Membership
What's Excluded?
Costs - For Medical & Diagnostic Services - All Office Medical Services to include Doctor Visits, Lab Charges, Surgical Procedures, and Diagnostic Tests (see our list of services) beyond those provided free in the Annual Membership Fee, are provided by our office on an as needed basis and determined by your personal needs and recognized quality guidelines. They are either billed directly to your insurance company or to the member based on the following circumstances:
- Insured Members:
- For "Covered Services" we will bill your insurance company at the negotiated insurance rate and you would be responsible only for your portion of those services (Co-pay, Coinsurance and/or Deductible).
- For "Non-Covered Services" we will bill our commercial members at the discounted fee for service rate and for our Medicare patient's at either the Medicare established rate or discounted fee for service as appropriate.
- For "Covered Services" we will bill your insurance company at the negotiated insurance rate and you would be responsible only for your portion of those services (Co-pay, Coinsurance and/or Deductible).
- Non-Insured Members:
We will bill the member at the discounted fee for service rate.
- Out of Network Members:
We will bill your insurance company and the balance will be billed to the member at the discounted fee for service rate.
