipation
of juvenile), the parents are liable for the cost of necessary
medical services rendered to their minor child.
- Parental liability is not affected by a
Divorce or the language of the Divorce Decree, even if that
decree provides that one parent or the other is solely liable
for a minor’s
medical debts.
- Step-parents are not liable for medical services rendered to
their step-children without a separate contract.
- Neither marriage nor childbirth changes
a minor’s status
as a minor. Note, however, that minor parents are liable for
care rendered to their children.
- Age of majority in Arkansas is 18 years
of age. The general rule is minors under a legal disability
are not legally competent to contract. Necessaries are an exception – minors
can be held liable for a contract for the necessities of life
rendered to the minor. Medical bills are almost always considered
necessaries of life.
- Minors can sign for services if they are capable of understanding
the nature of injury/illness and the treatment required.
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