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Frequently Asked Questions

Thank you for choosing our practice! We are committed to the success of your medical treatment and care. Please understand that payment of your bill is part of this treatment and care. For your convenience, we have answered a variety of commonly asked financial policy questions. If you need further information about any of these policies, please call and speak with any of our front office staff.

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With which plans are the office contracted?

See a list of our current insurance contracts

Our physicians are contracted with many insurance plans. To determine whether the office is on your insurance plan please contact your insurance member services department. There should be a phone number for member services located on the back of your insurance card.

If this office is on your insurance plan we will file the claim as a courtesy to you. If we are not on your insurance plan then the visit will be fee for services, payment expected the day of the visit. At the conclusion of your visit you will be given a statement that you can then file for out of network benefits.

Do I need a referral?

If you have an HMO policy a referral authorization from your primary care physician is needed. If you are unable to obtain a referral by the time of your visit your appointment will be rescheduled.

What type of payments do you accept?

We accept payment by cash, check, VISA or MasterCard.

What if I have a contracted PPO?

You are responsible for: Our staff will:
If the services you receive are covered by the plan: All applicable copays are requested at the time of the office visit.

If the services you receive are not covered by the plan
: Payment in full is due at the time of the visit.

If you have any questions regarding how and what your policy covers contact your insurance carrier’s member services.
Call your insurance company ahead of time to determine if the policy is active and applicable copays and deductibles.

File a claim on your behalf.

What if I have a contracted HMO & POS?

You are responsible for: Our staff will:
If the services you receive are covered by the plan: All applicable copays are requested at the time of the office visit.

If the services you receive are not covered by the plan: Payment in full is due at the time of the visit.

You will need either a referral on file at the office or have selected the physician as your primary care physician at the time of your visit.
Call your insurance company ahead of time to determine copays and deductibles.

File a claim on your behalf.

What if I have a plan with which the office is not contracted?

You are responsible for: Our staff will:
Payment in full is due at the time of the visit. You will be given paperwork which you can file with your insurance. Provide the necessary information for you to complete and file your claim directly with your insurance company.

What if I have Medicare/Medicaid?

You are responsible for: Our staff will:
Payment in full is due at the time of the visit. TS&FM will not file the claim and you will agree not to file claim. TS&FM will ask you to sign a form stating you are aware that the office does not file with Medicare/Medicaid and that you will not file either. This does not in any way affect your benefits or rights to this insurance for visits outside of TS&FM.

What if I have worker's compensation?

You are responsible for: Our staff will:
The office does not see workers compensation cases.
TS&FM recommends that you contact your Human Resources for guidelines on where and how to seek treatment for work related injuries or illnesses.

What if I have no insurance?

You are responsible for: Our staff will:
Payment in full is due at the time of the visit. Work with you to settle your account. Please speak with the office staff if you need assistance.
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